外科系统性综述:最佳可用证据还是一次性废物?

IF 18 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-07-16 DOI:10.1515/iss-2022-0029
R. Klotz, S. Tenckhoff, Pascal Probst
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引用次数: 0

摘要

循证医学要求根据现有的最佳证据为患者提供治疗方案。带有荟萃分析的系统综述(SR)可以让外科医生根据最高水平的证据做出治疗决策。此外,高质量的系统综述还有助于医生对每天产生的大量新研究数据提出质疑。德国外科学会研究中心(SDGC)的系统性综述工作组已就外科系统性综述撰写了专门的方法论文献,提出了评估关键的偏倚风险的建议,并防止出现无法为该领域提供任何新见解的系统性综述。只有在有新的临床相关数据,且SR能提供新证据的情况下,才应考虑SR。为解决新SR产生但未增加新证据的难题,活的系统综述和证据图谱代表了一种创新方法,即定期用新的研究数据更新SR。
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Surgical systematic reviews: best available evidence or disposable waste?
Evidence-based medicine demands treatment options for patients to be based on the current best available evidence. Systematic reviews (SRs) with meta-analyses allow surgeons to make therapeutical decisions in accordance with the highest level of evidence. Also, high-quality SRs support physicians to challenge the colossal amount of new research data created daily. The systematic review working group of the Study Center of the German Society of Surgery (SDGC) has created specific methodological literature regarding surgical SRs, giving recommendations to assess critical risk of bias and to prevent the creation of SRs that do not provide any new insights to the field. SRs should only be considered if there is new clinically relevant data available that allows the SR to create novel evidence. To address the dilemma of new SRs generated without adding new evidence, living systematic reviews and evidence mapping represent an innovative approach, in which SRs are regularly updated with new research data.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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