摘要
目的对目前中医药治疗糖尿病肾病传统文献综述进行质量评价,探讨存在的问题,为方法学改进提供依据。方法按照临床流行病学、循证医学的方法和原则,参考meta-分析国际报告的18条标准,自制资料提取表。对1989年1月2005年6月期间中文期刊发表的中医药治疗糖尿病肾病的传统综述性文章进行质量评价。结果本研究共纳入符合标准的传统综述108篇。作者数为1人的占38%;99%的传统综述没有明确的目的;所有文章均未交待资料的来源和所引用的参考文献标准,缺乏对引用文章的设计类型和真实性的质量评价。结论传统综述研究目的不够明确,论述的范围较广;由于缺乏明确的纳入标准,可能存在选择性偏倚、引用偏倚和发表偏倚;对所引用的研究资料缺乏定量或定性综合,导致结论的立论依据不足。
Objective To evaluate the quality of traditional literature reviews of traditional Chinese medicines（TCM） for diabetic nephropathy to explore the existing problems and to provide basis for methodological improvement. Methods According to the principles and methods of clinical epidemiology and evidence-based medicine and referring the 18 items of QUAROM Statement, we developed a data extraction form. Review articles of TCM for diabetic nephropathy published between Jan 1989 and June of 2005 in Chinese journals were evaluated. Results In total, 108 reviews were included for evaluation in this paper. 99% of the articles did not specify the objectives, and all articles did not describe the sources of cited references, and no information on study design and validity evaluation. Conclusion Traditional reviews are of wide topic areas and lack of definite objectives, inclusion criteria, and may suffer from selection bias, citation bias and publication bias, and lack of qualitative or quantitative synthesis of data. Therefore, the conclusions are not evidence based.
出处
《首都医科大学学报》
CAS
2007年第2期189-191,共3页
Journal of Capital Medical University
基金
国家重点基础研究发展计划(2006CB504602)资助项目
关键词
循证医学
传统综述
质量评价
系统综述
evidence-based medicine
traditional review
quality assessment
systemic review
