目的·对全球范围内已发表的阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)临床实践指南进行质量评价。方法·检索PubMed、Embase、中国知网、万方数据知识服务平台、中国生物医学文献数据库、梅斯医学、The Cochrane Libr...目的·对全球范围内已发表的阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)临床实践指南进行质量评价。方法·检索PubMed、Embase、中国知网、万方数据知识服务平台、中国生物医学文献数据库、梅斯医学、The Cochrane Library、医脉通、美国预防服务工作组网站、英国国家卫生与临床优化研究所网站、新西兰指南工作组网站、苏格兰校际指南网络、国际指南协作网等中的OSA相关指南,检索时间限定为建库至2022年12月。由2名研究人员独立筛选文献和提取信息,采用指南研究和评估工具Ⅱ(Appraisal of Guidelines for Research and EvaluationⅡ,AGREEⅡ)和国际实践指南报告标准(Reporting Items for Practice Guidelines in Healthcare,RIGHT)对纳入的指南进行质量评价,并按不同指南发布地区进行亚组分析;评价者间一致性采用组内相关系数(intra-class correlation coefficient,ICC)进行检验。对所有纳入指南进行全文阅读,汇总其提出的临床问题。结果·共纳入35篇OSA相关指南。评价者ICC为0.975,显示评价者间一致性较好。AGREEⅡ的评价结果显示:纳入指南的平均整体质量分值为(63.60±16.45)%,最低为23.40%,最高为91.67%;6个领域中严谨性[(56.07±25.89)%]和应用性[(53.57±15.52)%]得分较低。RIGHT的评价结果显示,纳入指南的平均总报告率为(67.84±20.03)%,最低为14.29%,最高为94.29%,其中平均报告率较低的领域为评审和质量保证[(31.40±45.51)%]、资金资助和利益冲突声明与管理[(56.43±33.95)%]和其他方面[(56.19±36.85)%]。亚组分析表明,亚洲地区的指南在AGREEⅡ的严谨性及整体的质量得分显著低于美洲和欧洲地区的指南(均P<0.05),在RIGHT的证据和其他方面2个领域的报告率也均显著低于美洲和欧洲地区的指南(P<0.05)。纳入的35部指南主要关注了OSA的筛查诊断、治疗及疾病管理3个方面42个临床问题。结论·目前全球OSA指南质量差异较大,各个地区的指南在严谨性、应用性、评审和质量保证、资金资助和利益冲突声明与管理等方面都有待加强,尤其是亚洲地区的指南。展开更多
Aims: The objective of the current research was to determine the prevalence of supernumerary teeth and investigate its characteristic and complications in the Chinese population from the North-East Heilongjiang region...Aims: The objective of the current research was to determine the prevalence of supernumerary teeth and investigate its characteristic and complications in the Chinese population from the North-East Heilongjiang region. Materials and Methods: It was a descriptive and retrospective study which used registered notes and panoramic radiographs of 12,984 patients who visited the Department of Oral and Maxillofacial Surgery in the 2nd Affiliated Hospital of Jiamusi University, China between June 2011 to November 2015. Patients diagnosed with any syndrome or hereditary diseases were excluded from the study. The features of supernumerary teeth were noted and the data were analyzed using SPSS program, (version 20, Inc., Chicago, USA). The Chi-square test was used to determine the differences in the distribution of supernumerary teeth. It was tested at the 5% level of significance. Results: The prevalence was 5.2% and the most prevalent supernumerary teeth was incisor with 3.39% (n = 441). The supernumerary teeth were seen more in maxilla than mandible. The male to female ratio was 2.9:1. Specifically, higher prevalence of supernumerary teeth in male gender was statistically significant (p = 0.03). The supernumerary teeth mostly occurred in children of 5 - 10 years (62.3%), followed by young adolescent between 11 - 16 years (26.5%). Conclusion: The prevalence of supernumerary teeth was widely seen in children and young adolescent of Chinese population. The occurrence was mostly seen in maxilla than mandible and significantly higher in male than female.展开更多
文摘目的·对全球范围内已发表的阻塞性睡眠呼吸暂停(obstructive sleep apnea,OSA)临床实践指南进行质量评价。方法·检索PubMed、Embase、中国知网、万方数据知识服务平台、中国生物医学文献数据库、梅斯医学、The Cochrane Library、医脉通、美国预防服务工作组网站、英国国家卫生与临床优化研究所网站、新西兰指南工作组网站、苏格兰校际指南网络、国际指南协作网等中的OSA相关指南,检索时间限定为建库至2022年12月。由2名研究人员独立筛选文献和提取信息,采用指南研究和评估工具Ⅱ(Appraisal of Guidelines for Research and EvaluationⅡ,AGREEⅡ)和国际实践指南报告标准(Reporting Items for Practice Guidelines in Healthcare,RIGHT)对纳入的指南进行质量评价,并按不同指南发布地区进行亚组分析;评价者间一致性采用组内相关系数(intra-class correlation coefficient,ICC)进行检验。对所有纳入指南进行全文阅读,汇总其提出的临床问题。结果·共纳入35篇OSA相关指南。评价者ICC为0.975,显示评价者间一致性较好。AGREEⅡ的评价结果显示:纳入指南的平均整体质量分值为(63.60±16.45)%,最低为23.40%,最高为91.67%;6个领域中严谨性[(56.07±25.89)%]和应用性[(53.57±15.52)%]得分较低。RIGHT的评价结果显示,纳入指南的平均总报告率为(67.84±20.03)%,最低为14.29%,最高为94.29%,其中平均报告率较低的领域为评审和质量保证[(31.40±45.51)%]、资金资助和利益冲突声明与管理[(56.43±33.95)%]和其他方面[(56.19±36.85)%]。亚组分析表明,亚洲地区的指南在AGREEⅡ的严谨性及整体的质量得分显著低于美洲和欧洲地区的指南(均P<0.05),在RIGHT的证据和其他方面2个领域的报告率也均显著低于美洲和欧洲地区的指南(P<0.05)。纳入的35部指南主要关注了OSA的筛查诊断、治疗及疾病管理3个方面42个临床问题。结论·目前全球OSA指南质量差异较大,各个地区的指南在严谨性、应用性、评审和质量保证、资金资助和利益冲突声明与管理等方面都有待加强,尤其是亚洲地区的指南。
文摘Aims: The objective of the current research was to determine the prevalence of supernumerary teeth and investigate its characteristic and complications in the Chinese population from the North-East Heilongjiang region. Materials and Methods: It was a descriptive and retrospective study which used registered notes and panoramic radiographs of 12,984 patients who visited the Department of Oral and Maxillofacial Surgery in the 2nd Affiliated Hospital of Jiamusi University, China between June 2011 to November 2015. Patients diagnosed with any syndrome or hereditary diseases were excluded from the study. The features of supernumerary teeth were noted and the data were analyzed using SPSS program, (version 20, Inc., Chicago, USA). The Chi-square test was used to determine the differences in the distribution of supernumerary teeth. It was tested at the 5% level of significance. Results: The prevalence was 5.2% and the most prevalent supernumerary teeth was incisor with 3.39% (n = 441). The supernumerary teeth were seen more in maxilla than mandible. The male to female ratio was 2.9:1. Specifically, higher prevalence of supernumerary teeth in male gender was statistically significant (p = 0.03). The supernumerary teeth mostly occurred in children of 5 - 10 years (62.3%), followed by young adolescent between 11 - 16 years (26.5%). Conclusion: The prevalence of supernumerary teeth was widely seen in children and young adolescent of Chinese population. The occurrence was mostly seen in maxilla than mandible and significantly higher in male than female.
