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Rapid review programs to support health care and policy decision making: a descriptive analysis of processes and methods

机译：快速审查计划以支持卫生保健和政策决策：对过程和方法的描述性分析

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Background: Health care decision makers often need to make decisions in limited timeframes and cannot await the completion of a full evidence review. Rapid reviews (RRs), utilizing streamlined systematic review methods, are increasingly being used to synthesize the evidence with a shorter turnaround time. Our primary objective was to describe the processes and methods used internationally to produce RRs. In addition, we sought to understand the underlying themes associated with these programs. Methods We contacted representatives of international RR programs from a broad realm in health care to gather information about the methods and processes used to produce RRs. The responses were summarized narratively to understand the characteristics associated with their processes and methods. The summaries were compared and contrasted to highlight potential themes and trends related to the different RR programs. Results Twenty-nine international RR programs were included in our sample with a broad organizational representation from academia, government, research institutions, and non-for-profit organizations. Responses revealed that the main objectives for RRs were to inform decision making with regards to funding health care technologies, services and policy, and program development. Central themes that influenced the methods used by RR programs, and report type and dissemination were the imposed turnaround time to complete a report, resources available, the complexity and sensitivity of the research topics, and permission from the requestor. Conclusions Our study confirmed that there is no standard approach to conduct RRs. Differences in processes and methods across programs may be the result of the novelty of RR methods versus other types of evidence syntheses, customization of RRs for various decision makers, and definition of 'rapid' by organizations, since it impacts both the timelines and the evidence synthesis methods. Future research should investigate the impact of current RR methods and reporting to support informed health care decision making, the effects of potential biases that may be introduced with streamlined methods, and the effectiveness of RR reporting guidelines on transparency.
机译：背景：医疗保健决策者通常需要在有限的时间范围内做出决策，无法等待完整的证据审查完成。利用简化的系统审查方法的快速审查（RR）被越来越多地用于以更短的周转时间来综合证据。我们的主要目标是描述国际上用于制作RR的过程和方法。此外，我们试图了解与这些程序相关的基本主题。方法我们联系了来自广泛医疗领域的国际RR项目代表，以收集有关产生RR的方法和过程的信息。叙述性地总结了回答，以了解与他们的过程和方法相关的特征。对摘要进行了比较和对比，以突出显示与不同RR项目相关的潜在主题和趋势。结果我们的样本中包括29个国际RR计划，来自学术界，政府，研究机构和非营利组织的广泛组织代表。反馈显示，RR的主要目标是为有关卫生保健技术，服务和政策以及计划制定的资金筹措的决策提供信息。影响RR计划使用的方法以及报告类型和发布的中心主题是：完成报告所需的周转时间，可用资源，研究主题的复杂性和敏感性以及请求者的允许。结论我们的研究证实，没有进行RR的标准方法。跨计划的过程和方法的差异可能是由于RR方法相对于其他类型的证据合成的新颖性，为各个决策者定制RR以及组织对“快速”的定义所造成的，因为它既会影响时间表又会影响证据合成方法。未来的研究应调查当前的RR方法和报告的影响，以支持知情的医疗保健决策，简化方法可能引入的潜在偏见的影响以及RR报告指南对透明度的有效性。

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