摘要
循证临床实践指南的证据到推荐意见的转化往往是复杂且繁琐的。本文主要阐述两部分内容:首先介绍证据及推荐意见分级的演进过程;其次,根据目前已有的、具有代表性的指南手册,分析推荐意见制定时存在的问题,总结证据到推荐意见的形成途径,并陈述形成最终推荐意见的方法。目前,虽尚无完善的、严谨的方法学指导证据到推荐意见的转化,但部分组织针对推荐意见的制定提供了不同的内容框架或辅助工具,国内循证临床实践指南制定者可借鉴其经验,结合本国国情,构建本土化的形成推荐意见的方法。
The formulation process of recommendations in evidence-based clinical practice guidelines was -ften complex and cumbersome. This paper described the evolution of levels of evidence and strength of recommendations in medical research and analyzed existing problems when making recommendations. We also summarized and introduced the method of formulating the final recommendation. At present, there isn＇t a perfect and uniform method to guide the formulation of recommendations. But some organizations provided different content frameworks or auxiliary tools to guide formulation of recommendations. Developers of evidence-based clinical practice guidelines can learn from their experiences, combine with their own characteristics of guidelines such as specific target population and specific clinical situations, establish a rational method of recommendations formation.
出处
《中国循证医学杂志》
CSCD
2017年第9期1085-1092,共8页
Chinese Journal of Evidence-based Medicine
基金
国家重点研发计划专项基金(编号:2016YFC0106300)
关键词
循证临床实践指南
证据
推荐意见
方法学
Evidence-based clinical practice guideline
Evidence
Recommendation
Methodology
