Rapid evidence assessment: increasing the transparency of an emerging methodology

Rapid evidence assessment: increasing the transparency of an emerging methodology
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DOI:
10.1111/jep.12405
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发表时间:
2015-12-01
影响因子:
2.4
通讯作者:
O'Donnell, Meaghan
O'Donnell, Meaghan
中科院分区:
医学4区
文献类型:
--
作者:
Varker, Tracey;Forbes, David;O'Donnell, Meaghan

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在循证实践领域,政策制定者、医疗保健专业人员和消费者需要及时进行审查,以了解有效医疗保健和治疗的决策。快速证据评估(REA),也称为快速审查,近年来作为满足这一需求的文献综述方法而出现。它突出了什么是已知的在临床领域的目标受众在一个相对较短的时间framework.Methods本文讨论了缺乏透明度和有限的关键评价,可能会发生在REA,并继续提出进行REA的一般原则。我们所描述的方法是一致的基本原则系统评价方法,但也允许快速提供所需的信息,同时利用明确的和可重复的方法在每一个stage.Results我们的方法进行REA包括:制定一个明确的研究问题,在与最终用户协商,明确定义的组成部分的研究问题;制定一个全面和可重复的检索策略;制定明确的证据选择标准;以及对每项研究所获信息水平进行质量评估和透明决定。此外,REA还可能包括一个整体evidence.Conclusions的质量评估的REA方法的透明报告将提供更清晰的信息是如何获得的最终用户和关于速度和严谨性之间的权衡。
Rationale, aims and objectives Within the field of evidence-based practice, policy makers, health care professionals and consumers require timely reviews to inform decisions on efficacious health care and treatments. Rapid evidence assessment (REA), also known as rapid review, has emerged in recent years as a literature review methodology that fulfils this need. It highlights what is known in a clinical area to the target audience in a relatively short time frame.Methods This article discusses the lack of transparency and limited critical appraisal that can occur in REA, and goes on to propose general principles for conducting a REA. The approach that we describe is consistent with the principles underlying systematic review methodology, but also makes allowances for the rapid delivery of information as required while utilizing explicit and reproducible methods at each stage.Results Our method for conducting REA includes: developing an explicit research question in consultation with the end-users; clear definition of the components of the research question; development of a thorough and reproducible search strategy; development of explicit evidence selection criteria; and quality assessments and transparent decisions about the level of information to be obtained from each study. In addition, the REA may also include an assessment of the quality of the total body of evidence.Conclusions Transparent reporting of REA methodologies will provide greater clarity to end-users about how the information is obtained and about the trade-offs that are made between speed and rigour.