What do evidence-based secondary journals tell us about the publication of clinically important articles in primary healthcare journals?

What do evidence-based secondary journals tell us about the publication of clinically important articles in primary healthcare journals?
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DOI:
10.1186/1741-7015-2-33
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发表时间:
2004-09-06
期刊:
影响因子:
9.3
通讯作者:
Haynes RB
Haynes RB
中科院分区:
医学1区
文献类型:
--
作者:
McKibbon KA;Wilczynski NL;Haynes RB

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我们进行了这项分析,以确定i)哪些期刊发表了内科,全科/家庭医学,全科护理和心理健康方面的高质量临床相关研究;以及ii)每个期刊中临床相关文章的比例。我们进行了一项分析调查的手搜索170个普通医学,普通保健,专业期刊2000年。研究人员通过使用医疗保健应用的科学价值的明确标准来评估每篇文章。从业人员评估了这些文章的临床重要性。结果测量是在170种期刊上发表的高质量临床相关研究的数量,以及其中有多少发表在四种特定学科的二级循证杂志上(内科及其亚专科的ACP期刊俱乐部;全科/家庭实践的循证医学;全科护理的循证护理;和循证心理健康的各个方面)。原始研究和综述文章按目的分类:治疗和预防、筛查和诊断、预后、病因和危害、经济学和成本、临床预测指南和定性研究。我们评估了来自170种期刊的60,352篇文章。3059篇原创文章和1073篇综述文章符合高质量方法和临床相关材料的通过标准。ACP杂志俱乐部(内科),4个标题提供了56.5%的文章和27个标题提供了其他43.5%。对于循证医学(全科/家庭实践),5个标题提供了50.7%的文章,40个标题提供了剩余的49.3%。循证护理(全科护理),7个标题提供了51.0%的文章和34个额外的标题提供了49.0%。对于循证心理健康(心理健康),9个标题提供了53.2%的文章和34个额外的标题提供了46.8%。对于内科、全科/家庭医学和心理健康(但不包括全科护理)学科,临床重要文章的数量与科学引文索引(SCI)影响因子相关。尽管许多临床期刊发表了高质量、临床相关和重要的原创研究和系统综述,但研究的每个学科的文章都集中在一小部分期刊上。该子集因医疗保健学科而异;然而,本研究中所有学科的许多重要文章都发表在基础广泛的医疗保健期刊上,而不是亚专业或学科特定的期刊上。
We conducted this analysis to determine i) which journals publish high-quality, clinically relevant studies in internal medicine, general/family practice, general practice nursing, and mental health; and ii) the proportion of clinically relevant articles in each journal. We performed an analytic survey of a hand search of 170 general medicine, general healthcare, and specialty journals for 2000. Research staff assessed individual articles by using explicit criteria for scientific merit for healthcare application. Practitioners assessed the clinical importance of these articles. Outcome measures were the number of high-quality, clinically relevant studies published in the 170 journal titles and how many of these were published in each of four discipline-specific, secondary "evidence-based" journals (ACP Journal Club for internal medicine and its subspecialties; Evidence-Based Medicine for general/family practice; Evidence-Based Nursing for general practice nursing; and Evidence-Based Mental Health for all aspects of mental health). Original studies and review articles were classified for purpose: therapy and prevention, screening and diagnosis, prognosis, etiology and harm, economics and cost, clinical prediction guides, and qualitative studies. We evaluated 60,352 articles from 170 journal titles. The pass criteria of high-quality methods and clinically relevant material were met by 3059 original articles and 1073 review articles. For ACP Journal Club (internal medicine), four titles supplied 56.5% of the articles and 27 titles supplied the other 43.5%. For Evidence-Based Medicine (general/family practice), five titles supplied 50.7% of the articles and 40 titles supplied the remaining 49.3%. For Evidence-Based Nursing (general practice nursing), seven titles supplied 51.0% of the articles and 34 additional titles supplied 49.0%. For Evidence-Based Mental Health (mental health), nine titles supplied 53.2% of the articles and 34 additional titles supplied 46.8%. For the disciplines of internal medicine, general/family practice, and mental health (but not general practice nursing), the number of clinically important articles was correlated withScience Citation Index (SCI) Impact Factors. Although many clinical journals publish high-quality, clinically relevant and important original studies and systematic reviews, the articles for each discipline studied were concentrated in a small subset of journals. This subset varied according to healthcare discipline; however, many of the important articles for all disciplines in this study were published in broad-based healthcare journals rather than subspecialty or discipline-specific journals.
DOI: 10.1542/peds.103.5.941
发表时间: 1999-05-01
期刊: PEDIATRICS
影响因子: 8
作者:
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通讯作者: Parkin, PC
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发表时间: 2002-06-05
影响因子: 120.7
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发表时间: 2000-05-01
期刊: Current surgery
影响因子: --
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发表时间: 1981-01-01
期刊: CONTRACEPTION
影响因子: 2.9
作者:
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DOI: 10.1046/j.1525-1497.2000.00202.x
发表时间: 2000-12-01
影响因子: 5.7
作者:
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通讯作者: Koepsell, TD