如何阅读系统评价.pdf

Practice and Communication Chin J Evid-based Med 2009, 9(9): 1010-1017 如何阅读系统评价 1 2 2 3 2 2 2 陈耀龙  王梦书  张文娟  刘婷兰  王紫薇  赵  宇  赫万佳  2 2 1,* 伍媛媛  张玉婷  李幼平 1. 四川大学华西医院循证医学与临床流行病学教研室（成都 610041 ）；2. 四川大学华西临床医学院（成都 610041 ）； 3. 四川大学外国语学院（成都 610065 ） 摘要  目的  介绍系统评价的阅读方法。方法  全面检索当前有关阅读与评价医学文献的论文、专著，总结归 纳出指导阅读系统评价的一般原则和方法。结果  以下十个要点有助于科学、快速、高效阅读系统评价：①是否有 同类评价？②是否属必威体育精装版更新？③是否整合了之前相关的系统评价？④是否制定和实施了完善的检索策略？⑤是 否对原始研究进行了质量评价？⑥是否对原始研究结果进行了适当合并？⑦是否对其自身局限性或不足予以说 明？⑧是否提出了下一阶段需要解决的问题？⑨是否充分报告了摘要和全文？⑩是否能够用于解决实际问题？本 文还从对系统评价利用的角度，将读者分为四个人群：卫生政策制定者、卫生保健提供者、研究人员、患者及普通用 户。结论  应重视对系统评价的阅读，以便更好的指导决策，推动循证实践。 关键词  系统评价；文献阅读；循证医学 How to Read a Systematic Review 1 2 2 3 2 2 CHEN Yao-long , WANG Meng-shu , ZHANG Wen-juan , LIU Ting-lan , WANG Zi-wei , ZHAO Yu , 2 2 2 1,* HAO Wan-jia , WU Yuan-yuan , ZHANG Yu-ting , LI You-ping 1. Department of Evidence-Based Medicine and Clinical Epidemiology, West China Hospital, Sichuan University, Chengdu 610041, China; 2. West China School of Medicine, Sichuan University, Chengdu 610041, China; 3. Department of Foreign Languages, Sichuan University, Chengdu 610041, China Abstract Objective To introduce the method of reading systematic reviews. Methods Papers and books on reading and evaluating medical literature were searched comprehensively, and general principles and approaches of reading systematic reviews were summarized. Results The following 10 points were summarized to help read systematic reviews in a scientific, rapid, and efficient way: ① Was there any overviews of reviews? ② Was there a recent update? ③ Were the previous relevant systematic reviews integrated? ④ Were sound searching strategies