酒精性肝病：美国胃肠病学会的拟议建议
Alcoholic liver disease: proposed recommendations for the American College of Gastroenterology.
作者信息
McCullough A J, O'Connor J F
机构信息
Center of Nutrition and Metabolism, Metro Health Medical Center, Department of Medicine, Case Western Reserve University, Cleveland, Ohio 44109-1998, USA.
出版信息
Am J Gastroenterol. 1998 Nov;93(11):2022-36. doi: 10.1111/j.1572-0241.1998.00587.x.
OBJECTIVE
The objective of this work was to develop practice guidelines for the management of alcoholic liver disease.
METHOD
A computerized search using the Medline Data Base from 1966-July 1997 was performed with the search headings; alcohol, alcoholic hepatitis, alcoholic liver disease, liver transplant, diagnosis, epidemiology, human, and English only. All randomized controlled trials, case-control studies, and meta-analyses were read in depth. A manual search was also done using references from each retrieved report, review articles, editorials, postgraduate course syllabi, and textbooks. In the subsequent review, evidence was evaluated using a hierarchical scale with randomized, controlled trials given the most importance. Abstracts presented at national meetings were included only when unique data were obtained from those studies.
目的
本研究的目的是制定酒精性肝病管理的实践指南。
方法
利用1966年至1997年7月的医学数据库进行计算机检索，检索词为：酒精、酒精性肝炎、酒精性肝病、肝移植、诊断、流行病学、人类，且仅为英文。对所有随机对照试验、病例对照研究和荟萃分析进行了深入阅读。还利用每份检索报告的参考文献、综述文章、社论、研究生课程大纲和教科书进行了手工检索。在随后的综述中，使用分级量表对证据进行评估，其中随机对照试验最为重要。仅当从这些研究中获得独特数据时，才纳入在全国会议上发表的摘要。
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