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【Human】欧洲人类生殖与胚胎学学会(ESHRE)制定的
BACKGROUND: Clinical practice guidelines bridge the gap between the evidence from literature and clinical practice, and they may provide guidance in ethical, legal and societal dilemmas. To explore the potentials for future international guideline development within the field of human reproduction and embryology, we assessed the quality of existing guidelines produced by the European Society of Human Reproduction and Embryology (ESHRE).
METHODS: We systematically searched for the ESHRE guidelines produced after 1996 in electronic databases and on the Internet. Subsequently, we assessed the methodological quality of these guidelines using the validated Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument.
RESULTS: The overall methodological quality of most of the 11 selected ESHRE guidelines was poor. Most of the guidelines scored <30% in the domains of ‘stakeholder involvement’, ‘rigour of development’, ‘applicability’ and ‘editorial independence’. Only one guideline was rated ‘strongly recommended’.
CONCLUSIONS: The methodological quality of the guidelines produced under the auspices of ESHRE can be improved. We suggest a systematic, up-to-date methodology, investment in guideline development specialists, systematic quality control and the incorporation of indicator development. Furthermore, attention should be paid to the document nomenclature, and an ESHRE guidelines’ summary on a special part of the ESHRE website would be a good initiative.
Key words: guideline/quality of care/subfertility/ESHRE
Submitted on November 27, 2007; resubmitted on March 11, 2008; accepted on March 20, 2008.
http://humrep.oxfordjournals.org/cgi/content/abstract/23/8/1786 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 The methodological quality of clinical guidelines of the European Society of Human Reproduction and Embryology (ESHRE)
欧洲人类生殖与胚胎学协会的临床规范的方法学质量
BACKGROUND: Clinical practice guidelines bridge the gap between the evidence from literature and clinical practice, and they may provide guidance in ethical, legal and societal dilemmas. To explore the potentials for future international guideline development within the field of human reproduction and embryology, we assessed the quality of existing guidelines produced by the European Society of Human Reproduction and Embryology (ESHRE).
背景：临床实践规范缩小了文献证据和临床实践中的差距，并且可能为伦理、法律、社会性困境中提供指南。为探求人类生殖和胚胎学领域，将来的国际性规范发展的潜力，我们对已有的欧洲人类生殖和胚胎学协会（ESHRE）制定的规范的质量进行评估。
METHODS: We systematically searched for the ESHRE guidelines produced after 1996 in electronic databases and on the Internet. Subsequently, we assessed the methodological quality of these guidelines using the validated Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument.
方法：我们系统的搜索了因特网中电子数据库的1996年后的ESHRE制定的1996之后的规范。随后,我们使用了业已证实的指南研究与评价的评审工具来评估这些规范的方法学质量 。
RESULTS: The overall methodological quality of most of the 11 selected ESHRE guidelines was poor. Most of the guidelines scored <30% in the domains of ‘stakeholder involvement’, ‘rigour of development’, ‘applicability’ and ‘editorial independence’. Only one guideline was rated ‘strongly recommended’.
结果：所选择的11个ESHRE规范中多数的总体方法学质量较差。多数规范的“权益关系人的参与情形”、“发展的严谨度”、“可应用性”、“发展的公正客观性”等方面的得分在30%以下。只有一个规范的评估为“强烈建议”。
CONCLUSIONS: The methodological quality of the guidelines produced under the auspices of ESHRE can be improved. We suggest a systematic, up-to-date methodology, investment in guideline development specialists, systematic quality control and the incorporation of indicator development. Furthermore, attention should be paid to the document nomenclature, and an ESHRE guidelines’ summary on a special part of the ESHRE website would be a good initiative.
结论： ESHRE支持下制定的诊疗规范的方法学质量仍需改善。我们建议建立一个系统的、最新的方法学，投资于诊疗规范发展专家，系统的质量控制和指示发展的参入。另外，应该重视文献命名， 并且把ESHRE 诊疗规范概略列在ESHRE网站上特别的部分将是良好的主动性。
Key words: guideline/quality of care/subfertility/ESHRE
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作者:admin@医学,生命科学 2010-10-24 17:11
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