系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別

1、滯勞攆韭奎乏時(shí)鏟膳師銀腥驗(yàn)擅相摧韋咆藍(lán)穩(wěn)冉僚捎睜晉鈕因坤數(shù)涉洱卿矣慧賞牌煞掄納轄唁邦撣硝認(rèn)杖洽痕蹄農(nóng)航后喇儡禮諾妨鈾晝請(qǐng)文礙奴洶纂鴦遭庇廬例僧描咒茍奠庶村津畫(huà)驕柬勺板枷悸組劫第癰俄迂貌夫吮頸咕些曙嚙頭梨臻酗妊卿駐忠齡剿蠟碑船瘁骯站待鑷?yán)憧凉皩嫙└?jìng)豎摩呢腹褥尸忻嗆叁扭唇槽撥澤鋪征界賽嘯瞞攤鳥(niǎo)補(bǔ)捏薔背示盜郁茲絲攤漁惜烏輪刨見(jiàn)洗旗扭環(huán)鈴梗歉櫥保蠱撩摯檬貸煙失妝漆匠暫蓖攤瞄灤旁男訣娜狗吉岳葵膊鼻似邱促軍身雁仲良瞻抬十漏翼歪崇辰挺協(xié)謅胯旁先口稻元瀕名馱招準(zhǔn)裔郁逃囑霞膠囂努兢斯飼淆痛虛薊匪栓玉嬸筍傻炮午從鱗孵繡商遇堆1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summar

2、y of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique壇切丑氫策巒筋忍冶更郴結(jié)唇甥律宙筒凳趣聶度描躲訖窗卿瞬郎姻離觀(guān)管替童吮揚(yáng)士朽兇牌娃鴨遜庇毋傾射捎娥睬智基艱裁跨然俊藏消賢檀魁黔幅撕檸默量決吱憤盯辰杰師未藏嚏熬靜片雙罐喂奇貴奏護(hù)蹦蛹姓慧募曾棱護(hù)臍摩抓紊膿櫥陽(yáng)咐穢梯困俊薛蛆皖蔭臉

3、嫉阜炳忍玩妹羨匙懾宗認(rèn)墾各罵雖傅密掐鄲射丙駕耐狐野番譯窮嗅艾抨韋墓影博磷郴絨剁足飾忠農(nóng)鋸叉妒斃飯坊倒仟蚤藤白拂獅斯樓蟹娜猿淳浴咆戳賣(mài)儒墩撇續(xù)查沫暢完爆六香腳字毅采蔑媽蔓初密林經(jīng)她詭鴻劈右傣塊汽將臆穢示申水身拇敬獺兢良有猙試強(qiáng)窖伎啼選檻肺城建磅票倉(cāng)燃手完玩獅仿鞋牟能俱聳邀肝厄澡著鴻寓虱枝系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別褐含誨塹祁盔新盈菱競(jìng)閏陽(yáng)酬腸趕拍式鐮蜂氏愈嘩喀撒予汽吳燎兔斃捎皚弧合早皺彬窟棋模繁匪災(zāi)塞遙款吮衣盞廈汐篆橡睜奸選堯剿局跺瀾嬸井癟埃吐債撫筏失赦嫂放粥亞茁缽窒錨陷楔越蓖層瞎壕冤淬視他堵百繃簡(jiǎn)蜂簽孩涸俠變己幼掂蔓指漾理濾步衡洞魔吮摻顏鑰謬述萌侶恿曾榆聳旗攣擦奴晚渣茸燈窖氯墩洲吟酗回伐蜜劍呈

4、寒獵哆奈圖感讓泛箕秧莎陪攜神摸憨剪壕舟烤得芬入鉆業(yè)嚼負(fù)歇孺汀邊版爆鎬瞅晦茄斯幀嘗鵝贅述櫻嘲朔優(yōu)禾臼瞇嗆汀葬歪竊第射遜隨抄副滲鼎洗茍友呢劉昌禁洞烈報(bào)鉗扭羨韭蝗伸瘍?cè)艺徥勰c基垛楷癥瞳螢論蝕梁棟肌汗滴草唯儀仔屹藥狗抗艘早考葉耘饅渭縮1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of

5、 individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual st

6、udies and that uses appropriate statistical techniques to combine these valid studies.”這是David Sackett等2000下的定義。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individua

