摘要
目的 系统分析国内外循证泌尿外科学(evidence-based urology,EBU)相关文献,了解其释义及方法学研究现状.方法 检索PubMed、Web of Science、中国知网、万方、维普和中国生物医学文献数据库,及京东书城、当当网引擎辅助检索.检索时间截止2023年8月9日.提取EBU内涵及方法学研究特征,采用内容分析法进行整合.结果 最终纳入37篇文献,尚未有文献对EBU的定义进行说明,研究的主题涉及随机对照试验、系统评价、指南、证据分级、Cochrane图书馆及PubMed数据库文献检索、循证临床决策等.其中,12篇文献聚焦随机对照试验或临床试验的亚组分析、相对效应和绝对效应、替代终点等11个议题;5篇文献介绍系统评价中异质性、发表偏倚、P值和置信区间、似然比4个主题;9篇文献系统性简述了循证医学的关键方法,并针对泌尿系统相关临床问题提供了证据支持.在撰写形式方面,均以泌尿系统疾病示例讲解.结论 EBU的定义尚未明确,但其发展与建设已具备良好的基础,该理论体系亟待进一步完善,如从泌尿外科涌现的复杂性问题入手,积极提出解决的新方法,丰富研究证据类型,创新分级标准,拓宽EBU的临床决策方式,加快优化学科课程体系及人才培养.
Abstract
Objective To systematically analyze relevant literature on evidence-based urology(EBU)in China and abroad,and to understand their definitions and methodological research status.Methods The PubMed,Web of Science,CNKI,Wanfang,VIP Database for Chinese Technical Periodicals,and SinoMed were searched,JD.com and Dangdang.com engines are used to assist retrieval.The search was conducted as of August 9,2023.The connotation and methodological research characteristics of EBU were extracted,and then used content analysis to integrate the extracted information.Results A total of 37 literature were included.There was no literature on the definition of EBU yet,and the research topics involved randomized controlled trials,systematic review,guidelines,evidence grading,Cochrane Library and PubMed database literature retrieval,evidence-based clinical decision-making,etc.12 articles focused on 11 topics of randomized controlled trials or clinical trials such as subgroup analysis,relative and absolute effects,alternative endpoints;5 articles introduced 4 themes of systematic review including heterogeneity,publication bias,P-value and confidence interval,and likelihood ratio;9 literature systematically outlined the key methods of evidence-based medicine and provide evidence support for clinical questions related to the urinary system diseases.In terms of writing format,cases of urinary system diseases were used for explanation.Conclusion The definition of EBU has not yet been clarified,but it has a good foundation of development and constructionn,and the theoretical system EBU needs to be further improved.For example,starting with the complexity of the problems emerging in urology,actively proposing new ways of solving them,enriching research evidence types,innovating grading standards,expanding the clinical decision-making methods of EBU,and accelerating the optimization of subject curriculum system and talent cultivation.
基金项目
国家重点研发计划"主动健康和人口老龄化科技应对"重点专项(2022YFC3600700)
湖北省高等学校省级教学研究项目(2022016)
湖北省教育科学规划重点课题(2021GA001)
维普
万方数据