Majken T. Wingo MD , Carl A. Andersen MD , Nadir M. Bhuiyan MD , Terin T. Sytsma MD , Jill M. Huber MD , Mark L. Wieland MD, MPH
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引用次数: 0
摘要
循证医学的快速变化对临床医生提出了挑战,要求他们根据新的信息调整自己的做法。综合相关证据可以推动临床进步。为了提高对改变实践的文献的认识,一组六位内科医生回顾了影响因子最高且与门诊普通内科相关的七种内科期刊的标题和摘要。对《新英格兰医学杂志》(NEJM)、《柳叶刀》(The Lancet)、《内科医学年鉴》(Annals of Internal Medicine)、《美国医学会杂志》(JAMA)、《美国医学会内科杂志》(JAMA Internal Medicine)、《英国医学杂志》(BMJ)和《公共科学图书馆医学》(PLoS)进行了综述。此外,还审查了文章概要和数据库的集合:美国医师学会杂志俱乐部、NEJM杂志观察、BMJ循证医学、McMaster ACCESSSS/动态证据警报和Cochrane综述。采用改进的德尔菲法,根据与门诊内科的相关性、对实践的影响和证据强度达成共识。关于同一主题的文章被放在一起审议。共纳入7篇改变实践的文章。
Update in Outpatient General Internal Medicine: Practice-Changing Evidence Published in 2024
Rapid shifts in evidence-based medicine challenge clinicians to adapt their practices based on new information. Synthesizing relevant evidence can drive clinical advancements. To enhance knowledge of practice-changing literature, a group of six internists reviewed titles and abstracts from seven internal medicine journals with the highest impact factors and relevance to outpatient general internal medicine. New England Journal of Medicine (NEJM), The Lancet, Annals of Internal Medicine, Journal of the American Medical Association (JAMA), JAMA Internal Medicine, British Medical Journal (BMJ), and Public Library of Science (PLoS) Medicine were reviewed. In addition, collections of article synopses and databases were also reviewed: American College of Physicians Journal Club, NEJM Journal Watch, BMJ Evidence-Based Medicine, McMaster ACCESSSS/DynaMed Evidence Alerts, and Cochrane Reviews. A modified Delphi method was used to reach consensus based on relevance to outpatient internal medicine, impact on practice, and strength of evidence. Articles pertaining to the same topic were considered together. In total,7 practice-changing articles were included.
期刊介绍:
The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice. AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical schools across the U.S. Each issue carries useful reviews as well as seminal articles of immediate interest to the practicing physician, including peer-reviewed, original scientific studies that have direct clinical significance and position papers on health care issues, medical education, and public policy.