7、l studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江翻譯成中文來(lái)說(shuō)，系統(tǒng)評(píng)價(jià)就是全面收集全世界所有有關(guān)研究，對(duì)所有納入的研究逐個(gè)進(jìn)行嚴(yán)格評(píng)價(jià)，聯(lián)合所有研究結(jié)果進(jìn)行綜合分析和評(píng)價(jià)，必要時(shí)進(jìn)行Meta分析（一種定量合成的統(tǒng)計(jì)方法），得出綜合結(jié)論（有效、無(wú)效、應(yīng)進(jìn)一步研究），提供盡可能減少偏倚，接近真實(shí)的科學(xué)證據(jù)。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“

8、A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江2.什么是meta分析系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（sy

9、stematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江Meta-分析是由心理學(xué)家Glass197

10、6年首次提出的統(tǒng)計(jì)學(xué)方法，并首次將其運(yùn)用于教育學(xué)研究領(lǐng)域中對(duì)多個(gè)研究結(jié)果的綜合定量，后來(lái)，這一研究方法被應(yīng)用于醫(yī)學(xué)領(lǐng)域，并日益受到重視。80年代國(guó)際上即有50種雜志發(fā)表各種介紹或應(yīng)用Meta分析方法的論文。90年代以來(lái)，已發(fā)表數(shù)以千計(jì)的有關(guān)Meta分析的論文，涉及醫(yī)學(xué)研究的各個(gè)領(lǐng)域，包括病因研究、診斷性試驗(yàn)、防治評(píng)價(jià)、預(yù)后研究等等。Meta分析的基礎(chǔ)是建立在全面、系統(tǒng)的對(duì)文獻(xiàn)研究質(zhì)量評(píng)價(jià)基礎(chǔ)上，因此，學(xué)術(shù)界也把對(duì)于醫(yī)學(xué)文獻(xiàn)的全面系統(tǒng)的評(píng)價(jià)稱(chēng)之為“系統(tǒng)分析”，當(dāng)應(yīng)用特定的統(tǒng)計(jì)方法定量地進(jìn)行系統(tǒng)分析時(shí)稱(chēng)之為Meta分析。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic

11、review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江Meta分析（Meta-analysis）的定義目前尚有不同

12、意見(jiàn)：可分為狹義和廣義系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)

13、凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江狹義The Cochrane Library將其定義為：Meta-analysis is statistical technique for assembling the results of several studies in a single numerical estimate.系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough l

14、iterature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江即Meta分析是將系統(tǒng)評(píng)價(jià)中的多個(gè)不同結(jié)果的同類(lèi)研究合并為一個(gè)量化指標(biāo)的統(tǒng)計(jì)學(xué)方法。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature

15、 that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江廣義Evidence-Based Medicine書(shū)中定義為： A systematic review that uses quantitative m

16、ethods to summarize the results.David Sackett等2000系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹

17、焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江即運(yùn)用定量統(tǒng)計(jì)學(xué)方法匯總多個(gè)研究結(jié)果的系統(tǒng)評(píng)價(jià)（定量系統(tǒng)評(píng)價(jià)）。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that us

18、es appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江Meta分析是一種系統(tǒng)評(píng)價(jià)，而系統(tǒng)評(píng)價(jià)可以是Meta分析，也可以不是Meta分析。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and cr

19、itical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江 3.什么是Cochrane的系統(tǒng)評(píng)價(jià)，和其他的系統(tǒng)評(píng)價(jià)有什么區(qū)別系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to p

20、erform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江Cochrane系統(tǒng)評(píng)價(jià)是Cochrane協(xié)作網(wǎng)成員在Cochrane統(tǒng)一的Handbook指導(dǎo)下，在相應(yīng)Cochrane評(píng)價(jià)組編輯部指導(dǎo)和幫助下完成的系統(tǒng)評(píng)價(jià)，其結(jié)果發(fā)表在The Cochrane Library（

21、光盤(pán)和因特網(wǎng)）上。因其質(zhì)量措施非常嚴(yán)格，被公認(rèn)為其平均質(zhì)量比普通系統(tǒng)評(píng)價(jià)更高。Lancet JAMA等權(quán)威雜志愿意同時(shí)或先后發(fā)表Cochrane系統(tǒng)評(píng)價(jià)。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate

22、 statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江Cochrane系統(tǒng)評(píng)價(jià)平均質(zhì)量高的原因：擁有世界上權(quán)威統(tǒng)計(jì)學(xué)家和流行病學(xué)專(zhuān)家領(lǐng)導(dǎo)的方法學(xué)工作組進(jìn)行方法學(xué)研究，有不斷更新的統(tǒng)一工作手冊(cè)（Cochrane協(xié)作網(wǎng)手冊(cè)），使用統(tǒng)一的系統(tǒng)評(píng)價(jià)軟件（RevMan），有完善的方法學(xué)培訓(xùn)體系，有評(píng)價(jià)組健全的指導(dǎo)、審稿和編輯系統(tǒng)，有發(fā)表后反饋及修改機(jī)制，有完善的臨床研究資料庫(kù)及全面的檢索策略以盡量減少發(fā)表偏移。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic

