In which journals will pediatricians find the best evidence for clinical practice?
In which journals will pediatricians find the best evidence for clinical practice?
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DOI：
10.1542/peds.103.5.941
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发表时间：
1999-05-01
期刊：
影响因子：
8
通讯作者：
Parkin, PC
中科院分区：
文献类型：
--
作者：
Birken, CS;Parkin, PC
客观的。本研究的目的是确定包含与儿科临床实践相关的最佳证据的期刊，从而使普通儿科医生和儿科实习生能够更有效地识别最佳质量的证据，并更明智地选择普通阅读的期刊。方法。在三个策略中的第一个中，收集了来自 Cochrane 图书馆 1997 年第 4 期 Cochrane 系统评价数据库 (CDSR) 中儿科、儿童、婴儿、新生儿、新生儿学和青少年主题标题的已完成系统评价的期刊引文。在第二个策略中，收集了 AAP 政策参考指南中 1994 年至 1996 年美国儿科学会 (AAP) 政策声明的期刊引文。在第三个策略中，收集了 1990 年至 1997 年《儿科和儿童健康》中发现的加拿大儿科协会 (CPS) 声明的期刊引文。与三级新生儿学、非医师医疗保健专业人员、公共卫生政策、道德和非期刊引文来源相关的主题被排除在外。所有没有参考文献的陈述都被排除在外。 CDSR 中不含儿科主题的期刊引用以及 AAP 政策声明中引用的 AAP 政策声明被排除在外。引用最频繁的期刊、占所有引用次数 10% 的期刊以及引用最频繁的 10 种期刊的引用次数以占总引用的百分比表示，并计算 95% CI。结果。使用所有三种策略（CDSR、AAP 和 CPS），被引用最频繁的期刊是 Pediatrics。使用 CDSR 策略 (n = 234)，来自 Pediatrics 的引用占总数的 6.0% (95% CI: 3.0%, 9.0%)，使用 AAP 策略 (n = 930)，来自 Pediatrics 的引用占总数的 11.4% (95% CI: 9.4%, 13.4%)，使用 CPS 策略 (n = 873)，来自《儿科》的引用占总数的 11.9%（95% CI：9.8，14.1）。使用 CDSR 策略，被引用频率最高的 10 种期刊的被引次数占总被引次数的 38.9%（95% CI：32.7%、45.1%）；使用 AAP 策略，被引用频率最高的 10 种期刊的被引次数占总被引次数的 42.3%（95% CI：39.3%、45.3%）；使用 CPS 策略，被引用频率最高的 10 种期刊的引用占总引用的 60.6%（95% CI：57.4、63.8）。在 CPS 策略中，《Journal of Pediatrics》的引用占总引用的 10.2%（95% CI：8.2，12.2），《New England Journal of Medicine》的引用占总引用的 9.5%（95% CI：7.6，11.5）。共有 7 种期刊被发现是最常使用这三种策略的 10 种期刊（按字母顺序排列）：《Archives of Drugs in Childhood》、《British Medical Journal》、《Journal of the American Medical Association》、《Journal of Pediatrics》、《Lancet》、《New England Journal of Medicine》和《Pediatrics》。结论。这项研究为普通儿科医生和儿科实习生提供了一种策略，通过将搜索和阅读限制在有限数量的期刊上，有效地识别大部分儿科实践的最佳证据。它还强调了这样一个事实：儿科实践的最佳质量证据可以在大量医学期刊中找到。
Objective. The objective of this study was to identify the journals that contain the best evidence relating to clinical pediatric practice, thus enabling general pediatricians and pediatric trainees to identify the best quality evidence more efficiently and to select journals for general reading more judiciously.Methods. In the first of three strategies, journal citations from completed systematic reviews using topic headings of pediatric(s), child, infant(s), newborn, neonate(s), neonatology, and adolescent(s) in the Cochrane Database of Systematic Reviews (CDSR) in the 1997, Issue 4, Cochrane Library were collected. In the second strategy, journal citations from American Academy of Pediatrics' (AAP) policy statements from 1994 to 1996 found in the AAP policy reference guide were collected. In the third strategy, journal citations from the Canadian Paediatric Society (CPS) statements from 1990 to 1997 found in Pediatrics and Child Health were collected. Topics related to tertiary neonatology, nonphysician health care professionals, public health policy, ethics, and non-journal citation sources were excluded. All statements with no references were excluded. Journal citations in CDSR with no pediatric subjects and citation of AAP policy statements cited in AAP policy statements were excluded. The number of citations from the journal cited most frequently, from journals that represented similar to 10% of all citations and from the 10 journals cited most frequently were expressed as a percent of total citations and a 95% CI was calculated.Results. Using all three strategies (CDSR, AAP, and CPS), the journal cited most frequently was Pediatrics. Using the CDSR strategy (n = 234), citations from Pediatrics represented 6.0% of the total (95% CI: 3.0%, 9.0%), using the AAP strategy (n = 930), citations from Pediatrics represented 11.4% of the total (95% CI: 9.4%, 13.4%), and using the CPS strategy (n = 873), citations from Pediatrics represented 11.9% of the total (95% CI: 9.8, 14.1). Using the CDSR strategy, citations from the 10 journals cited most frequently made up 38.9% of the total citations (95% CI: 32.7%, 45.1%), using the AAP strategy, citations from the 10 journals cited most frequently made up 42.3% of the total citations (95% CI: 39.3%, 45.3%), and using the CPS strategy, citations from the 10 journals cited most frequently made up 60.6% of the total citations (95% CI: 57.4, 63.8). In the CPS strategy, citations from the Journal of Pediatrics represented 10.2% of the total citations (95% CI: 8.2, 12.2) and citations from New England Journal of Medicine represented 9.5% of the total citations (95% CI: 7.6, 11.5). A total of 7 journals were found to be among the 10 cited most frequently using all three strategies (in alphabetical order): Archives of Diseases in Childhood, British Medical Journal, Journal of the American Medical Association, Journal of Pediatrics, Lancet, New England Journal of Medicine, and Pediatrics.Conclusions. This study provides the general pediatrician and pediatric trainee with a strategy to identify efficiently a significant proportion of the best evidence on pediatric practice by restricting searches and reading to a limited number of journals. It also highlights the fact that the best quality evidence on pediatric practice is found in a large number of medical journals.