零基础做Meta分析如何选题?

2016-02-05 Jeffrey MedSci原创

Meta分析,中文称“荟萃分析”。它是循证医学重要的研究方法和最佳证据来源之一,是当临床科研工作者必备的研究方法和技术。掌握Meta分析有助于提高临床研究设计的质量和发表高水平学术论文的能力,也是许多大型临床研究的前奏,以及临床研究创新的来源。Meta分析是一种系统性评价方法,目前大部分多中心RCT(随机对照试验)都是国外研究机构发表,他们一般在进行临床研究的同时,已经将其meta分析的文章也顺带

Meta分析,中文称“荟萃分析”。它是循证医学重要的研究方法和最佳证据来源之一,是当临床科研工作者必备的研究方法和技术。掌握Meta分析有助于提高临床研究设计的质量和发表高水平学术论文的能力,也是许多大型临床研究的前奏,以及临床研究创新的来源。

Meta分析是一种系统性评价方法,目前大部分多中心RCT(随机对照试验)都是国外研究机构发表,他们一般在进行临床研究的同时,已经将其meta分析的文章也顺带做了。但在国内,虽然很多人沉迷做meta,但由于缺乏好的idea和临床研究数据,很难做出高质量的分析。因此,在做Meta分析之前一定要有好的切入点,即要有一个好的选题,这往往决定你的文章质量。那么好的Meta分析题目有什么特点呢?

l 临床现有的争议点,大家对此还不是很统一,指南也模棱两可
l 可以改变临床实践,对现有操作的挑战
l 挑战之前的Meta分析结果,能引发一定的讨论

如何发现这些好的选题?

1. 看本专业Top临床期刊最新的articles和review,如你是神经科的,可以多去逛逛Neurology,  Stroke, Movement disorder等专科杂志最新的RCTs和综述,尤其是综述里面治疗的那一部分。同时也可以逛逛四大临床期刊里面关于本专业的一些articles和review。

2. 看指南的治疗部分,如XX治疗方式XX病最近有研究表示有效或无效,但缺乏足够的证据,有争议,那就是我们的切入点。但因为指南具有滞后性,所以指南里面提到的可能都已经被人下手了。

3. 去逛逛临床试验注册网站,有些大型RCTs发表前都会在这些网站上注册,你就可以了解最新正在进行的临床研究,知道它们大概什么时间弄完,守株待兔,不信捉不住你。推荐个临床注册网站:https://www.clinicaltrials.gov/。较全较好用,随时跟踪最新ongoing的RCTs.

4.中医方面的meta,那真是得天独厚,国际友人肯定争不过我们,一想一个准,都没人发表过。但有个缺陷就是大部分中医的临床研究都是发表在国内文献,所以我们纳入的研究也都是国内的为主,这会对整体质量造成一定影响。投稿方向也一般局限在中西医结合领域(CAM: complementary and alternative medicine)的SCI期刊,但实践表明只要你不嫌弃分值低,都是能发表的。

选题是Meta分析的第一步,也是非常重要的一步。接下来的工作就是对选题的完善,你需要做大量的文献检索、数据提取及数据解读等。这些都是最基本的技能,如果说你之前没有做过Meta分析(零基础)也没有关系,国内知名医学继续教育平台梅斯医学将在3月份连开两场Meta分析的培训课程,用实际发表案例教你学会Meta分析。点击这里

培训内容:

1)什么是系统评价与Meta分析?

2)如何发现meta的idea和切入点

3)介绍meta分析发表规范,以及实际应用案例

4)文献检索的技巧与实战

5)如何提取文献中数据

6)数据如何采用软件分析,以及进行合理解读

7)现场实战进行选题与数据提取

8)系统评价报告写作核心流程与框架

报名咨询:万家如,138 1866 3623

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    2016-02-28 guojianrong
  2. 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    2016-02-08 小猫cathy

    有提示

    0

  4. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-07-25 一闲
  5. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-02-06 jiangxianchen

    去不了

    0

  6. 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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-02-05 sword20000