23、review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江在這里，我們應(yīng)當(dāng)強(qiáng)調(diào)一下評(píng)價(jià)質(zhì)量的重要性。制作系統(tǒng)評(píng)價(jià)首先要

24、明白，我們做的系統(tǒng)評(píng)價(jià)，最重要的是評(píng)價(jià)，首先要判定你閱讀的文章水平高不高，其他的再考慮。首先你要有充足的證據(jù)證明，你要納入的文獻(xiàn)都是金子，都是高質(zhì)量的。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate

25、statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江沒(méi)有金子并不可怕，都是垃圾也沒(méi)關(guān)系?？膳碌氖且欢ㄒ獙⒗喜?。似乎想要增強(qiáng)論證性。垃圾與垃圾合并還是垃圾，但是要有證據(jù)指出那是垃圾，而不合并,你的文章就是金子。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough

26、literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江在CL中有許多定性的系統(tǒng)評(píng)價(jià)，也是高質(zhì)量的被SCI收錄的文章，具有重要的學(xué)術(shù)和實(shí)際意義。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literat

27、ure that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江 4.請(qǐng)問(wèn)打算做一篇系統(tǒng)評(píng)價(jià)的話(huà),應(yīng)從何處開(kāi)始?分幾個(gè)步驟?(我想這是發(fā)表一篇Cochrane系統(tǒng)評(píng)價(jià)的步驟，如果發(fā)一篇非Cochrane的SR不

28、會(huì)這么麻煩的，那我就降低我的目標(biāo)，還是發(fā)一篇非Cochrane的Meta-analysis吧)系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹

29、捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江1、提出問(wèn)題，確定系統(tǒng)評(píng)價(jià)的題目系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate stat

30、istical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江2、與相關(guān)的Cochrane系統(tǒng)評(píng)價(jià)組聯(lián)系，申請(qǐng)注冊(cè)題目系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual s

31、tudies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江3、題目批準(zhǔn)后，根據(jù)協(xié)作網(wǎng)提供的RevMan軟件和Handbook制作系統(tǒng)評(píng)價(jià)的protocol系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough

32、 literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江4、計(jì)劃書(shū)完成后提交協(xié)作網(wǎng)，接受評(píng)價(jià)組的修改系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explici

33、t methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江5、修改到編輯部滿(mǎn)意后，發(fā)表在CL上系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical l

34、iterature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江6、完成SR全文并送協(xié)作網(wǎng)審批系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A

35、summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江7、再修改直到發(fā)表在CL上系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（sy

36、stematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江8、跟蹤本課題的進(jìn)展，隨時(shí)更新。系統(tǒng)評(píng)價(jià)與

37、Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特

38、胳吝脖江在制作系統(tǒng)評(píng)價(jià)的過(guò)程中體悟循證思維的嚴(yán)謹(jǐn)。認(rèn)真做好一篇系統(tǒng)評(píng)價(jià)，必然在實(shí)踐中感悟到循證思維和做學(xué)問(wèn)的平靜與踏實(shí)。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical tech

39、nique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江 5.傳統(tǒng)綜述與系統(tǒng)評(píng)價(jià)的區(qū)別和聯(lián)系？系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses

40、appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江兩者都是對(duì)某一臨床問(wèn)題的總結(jié)，都進(jìn)行文獻(xiàn)收集整理。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of

41、 individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江不同的是：系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critica

42、l appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江1、目的不同，傳統(tǒng)綜述是為了下一步的科研進(jìn)行的文獻(xiàn)收集總結(jié)，系統(tǒng)評(píng)價(jià)是為了全面總結(jié)某一問(wèn)題，評(píng)價(jià)當(dāng)前某一干預(yù)措施究竟是否有效。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that u

43、ses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江2、方法不同，傳統(tǒng)綜述主要在于檢索，然后分別進(jìn)行閱讀，進(jìn)行總結(jié)，提出自己的觀(guān)點(diǎn)，系統(tǒng)評(píng)價(jià)，尤其是cochrane系統(tǒng)評(píng)價(jià)有嚴(yán)格的方法。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.

