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Examining and addressing evidence-practice gaps in cancer care: a systematic review

机译:检查和解决癌症护理中的证据-实践差距:系统评价

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Background There is increasing recognition of gaps between best scientific evidence and clinical practice. This systematic review aimed to assess the volume and scope of peer-reviewed cancer research output in the years 2000, 2005, and 2010. Methods Eligible papers were published in English and reported on evidence-practice gaps in cancer care. The electronic database Medline was searched for three time periods using MeSH headings and keywords. Abstracts were assessed against eligibility criteria by one reviewer and checked by a second. Papers meeting eligibility criteria were coded as data-based or non-data-based, and by cancer type of focus. All data-based papers were then further classified as descriptive studies documenting the extent of, or barriers to addressing, the evidence-practice gap; or intervention studies examining the effectiveness of strategies to reduce the evidence-practice gap. Results A total of 176 eligible papers were identified. The number of publications significantly increased over time, from 25 in 2000 to 100 in 2010 (p?
机译:背景技术人们越来越认识到最佳科学证据与临床实践之间的差距。该系统评价旨在评估2000年,2005年和2010年经过同行评审的癌症研究成果的数量和范围。方法用英语发表符合条件的论文,并报道癌症治疗中证据与实践之间的差距。使用MeSH标题和关键字在三个时间段内搜索了电子数据库Medline。由一名审稿人根据合格标准对摘要进行评估,然后由另一名审稿人进行检查。符合资格标准的论文按癌症类型分类为基于数据或基于非数据。然后将所有基于数据的论文进一步归类为描述性研究,以记录解决证据与实践差距的程度或障碍。或进行干预研究,以研究减少证据与实践差距的策略的有效性。结果共鉴定176篇合格论文。随着时间的流逝,出版物的数量显着增加,从2000年的25家增加到2010年的100家(p <0.001)。在176篇确定的论文中,有160篇是基于数据的。其中大多数(n = 150)报告了描述性研究。只有10项研究检查了旨在减少证据与临床实践之间差异的干预措施的有效性。其中,只有一项是随机对照试验。在所有基于数据的研究中,近三分之一(n?=?48)检查了乳腺癌的护理。结论尽管在十年内调查癌症护理中证据与实践之间差距的出版物数量有所增加,但大多数研究仍在描述最佳证据与临床实践之间的差距,而不是严格测试干预措施以缩小差距。

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