首页|胃肠道手术ERAS指南/共识质量评价及内容分析

胃肠道手术ERAS指南/共识质量评价及内容分析

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原文链接
  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
目的 通过评价和分析胃肠道手术加速术后康复(ERAS)指南/共识，遴选推荐使用的高质量指南/共识，为ERAS临床实践提供决策依据。方法 计算机检索PubMed、Embase、万方、中国知识基础设施工程等数据库及指南相关网站，纳入自数据库建库至2023年7月的胃肠道手术ERAS指南/共识。应用指南研究与评估系统Ⅱ和国际实践指南报告规范对纳入研究的指南/共识进行质量评价。分析整理推荐使用的高质量指南，汇总推荐意见。结果 最终纳入8部指南、13部共识。基于应用指南研究与评估系统Ⅱ，各领域平均标准化得分:范围和目的64。22%±14。47%、参与人员29。68%±15。43%、制定的严谨性30。26%±18。76%、表达的明晰性73。68%±19。06%、应用性10。05%±11。39%、编辑独立性54。46%±36。58%，其中3部指南推荐使用。基于国际实践指南报告规范，指南背景、证据和推荐意见领域存在严重报告缺失(报告率<10%)。基于3部推荐使用的指南，汇总提出术前、术中和术后三部分24条推荐意见。结论 胃肠道手术ERAS指南/共识质量参差不齐，3部推荐使用。
Quality evaluation and content analysis of ERAS guidelines/consensus in gastrointestinal surgery
Objective To evaluate and analyze the guidelines/consensus on enhanced recovery after surgery(ERAS)in gastrointestinal surgery,and to select the recommended high-quality guidelines/consensus,so as to provide a decision-making basis for the clinical practice of ERAS.Methods We retrieved information from PubMed,Embase,Wanfang,China National Knowledge Infrastructure,other databases and other websites related to the guidelines/consensus.Guidelines/consensus for ERAS in gastrointestinal surgery were included from the establishment of the databases to July 2023.appraisal of guidelines for research and evaluationⅡand reporting items for practice guidelines in healthcare were used to evaluate the quality of the included guidelines/consensus.Recommended high-quality guidelines/consensus were analyzed and recommendations made.Results 8 guidelines and 13 consensuses were included in the study.Based on appraisal of guidelines for research and evaluationⅡ,the standardization of quality evaluation in six fields of average scores was made,respectively for scope and purpose 64.22%±14.47%,participants 29.68%±15.43%,preciseness of for-mulation 30.26%±18.76%,clarity of expres sion 73.68%±19.06%,applicability 10.05%±11.39%and editorial independence 54.46%±36.58%,of which 3 guidelines are recommended for use.Based on the reporting items for practice guidelines in healthcare,guidelines/consensus have serious loss report(report rate<10%)in the fields of guideline background,evidence and recommendations.Based on the three recommended guidelines,24 recommendations containing preoperative,intraoperative and postoperative sections were summarized.Conclusion The quality of the included guidelines/consensus on ERAS in gastrointes tinal surgery is uneven.3 guidelines could be recommended for clinical reference.

gastrointestinal surgeryenhanced recovery after surgeryguidelines/consensusquality evaluationappraisal of guidelines for research and evaluation Ⅱreporting items for practice guidelines in healthcare

美嘎、杨金拉姆、赵彦会、黄泽平、刘璐、张琰、刘婕婷

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兰州大学 第二临床医学院,甘肃 兰州 730030

兰州大学第二医院普外科,甘肃 兰州 730030

兰州大学第二医院麻醉科,甘肃 兰州 730030

胃肠道手术 加速术后康复 指南/共识 质量评价 指南研究与评估系统Ⅱ 国际实践指南报告规范

兰州大学第二医院萃英临床拔尖资助项目甘肃省自然科学基金

CY2020-BJ1023JRRA1633

2024

10.13885/j.issn.1000-2812.2024.04.010

兰州大学学报(医学版)
兰州大学

兰州大学学报(医学版)

CSTPCD
影响因子：0.641
ISSN：1000-2812
年,卷(期)：2024.50(4)
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