The Yale Guideline Recommendation Corpus: A representative sample of the knowledge content of guidelines
The Yale Guideline Recommendation Corpus: A representative sample of the knowledge content of guidelines
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DOI：
10.1016/j.ijmedinf.2008.11.001
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发表时间：
2009-05-01
影响因子：
4.9
通讯作者：
Shiffman, Richard N.
中科院分区：
文献类型：
--
作者：
Hussain, Tamseela;Michel, George;Shiffman, Richard N.
目的：开发和描述指南建议的大量代表性样本，可用于更好地了解当前建议的编写方式，并测试指南模型的充分性。我们将此样本称为耶鲁指南推荐语料库（YGRC）。方法：为了开发YGRC，我们从国家指南交换所（NGC）下载的指南中提取建议。我们通过比较YGRC样本和NGC中受控词汇术语的使用频率来评估YGRC的代表性。我们研究了语义和格式的指标，用于表示recommendationstatements.Results：在审查7527推荐statements的过程中，我们提取了1275建议从NGC和特征的指导方针，他们来自。语义指标和格式指标在表示建议时使用不一致。在31.6%（310/982）的指南中，建议声明无法可靠识别，许多建议无法按书面执行。我们还发现，目前报告推荐强度的方式存在差异和不一致。超过一半的建议（52.7%），没有表明强度，而6.5%不准确地表示strength.Conclusion：YGRC提供了一个有代表性的样本，目前的指南建议，并表现出相当大的变化和不一致的方式建议的书面和建议强度的方式，目前报告。(C)2008爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To develop and characterize a large, representative sample of guideline recommendations that can be used to better understand how current recommendations are written and to test the adequacy of guideline models. We refer to this sample as the Yale Guideline Recommendation Corpus (YGRC).Method: To develop the YGRC, we extracted recommendations from guidelines downloaded from the National Guideline Clearinghouse (NGC). We evaluated the representativeness of the YGRC by comparing the frequency of use of controlled vocabulary terms in the YGRC sample and in the NGC. We examined semantic and formatting indicators that were used to denote recommendation statements.Results: In the course of reviewing 7527 recommendation statements, we extracted 1275 recommendations from the NGC and characterized the guidelines from which they were derived. Both semantic and formatting indicators were used inconsistently to denote recommendations. Recommendation statements were not reliably identifiable in 31.6% (310/982) of the guidelines and many recommendations were not executable as written. We also found variability and inconsistency in the way strength of recommendation is currently reported. Over half of the recommendations (52.7%), did not indicate strength, while 6.5% inaccurately indicated strength.Conclusion: The YGRC provides a representative sample of current guideline recommendations and demonstrates considerable variability and inconsistency in the way recommendations are written and in the way the recommendation strength is currently reported. (C) 2008 Elsevier Ireland Ltd. All rights reserved.