Upload
mandy
View
168
Download
0
Embed Size (px)
DESCRIPTION
系统评价方法 与评价原则. 成都肛肠专科医院 乔峰妮 2007 年 11 月 22 日. 系统评价. Archie Cochrane ( 1909 - 1988 ) 英国流行病学家, 系统评价 ( systematic review , SR ) 的概念是由 1979 年英国临床 流行病学家 (Archie Cochrane) 首次提出. 什么是系统评价?. ( Systematic review ) 全面收集全世界所有有关研究 对所有的研究逐个进行严格评价 联合所有研究结果进行综合分析和评价 - PowerPoint PPT Presentation
Citation preview
2007 11 22
Archie Cochrane 19091988systematic reviewSR1979 (Archie Cochrane).
Systematic review
Meta-
,,,,,.
1 2 3 4
(SR)Meta- (RCT) (CCT)
JADAD
A BMeta C D
1980RCTs
N OR CIA 1972 1070 0.560.39-0.80B 1977 130 0.340.12-0.94C 1978 126 0.330.13-0.87D 1979 127 0.600.23-1.25E 1979 146 0.280.13-0.63
MEDLINE Liggins GC, Howie RN. . Pediatrics, 1972;50:515-525
Block MF, Kling OR, Crosby WM.. Obstet Gynecol, 1977;50:186-90.
Robertson NR. . British Medical Journal, 1982;284:917-918
1982 BMJ3032
Crowley P, Chalmers I, Keirse MJNC. The effects of corticosteroid administration before preterm delivery: an overview of the evidence from controlled trials. British Journal of Obstetrics and Gynaecology 1990;97:11-25.
1250%0.49 95% CI 0.41-0.60 0.5395% 0.44 0.63
David Sackett,2000
Cochrane19952000
Chart6
600
80120
120250
180450
150680
2001000
new review
total review
Sheet1
606001995
1996200801201996
19973701202501997
19986301804501998
19995701506801999
2000120020010002000
Sheet1
00
00
00
00
00
00
new review
total review
Sheet2
Sheet3
The Cochrane
MEDLINE
BMJ 199012OR