診療ガイドライン文献の分析
MEDLINE を用いたビブリオメトリックス
2002 年 49 巻 1 号 p. 50-58
詳細
2002 年 49 巻 1 号 p. 50-58
Background: Evidence-based medicine (EBM) is currently dominating the medical field as a keyword that reflects modern medicine, even in Japan. There are four steps to the practice of evidence-based medicine: 1. formulating a clinical question, 2. collecting evidence, 3. appraising the evidence, 4. applying it to the patient. Practice guidelines are the final products in this stepwise process of EBM.
Purpose: Practice guidelines are useful for achieving standardization and efficiency in the quality of medicine, and they are important for implementation of EBM. In this paper, the author (s) retrieved practice guideline articles, quantitatively assessed the number of articles, and analyzed their content.
Methods: The MEDLINE database was searched for articles indexed under “Practice Guideline” according to “Publication Type”, and the articles retrieved were counted and analyzed with Excel software.
Results: A total of 4, 887 practice guidelines were retrieved, 108 of which were published in 1991, versus 436 in 1992, indicating a 4 fold increase in just this one year. The most frequent major descriptors used to index the practice guidelines were “HIV infections” (124 articles), “breast neoplasms” (99), “mass screening” (95), “asthma” (92), and “hypertension” (86).
Conclusion: The word “EBM” was first used by GH Guyatt in 1991, and the Cochrane collaboration was started in 1992. The number of practice guidelines has steadily increased since the introduction of EBM. The development of practice guidelines for diseases was found to have surged even in Japan, with many practice guidelines being available for diseases.
