撰写一篇完整的系统评价的步骤

2013-09-26 李春洁 吕俊 史宗道 MedSci原创

  系统评价的方法是由英国著名流行病学家Archie Cochrane首先提出的,早在20世纪70年代他就倡导,临床医师需使用已被证明有明显效果的医疗保健措施以应付卫生资源的短缺。而临床随机对照试验所获取的结果是可靠的证据,他建议应当将特定病种、同种疗法的所有随机对照试验结果合并成为说服力比单个试验更强的证据,并在新的临床试验结果出现时予以更新,保证证据更加真实可靠。   疾病

  系统评价的方法是由英国著名流行病学家Archie Cochrane首先提出的,早在20世纪70年代他就倡导,临床医师需使用已被证明有明显效果的医疗保健措施以应付卫生资源的短缺。而临床随机对照试验所获取的结果是可靠的证据,他建议应当将特定病种、同种疗法的所有随机对照试验结果合并成为说服力比单个试验更强的证据,并在新的临床试验结果出现时予以更新,保证证据更加真实可靠。   疾病防治性系统评价是在筛选并严格评估相关研究的基础上,收集并合并数据,进而对某一防治性问题得出明确的结论。Meta-分析是整合数据的一种统计学方法。运用了Meta-分析的系统评价可以称为定量系统评价,未使用Meta-分析的系统评价为定性系统评价。   系统评价已广泛地应用于病因、诊断、治疗、预防和预后研究中。本文通信作者曾于2003年在Cochrane图书馆第一期上发表了一篇名为透明质酸钠治疗颞下颌关节紊乱病 (Hyaluronate for temporomandibular joint disorders)的系统评价,并在最近对其进行了更新。为了叙述方便,本文便依此系统评价的制作过程,简述防治

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  1. [GetPortalCommentsPageByObjectIdResponse(id=901319, encodeId=d390901319cd, content=又学到了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=85ed5259629, createdName=147fc743m25暂无昵称, createdTime=Mon Nov 23 02:43:35 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44480, encodeId=b47e4448089, content=谢谢,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d82c1667910, createdName=天鬼, createdTime=Wed Dec 02 22:33:00 CST 2015, time=2015-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=12219, encodeId=7e87122195a, content=很实用,和有帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8cdb60464, createdName=chenli870128, createdTime=Thu Oct 16 14:09:00 CST 2014, time=2014-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444071, encodeId=05d614440e197, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sat Sep 28 06:14:00 CST 2013, time=2013-09-28, status=1, ipAttribution=)]
    2020-11-23 147fc743m25暂无昵称

    又学到了

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=901319, encodeId=d390901319cd, content=又学到了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=85ed5259629, createdName=147fc743m25暂无昵称, createdTime=Mon Nov 23 02:43:35 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44480, encodeId=b47e4448089, content=谢谢,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d82c1667910, createdName=天鬼, createdTime=Wed Dec 02 22:33:00 CST 2015, time=2015-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=12219, encodeId=7e87122195a, content=很实用,和有帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8cdb60464, createdName=chenli870128, createdTime=Thu Oct 16 14:09:00 CST 2014, time=2014-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444071, encodeId=05d614440e197, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sat Sep 28 06:14:00 CST 2013, time=2013-09-28, status=1, ipAttribution=)]
    2015-12-02 天鬼

    谢谢,学习了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=901319, encodeId=d390901319cd, content=又学到了, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=85ed5259629, createdName=147fc743m25暂无昵称, createdTime=Mon Nov 23 02:43:35 CST 2020, time=2020-11-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=44480, encodeId=b47e4448089, content=谢谢,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d82c1667910, createdName=天鬼, createdTime=Wed Dec 02 22:33:00 CST 2015, time=2015-12-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=12219, encodeId=7e87122195a, content=很实用,和有帮助, beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8cdb60464, createdName=chenli870128, createdTime=Thu Oct 16 14:09:00 CST 2014, time=2014-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1444071, encodeId=05d614440e197, content=<a href='/topic/show?id=3d9291459d1' target=_blank style='color:#2F92EE;'>#评价#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91459, encryptionId=3d9291459d1, topicName=评价)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1fee5134542, createdName=huagfeg, createdTime=Sat Sep 28 06:14:00 CST 2013, time=2013-09-28, status=1, ipAttribution=)]
    2014-10-16 chenli870128

    很实用,和有帮助

    0

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    2013-09-28 huagfeg