    不错的活动,可惜是上海站,去不了。

    0

  7. 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createdName=一闲, createdTime=Mon Jul 25 16:53:00 CST 2016, time=2016-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63521, encodeId=45616352128, content=去不了, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuHfSLw3PzIKiaSnTBUuAtRkrrxWpibukl35iciaGtBq4LYQv4ian1tPC3IdmzWI2dZ3cDC8wUg5CnBxlJ/0, createdBy=33a51675735, createdName=jiangxianchen, createdTime=Sat Feb 06 18:54:00 CST 2016, time=2016-02-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63456, encodeId=24586345618, content=不错的活动,可惜是上海站,去不了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLAibgOibuZnfdFE64hJHibbD6WwEgyaXx7DtibMOSicJ6JZoLEAIdAdkhDmHWO7P7OXg2tkTicZy9libryicw/0, createdBy=aa991670466, createdName=sword20000, createdTime=Fri Feb 05 17:54:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63441, encodeId=c8c463441eb, content=值得一看, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Fri Feb 05 15:19:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63437, encodeId=66f66343eca, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63438, encodeId=4de76343880, content=好文, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63436, encodeId=059063436a7, content=……, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-02-05 wei834766788

    值得一看

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1887507, encodeId=e511188e5074f, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Sun Feb 28 20:53:00 CST 2016, time=2016-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1641149, encodeId=e8831641149ca, content=<a href='/topic/show?id=053d948049e' target=_blank style='color:#2F92EE;'>#选题#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94804, encryptionId=053d948049e, topicName=选题)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=723122754863, createdName=12498bd5m23暂无昵称, createdTime=Wed Aug 31 17:53:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63680, encodeId=86e863680b9, content=有提示, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbd11668261, createdName=小猫cathy, createdTime=Mon Feb 08 08:01:00 CST 2016, time=2016-02-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1895882, encodeId=59971895882b7, content=<a href='/topic/show?id=4a391158248' target=_blank style='color:#2F92EE;'>#MET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, 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createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLAibgOibuZnfdFE64hJHibbD6WwEgyaXx7DtibMOSicJ6JZoLEAIdAdkhDmHWO7P7OXg2tkTicZy9libryicw/0, createdBy=aa991670466, createdName=sword20000, createdTime=Fri Feb 05 17:54:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63441, encodeId=c8c463441eb, content=值得一看, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Fri Feb 05 15:19:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63437, encodeId=66f66343eca, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63438, encodeId=4de76343880, content=好文, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63436, encodeId=059063436a7, content=……, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-02-05 I come

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1887507, encodeId=e511188e5074f, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Sun Feb 28 20:53:00 CST 2016, time=2016-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1641149, encodeId=e8831641149ca, content=<a href='/topic/show?id=053d948049e' target=_blank style='color:#2F92EE;'>#选题#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94804, encryptionId=053d948049e, topicName=选题)], attachment=null, authenticateStatus=null, createdAvatar=null, 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createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLAibgOibuZnfdFE64hJHibbD6WwEgyaXx7DtibMOSicJ6JZoLEAIdAdkhDmHWO7P7OXg2tkTicZy9libryicw/0, createdBy=aa991670466, createdName=sword20000, createdTime=Fri Feb 05 17:54:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63441, encodeId=c8c463441eb, content=值得一看, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Fri Feb 05 15:19:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63437, encodeId=66f66343eca, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63438, encodeId=4de76343880, content=好文, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63436, encodeId=059063436a7, content=……, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-02-05 I come

    好文

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=1887507, encodeId=e511188e5074f, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d8f4110, createdName=guojianrong, createdTime=Sun Feb 28 20:53:00 CST 2016, time=2016-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1641149, encodeId=e8831641149ca, content=<a href='/topic/show?id=053d948049e' target=_blank style='color:#2F92EE;'>#选题#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94804, encryptionId=053d948049e, topicName=选题)], attachment=null, authenticateStatus=null, createdAvatar=null, 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createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLAibgOibuZnfdFE64hJHibbD6WwEgyaXx7DtibMOSicJ6JZoLEAIdAdkhDmHWO7P7OXg2tkTicZy9libryicw/0, createdBy=aa991670466, createdName=sword20000, createdTime=Fri Feb 05 17:54:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63441, encodeId=c8c463441eb, content=值得一看, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Fri Feb 05 15:19:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63437, encodeId=66f66343eca, content=赞, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63438, encodeId=4de76343880, content=好文, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=63436, encodeId=059063436a7, content=……, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuK9CDibOwszLoEBg36ZXqzB5NDasNV9GTfFDmBicM1V8hUS4OtTicG3IiaFIKq4wqD23LUxORRJXqjVs/0, createdBy=00e81647535, createdName=I come, createdTime=Fri Feb 05 14:58:00 CST 2016, time=2016-02-05, status=1, ipAttribution=)]
    2016-02-05 I come

    ……

    0