Efficiency of pragmatic search strategies to update clinical guidelines recommendations

被引:21
作者
Martinez Garcia, L. [1 ]
Sanabria, A. J. [1 ]
Araya, I. [2 ]
Lawson, J. [3 ]
Sola, I. [1 ]
Vernooij, R. W. M. [1 ]
Lopez, D. [4 ]
Alvarez, E. Garcia [5 ]
Trujillo-Martin, M. M. [6 ]
Etxeandia-Ikobaltzeta, I. [7 ]
Kotzeva, A. [8 ,9 ]
Rigau, D. [1 ]
Louro-Gonzalez, A. [10 ]
Barajas-Nava, L. [1 ]
Diaz del Campo, P. [11 ]
Estrada, M. D. [8 ,9 ]
Gracia, J. [12 ]
Salcedo-Fernandez, F. [13 ]
Haynes, R. B. [3 ]
Alonso-Coello, P. [1 ,9 ]
机构
[1] Iberoamerican Cochrane Ctr, Biomed Res Inst St Pau IIB St Pau, Barcelona, Spain
[2] Univ Chile, Fac Dent, Evidence Based Dent Unit, Santiago, Chile
[3] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
[4] Minist Hlth Santiago, Sub Secretariat Publ Hlth, Dept Epidemiol, Santiago, Chile
[5] NHS Ayrshire & Arran, Ayr, Scotland
[6] Fdn Canaria Invest & Salud FUNCIS, Red Invest Serv Salud Enfermedades Cronicas REDIS, Tenerife, Spain
[7] Osteba, Basque Off Hlth Technol Assessment, Vitoria, Spain
[8] Agcy Hlth Qual & Assessment Catalonia AQuAS, Barcelona, Spain
[9] CIBER Epidemiol & Publ Hlth CIBERESP, Barcelona, Spain
[10] Xerencia Xest Integrada A Coruna SERGAS, Ctr Saude Cambre, La Coruna, Spain
[11] Consejeria Sanidad, Subdirecc Gen Tecnol & Innovac Sanitaria, Hlth Technol Assessment Unit UETS, Madrid, Spain
[12] Natl Clin Practice Guideline Programme NHS, Madrid, Spain
[13] GuiaSalud Aragon Inst Hlth Sci, Zaragoza, Spain
基金
加拿大健康研究院;
关键词
Clinical guidelines; Diffusion of innovation; Dissemination and implementation; Evidence-based medicine; Information storage and retrieval; Knowledge translation; Methods; Updating; SYSTEMATIC REVIEWS; VALIDITY; COHORT; HEALTH;
D O I
10.1186/s12874-015-0058-2
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: A major challenge in updating clinical guidelines is to efficiently identify new, relevant evidence. We evaluated the efficiency and feasibility of two new approaches: the development of restrictive search strategies using PubMed Clinical Queries for MEDLINE and the use of the PLUS (McMaster Premium Literature Service) database. Methods: We evaluated a random sample of recommendations from a national guideline development program and identified the references that would potentially trigger an update (key references) using an exhaustive approach. We designed restrictive search strategies using the minimum number of Medical Subject Headings (MeSH) terms and text words required from the original exhaustive search strategies and applying broad and narrow filters. We developed PLUS search strategies, matching Medical Subject Headings (MeSH) and Systematized Nomenclature of Medicine (SNOMED) terms with guideline topics. We compared the number of key references retrieved by these approaches with those retrieved by the exhaustive approach. Results: The restrictive approach retrieved 68.1 % fewer references than the exhaustive approach (12,486 versus 39,136), and identified 89.9 % (62/69) of key references and 88 % (22/25) of recommendation updates. The use of PLUS retrieved 88.5 % fewer references than the exhaustive approach (4,486 versus 39,136) and identified substantially fewer key references (18/69, 26.1 %) and fewer recommendation updates (10/25, 40 %). Conclusions: The proposed restrictive approach is a highly efficient and feasible method to identify new evidence that triggers a recommendation update. Searching only in the PLUS database proved to be a suboptimal approach and suggests the need for topic-specific tailoring.
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页数:10
相关论文
共 22 条
[1]   Median life span of a cohort of National Institute for Health and Care Excellence clinical guidelines was about 60 months [J].
Alderson, Lucy J. H. ;
Alderson, Phil ;
Tan, Toni .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2014, 67 (01) :52-55
[2]  
[Anonymous], 2013, GUIDELINES TOPIC EDI
[3]   Speed of updating online evidence based point of care summaries: prospective cohort analysis [J].
Banzi, Rita ;
Cinquini, Michela ;
Liberati, Alessandro ;
Moschetti, Ivan ;
Pecoraro, Valentina ;
Tagliabue, Ludovica ;
Moja, Lorenzo .
BMJ-BRITISH MEDICAL JOURNAL, 2011, 343
[4]   Partial updating of clinical practice guidelines often makes more sense than full updating: a systematic review on methods and the development of an updating procedure [J].
Becker, Monika ;
Neugebauer, Edmund A. M. ;
Eikermann, Michaela .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2014, 67 (01) :33-45
[5]  
Development group of the stroke prevention Guideline, 2008, QUAL PLAN NAT HLTH S
[6]   Assessing the need to update prevention guidelines: a comparison of two methods [J].
Gartlehner, G ;
West, SL ;
Lohr, KN ;
Kahwati, L ;
Johnson, JG ;
Harris, RP ;
Whitener, L ;
Voisin, CE ;
Sutton, S .
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2004, 16 (05) :399-406
[7]   Second-order peer review of the medical literature for clinical practitioners [J].
Haynes, RB ;
Cotoi, C ;
Holland, J ;
Walters, L ;
Wilczynski, N ;
Jedraszewski, D ;
McKinlay, J ;
Parrish, R ;
McKibbon, KA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (15) :1801-1808
[8]   McMaster Premium LiteratUre Service (PLUS) performed well for identifying new studies for updated Cochrane reviews [J].
Hemens, Brian J. ;
Haynes, R. Brian .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2012, 65 (01) :62-72
[9]  
Holland J, 2005, AMIA ANN S P, V340, P4
[10]   UPDATING CLINICAL PRACTICE RECOMMENDATIONS: IS IT WORTHWHILE AND WHEN? [J].
Lyratzopoulos, Georgios ;
Barnes, Steven ;
Stegenga, Heather ;
Peden, Suzi ;
Campbell, Bruce .
INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, 2012, 28 (01) :29-35