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inadequate sensitivity analysis, which is defined Uteem evaluation as of
Menenius approach to data fusion may otrazktsya at the top results;
. contradiction with the new data-comparison meta-analysis results with Horo
Shaw organized, randomized, controlled trials (megaissledova
Nij). For example, the use of magnesium sulfate in AMI (ISIS-4) was negative in D
result, while a meta-analysis conducted to etoro praised before
Ratu
As wasps
Xia to the results of a meta-analysis
quality, based on a systematic review provides a sufficiently reliable
evaluate the effectiveness of intervention and allows us to formulate questions for further
quiet study;
. not garaktirovan error and it depends on the quality of the studied clinical trials;
. It allows you to get an answer to just one clear question:
. a negative result does not mean that the interference generally useless. it mo
Performan clinical studies and meta-analysis conclusion, made on their basis
Klnnieskoe management is systematically developed provisions pomoayuschie
Jette be effective in the treatment of other patient groups
usually ispolzuyutsya when writing clinical guidelines (recommendations)
the practitioner and the patient make the right decision regarding his health, in spe
fi c clinical conditions
Criteria for inclusion of clinical studies
in leadership
nalekost evidence, which implies reliability study hypothesis, sprinkler
on, statistical metodo8 elnost and vigilance for possible sources of error, while
ch31noy which can be selected patsien s, incorrect randomization equivalent
(Except for the test) therapy in groups of patients out of the studies or the transition to the group
the groin, the definition of endpoints and analysis after the end of the study;
. undoubted therapeutic effects, not just statistical significance, for example, when
the same relative risk absolute risk may differ significantly and have
significant clinical relevance
Meaning clinical guidelines (recommendations):
medical quality improvement tool-help inform effective and baa
zopasnyh methods of diagnosis and treatment; It facilitates the introduction of new effective as
nolotna: allows izberat undue interference
. basis of working melyatsiiskoy care quality indicators (control);
. the basis of continuing medical education (textbooks and postgraduate obrazovank
. the basis of economic calculations in health care (cost of treatment tables, lists rc
Clinical guidelines (recommendations) are developed and approved by the Professional
physicians)
otgimizatsiya resource costs by avoiding undue interference;
guarantees)
GOVERNMENTAL medical associations (societies). They usually contain methods of diagnosis, cl
tion of the plan and conditions of the patient (treatment duration, stages, long
hospitalization, etc.) of the patient aloritmy therapeutic levels of reliability CELEBRATION
and indications for the event, especially the treatment of certain groups of patients, the scheme
for pharmaceuticals therapy dose to the other information required by your doctor to make a decision
different clinical situations
These recommendations are physicians policy-makers, who can
used to develop quality indicators and quality management lecheono-diagnostn
one process, the development of model sheets of equipment, continuous improvement kvalifik
doctors, forming volumes of medical aid
under the state grant

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