眼科医生信任哪些数据来源?

Evidence-Based Medicine Pub Date : 2017-12-01 Epub Date: 2017-10-17 DOI:10.1136/ebmed-2017-110757
William C Stewart, Jeanette A Stewart, Lindsay A Nelson
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引用次数: 2

摘要

调查眼科医生在将新的医学知识纳入其实践时所信任的来源。该调查主要分发给美国眼科医生。这些问题是根据主要作者在大会和讨论中的研究经验以及医学文献中的提及得出的。共77名医生完成了1886份问卷调查,回复率为4%。在研究设计方面,医生更喜欢控制良好、随机、双掩模试验(99%),在广泛的地理区域进行多中心研究(80%)。最希望知名的关键意见领袖(KOL)(75%)或大学的任何KOL领袖(75%)撰写一篇研究文章。选择最多的期刊类型是亚专业期刊(86%),其次是多专业高影响力期刊(77%)。研究赞助最希望来自国立卫生研究院或其他政府机构(71%)或大学(71%)。医生更喜欢来自眼科医学协会的临床意见(75%)。对于新临床数据的来源,医生们认为非赞助的同行评议期刊文章(77%)或大型眼科会议的讲座(74%)是首选来源。眼科医生通常希望赞助商、研究设计和意见看起来没有偏见,以此作为临床实践决策的基础。
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What data sources do ophthalmologists trust?

To survey ophthalmologists regarding sources they trust when incorporating new medical knowledge into their practice. The survey was distributed primarily to US-based ophthalmologists. Questions were derived based on the lead author's research experience from congresses and discussions and from mentions in the medical literature. In total, 77 physicians completed the survey of 1886 sent (4% response rate). Regarding study design, physicians preferred a well-controlled, randomised, double-masked trial (99%) with multicentred investigational site across a wide geographical area (80%). Authorship of a research article was most desired from a well-known key opinion leader (KOL) (75%) or any KOL leader at a university (75%). The most selected journal type was a subspecialty publication (86%) and second a multispecialty high impact journal (77%). Study sponsorship was most desired from the NIH or other government agencies (71%) or a university (71%). Doctors preferred clinical opinions from an ophthalmic medical society (75%). For the source of new clinical data, physicians indicated an unsponsored peer-reviewed journal article (77%) or a lecture at a large ophthalmic congress (74%) as the preferred source. Ophthalmologists generally desire sponsors, study designs and opinions that appear free of bias on which to base their clinical practice decisions.

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