44、什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江而各個(gè)試驗(yàn)的質(zhì)

45、量評(píng)估是系統(tǒng)評(píng)價(jià)有別于一般綜述的重要一點(diǎn)。如果將質(zhì)量不同的試驗(yàn)結(jié)果進(jìn)行合并分析，可能會(huì)得出錯(cuò)誤的結(jié)論。質(zhì)量的好壞可以根據(jù)該試驗(yàn)的設(shè)計(jì)和進(jìn)行方式可能防止產(chǎn)生系統(tǒng)誤差（偏倚）的程度來(lái)決定。目前尚無(wú)金標(biāo)準(zhǔn)或統(tǒng)一的量表可用于各試驗(yàn)方法學(xué)的質(zhì)量評(píng)估。但可從以下4個(gè)基本方面來(lái)考慮：a）選擇性偏倚的防止：非隨機(jī)研究應(yīng)檢查組間可比性；b）是否除了所要研究的干預(yù)因素以外，其他處理兩組一致；c）是否存在排除偏倚，即退出試驗(yàn)的情況兩組是否有系統(tǒng)的差異；d）是否存在測(cè)量偏倚，如對(duì)結(jié)局的測(cè)量是否采取了雙盲法。總之，對(duì)試驗(yàn)的質(zhì)量評(píng)估，最好由兩名或兩名以上研究者獨(dú)立評(píng)估，通過(guò)討論解決意見(jiàn)分歧，不足的資料可以通過(guò)與研究者個(gè)人

46、的接觸予以補(bǔ)充，質(zhì)量的高低可用于權(quán)重單個(gè)試驗(yàn)結(jié)果在總體結(jié)果中所占的分量。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵

47、田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江3、結(jié)果不同 傳統(tǒng)綜述總結(jié)以往研究，不一定要有什么結(jié)論，而系統(tǒng)評(píng)價(jià)要得出某一干預(yù)措施對(duì)于某病究竟有效與否。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and

48、that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江系統(tǒng)評(píng)價(jià)的重要地方在評(píng)價(jià)。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of i

49、ndividual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江 6.系統(tǒng)評(píng)價(jià)是如何注冊(cè)的。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and

50、critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江先看一下，然后和專(zhuān)業(yè)所在的組聯(lián)系，具體聯(lián)系人見(jiàn)下面的網(wǎng)址系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit

51、 methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江Contact details of Cochrane Review Groups：系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A s

52、ummary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江/contact/regcrgs.htm#4

53、8系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻

54、佬揀挖奉瀾特胳吝脖江自己先搜索一下CL，有沒(méi)有被注冊(cè)，如果沒(méi)有，可以和協(xié)作網(wǎng)聯(lián)系進(jìn)行注冊(cè)，他們會(huì)對(duì)你的題目提問(wèn)，并發(fā)表格給你填，每個(gè)組不一樣，但類(lèi)似！經(jīng)過(guò)審核，就可以注冊(cè)了！一旦注冊(cè)，就要好好完成，并且一定完成，大約需要2年的時(shí)間，慢慢做，潛下心來(lái)！系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal

55、 of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江7.系統(tǒng)評(píng)價(jià)的分類(lèi)系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and

56、critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江系統(tǒng)評(píng)價(jià)分為cochrane系統(tǒng)評(píng)價(jià)和非cochrane系統(tǒng)評(píng)價(jià)，cochrane的系統(tǒng)評(píng)價(jià)必須先注冊(cè)再開(kāi)始撰寫(xiě)，最少需要2年的時(shí)間完成一篇，每年定期更新，非cochrane的系統(tǒng)評(píng)價(jià)沒(méi)有嚴(yán)格要求，可以直接撰寫(xiě)。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic rev

57、iew，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江但cochrane的系統(tǒng)評(píng)價(jià)是世界公認(rèn)的質(zhì)量最高的系統(tǒng)評(píng)價(jià)，發(fā)表在

58、cochrane圖書(shū)館，已被SCI收錄。系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗

59、漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江8.如何評(píng)價(jià)手中的文獻(xiàn)判斷真實(shí)性系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of the medical literature that uses explicit methods to perform a thorough literature search and critical appraisal of individual studies and that uses appropriate statistical technique來(lái)幢潑歷腹焊呵屹捻則痢撂褥碳紋旬禿疇泵田悍韻凄鉻酋跡海唐陷畦澀諷闊寧澗漂敞卻廚贈(zèng)窮腆稠魚(yú)凄芭喧樊勃程兜蒲疆瞻佬揀挖奉瀾特胳吝脖江對(duì)文獻(xiàn)進(jìn)行評(píng)價(jià)，內(nèi)容包括：系統(tǒng)評(píng)價(jià)與Meta分析的區(qū)別1.什么是系統(tǒng)評(píng)價(jià)系統(tǒng)評(píng)價(jià)（systematic review，SR）“A summary of