专家证据在中医药临床实践指南中的应用思考及建议  

Thoughts and suggestions on the application of expert evidence in traditional Chinese medicine in clinical practice guidelines

作　　者：高一城 王建新 孙媛媛 李磊[5] 王桂华[6] 夏如玉 刘芷含 陶立元[7] 曹蕊 冯玉婷 高学敏[8] 费宇彤[1,2,3] GAO Yicheng;WANG Jianxin;SUN Yuanyuan;LI Lei;WANG Guihua;XIA Ruyu;LIU Zhihan;TAO Liyuan;CAO Rui;FENG Yuting;GAO Xuemin;FEI Yutong(Centre for Evidence-Based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,P.R.China;Institute for Excellence in Evidence-Based Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,P.R.China;Beijing GRADE Center,Beijing University of Chinese Medicine,Beijing 100029,P.R.China;Standardization Project Office of China Traditional Chinese Medicine Association,Beijing 100061,P.R.China;Research and Development Committee of Western and Chinese Medicine of China Traditional Chinese Medicine Association,Beijing 100061,P.R.China;China Traditional Chinese Medicine Association,Beijing 100061,P.R.China;Research Center of Clinical Epidemiology,Peking University Third Hospital,Beijing 100191,P.R.China;Beijing University of Chinese Medicine,Beijing 100029,P.R.China)

机构地区：[1]北京中医药大学循证医学中心,北京100029 [2]北京中医药大学国际循证中医药研究院,北京100029 [3]北京GRADE中心,北京100029 [4]中国中药协会标准化项目管理办公室,北京100061 [5]中国中药协会中西结合药物研究与发展工作委员会,北京100061 [6]中国中药协会,北京100061 [7]北京大学第三医院临床流行病研究中心,北京100191 [8]北京中医药大学,北京100029

出　　处：《中国循证医学杂志》2023年第11期1360-1364,共5页Chinese Journal of Evidence-based Medicine

基　　金：新疆维吾尔自治区重点研发计划项目(编号:2021B03006-4);横向课题(编号:BUCM-2022-JS-ZX-004)。

摘　　要：中医药临床实践指南在制订过程中常面临证据缺乏的困境,指南制订小组往往倾向于基于专家经验或专家意见做出最终的决策,但是受到认知偏倚局限性的限制使得指南的可信度和透明性降低。本文通过厘清专家经验、专家意见与专家证据之间的区别,提出专家证据在中医药临床实践指南制订中的学科优势和必要性,并提供推荐意见形成环节使用专家证据的方法学设计和实施细节,保留中医药经验性特色的同时一定程度上改善证据缺乏的困境,具有一定的实际应用价值。In the process of formulation,traditional Chinese medicine clinical practice guidelines are often faced with the dilemma of lack of evidence.Guidelines development groups tend to make final decisions based on expert experience or expert opinion,but the limitations of cognitive bias reduce the credibility and transparency of the guidelines.By clarifying the difference between the expert experience and expert opinion and expert evidence,the expert evidence of traditional Chinese medicine discipline advantages and necessity,providing the recommendation form link using expert evidence methodology design and implementation details,retaining the empirical characteristics of traditional Chinese medicine and improving the lack of evidence,has certain practical application value.

关 键 词：专家证据 专家意见 专家经验 中医药 临床实践指南 

分 类 号：R24[医药卫生—中医临床基础]