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首页> 外文期刊>Journal of general internal medicine >Chapter 2: Medical tests guidance (2) developing the topic and structuring systematic reviews of medical tests: Utility of PICOTS, analytic frameworks, decision trees, and other frameworks
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Chapter 2: Medical tests guidance (2) developing the topic and structuring systematic reviews of medical tests: Utility of PICOTS, analytic frameworks, decision trees, and other frameworks

机译：第2章：医学测试指南（2）开发主题并构建医学测试的系统评价：PICOTS的效用，分析框架，决策树和其他框架

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摘要

Topic development and structuring a systematic review of diagnostic tests are complementary processes. The goals of a medical test review are to identify and synthesize evidence to evaluate the impacts alternative testing strategies on health outcomes and to promote informed decisionmaking. A common challenge is that the request for a review may state the claim for the test ambiguously. Due to the indirect impact of medical tests on clinical outcomes, reviewers need to identify which intermediate outcomes link a medical test to improved clinical outcomes. In this paper, we propose the use of five principles to deal with challenges: the PICOTS typology (patient population, intervention, comparator, outcomes, timing, setting), analytic frameworks, simple decision trees, other organizing frameworks and rules for when diagnostic accuracy is sufficient.
机译：主题开发和构建诊断测试的系统评价是互补的过程。医学测试审查的目标是识别和综合证据，以评估替代测试策略对健康结果的影响并促进明智的决策。一个普遍的挑战是，复审请求可能会模糊地说明对测试的要求。由于医学测试对临床结果的间接影响，审阅者需要确定哪些中间结果将医学测试与改善的临床结果联系起来。在本文中，我们建议使用五项原则来应对挑战：PICOTS类型学（患者群体，干预，比较者，结果，时间，设置），分析框架，简单的决策树，其他组织框架和诊断准确性时的规则足够了。

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