Bland-Altman方法一致性评价报告规范研究

发布时间：2018-06-01 22:01

本文选题：Bland-Altman方法 + 一致性评价　；参考：《南方医科大学》2017年硕士论文

【摘要】：研究背景和目的随着Bland-Altman方法在医药卫生领域的逐步推广及应用,Bland-Altman方法一致性评价研究报告质量却令人堪忧。尽管国内外越来越多的学者已意识到提高Bland-Altman方法一致性评价报告质量的重要性和必要性,并且针对性地提出了建议,甚至有学者提出了研究报告应当包含的基本条目,但这些建议的报告条目仍然过于笼统、不够全面和细化,指导性不强。因此,本研究致力开发一套系统的、全面的Bland-Altman方法应用报告规范,以指导Bland-Altman方法的应用,切实提升一致性研究报告的质量。研究方法本研究通过组建Bland-Altman方法一致性评价研究报告规范课题组开展工作。前期,课题组成员进行充分文献复习、定期会议讨论、咨询同行专家、系统评价文献、条目整合提炼;尔后邀请多学科专家通过头脑风暴法完善整体设计、评议报告条目,借助Delphi法进行多轮专家咨询,集成专家意见建议,形成报告条目的基本框架;最后经课题组内研究论证,拟定Bland-Altman方法一致性评价报告的条目(Reporting items of agreement evaluation using Bland-Altman Method,RiBAM),作为推荐的报告条目(简称为RiBAM推荐),同时撰写了与 RiBAM 推荐配套的“说明和详述”(Explanation and Elaboration,EE)文件。研究结果本研究综述了国际上医药卫生领域Bland-Altman方法一致性评价报告的现状;系统评价了我国医学期刊近3年发表的相关文献的报告质量;开发了由17个一级条目、23个二级条目组成的RiBAM推荐;撰写了与RiBAM推荐配套的EE文件。研究结论目前国内外关于Bland-Altman方法一致性评价报告的质量不容乐观。.本研究提出的RiBAM推荐较为全面系统,对避免报告内容的遗漏、实现报告的清晰性、完整性和透明性,进而提升研究的报告质量具有重要参考价值。撰写的与RiBAM推荐相配套的EE文件全面、细化,对正确指导每一条目的撰写具有很好的实用性。本研究不仅有助于研究者提高Bland-Altman方法应用报告质量,而且对医学期刊编辑、同行审稿人和读者更科学、客观、合理地审查、评价和理解研究报告也大有裨益,对改善未来的研究设计、实施和分析解释也可发挥积极作用。
[Abstract]:Background and objective with the gradual popularization and application of Bland-Altman method in the field of medicine and health, the quality of research report on consistency evaluation of Bland-Altman method is worrying. Although more and more scholars at home and abroad have realized the importance and necessity of improving the quality of Bland-Altman method consistency evaluation report, and put forward some suggestions, some scholars even put forward the basic items that should be included in the research report. However, these recommendations report items are still too general, not comprehensive and detailed, guidance is not strong. Therefore, this study is devoted to developing a set of systematic and comprehensive Bland-Altman method application report specification to guide the application of Bland-Altman method and improve the quality of consistency research report. Methods in this study, we set up a research group to standardize the consistency evaluation of Bland-Altman method. In the early stage, the members of the research group conducted a full review of the literature, held regular meetings and discussions, consulted the peer experts, systematically evaluated the literature, and refined the items. After that, they invited multidisciplinary experts to perfect the overall design through brainstorming, and to comment on the report items. With the help of Delphi method to carry out many rounds of expert consultation and integrate expert opinions and suggestions to form the basic framework of the report item; finally, through the research and demonstration in the research group, This paper draws up the item of Bland-Altman method consistency evaluation report as a recommended report item (RiBAM recommendation for short), and at the same time, writes the "explanation and detail" document "explanation and detail" accompanying RiBAM recommendation. Results in this study, the current status of Bland-Altman consistency evaluation reports in the field of medicine and health was reviewed, and the quality of the relevant literature published in Chinese medical journals in recent three years was systematically evaluated. A RiBAM recommendation consisting of 17 first-level entries and 23 second-level entries is developed, and the EE file associated with RiBAM recommendation is written. Conclusion the quality of Bland-Altman consistency evaluation report at home and abroad is not optimistic. The RiBAM recommendation proposed in this study is more comprehensive and systematic, which has important reference value for avoiding the omission of the report content, realizing the clarity, completeness and transparency of the report, and then improving the quality of the report. The EE file written with the RiBAM recommendation is comprehensive and detailed, and has good practicability for correctly guiding the writing of each item. This study not only helps researchers to improve the quality of Bland-Altman application reports, but also helps medical journal editors, peer reviewers and readers to review, evaluate and understand the research reports in a more scientific, objective and reasonable manner. It can also play a positive role in improving future research design, implementation, and analysis and interpretation.
【学位授予单位】：南方医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：G353.1;R-05

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