Using research synthesis in medical technology assessment.
Using research synthesis in medical technology assessment.
复制标题
在医疗技术评估中使用研究综合。
DOI：
10.1017/s0266462300011144
复制
发表时间：
1987
影响因子：
3.2
通讯作者：
Yeaton,WH
中科院分区：
文献类型：
--
作者：
Wortman,PM;Yeaton,WH
本文描述了研究综合程序(例如，荟萃分析)在评估医疗技术中的使用。综合过程包括从一组研究研究中检索、提取和分析相关信息。研究综合有几个好处：确定总体有效性，解释看似矛盾的发现，提供效果的标准衡量标准，以及增加统计能力。此外，这样的合成提供了及时的结果，可以帮助各种政策决策，如在NIH启动临床试验，在HCFA进行补偿，以及回答NIH协商一致的会议问题。作者对冠状动脉旁路移植术(CABGS)的研究文献进行了综述，说明了该方法如何解决技术评估的各种要素，如安全性、有效性和成本效益。论文最后指出，在评估快速发展的技术(例如，急性心肌梗死的溶栓剂)方面，研究综合如何具有特别的优势。
This article describes the use of research synthesis procedures (e.g., meta-analysis) in evaluating medical technologies. The synthesis process involves retrieval, extraction, and analysis of pertinent information from a set of research studies. There are several advantages of research synthesis: determining overall effectiveness, explaining seemingly contradictory findings, providing a standard measure of effect, and increasing statistical power. In addition, such syntheses provide timely results that can assist various policy decisions such as initiating clinical trials at NIH, reimbursement at HCFA, and answering NIH consensus conference questions. The authors' synthesis of the research literature on coronary artery bypass graft surgery (CABGS) illustrates how this method can address the various elements of a technology assessment such as safety, efficacy, and cost-effectiveness. The paper concludes by noting how research synthesis can be particularly advantageous in assessing technologies that are rapidly evolving (e.g., lytic agents for acute myocardial infarction).