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題,及時反饋 88%以上的問題當(dāng)時可以找到答案 ? 網(wǎng)絡(luò)、手機 ? 個人或者醫(yī)院 隨處可查詢 ? 由本領(lǐng)域?qū)<易珜? ? 經(jīng)過廣泛的同行評審 ? 無偏倚 ? 及時更新 臨床醫(yī)生信任的答案 8 Evidence Grading 循 據(jù)等級 ? In 2020, we began a collaboration with Gordon Guyatt, a world leader in EBM, and his colleagues in the international GRADE collaborative to implement a grading system for remendations ? UpToDate grades specific treatment and screening remendations 9 Evidence Grading 循 據(jù)等級 10 RECOMMENDATION GRADES 醫(yī)囑的強度 Grade 1 Strong Remendation Benefits clearly outweigh the risks and burdens (or vice versa) for most, if not all, patients “ We remend…” Grade 2 Weaker Remendation Benefits and risks closely balanced and/or uncertain “We suggest…” EVIDENCE GRADES 證據(jù)的品質(zhì) Grade A High Quality Evidence Consistent evidence from randomized trials, or overwhelming evidence of some other form Grade B Mod