循证医学之路OA

The path of evidence-based medicine

中文摘要英文摘要

循证医学引入我国已三十载,实现了从理念引入到自主发展的转变,现已成为临床医学核心内容,并拓展至多领域形成分支学科.国内搭建起Cochrane中国网络、GRADE中心等国际合作平台.作为证据转化载体,临床实践指南意义重大;2021年成立的中国临床实践指南联盟遵循规范方法学,产出多部高质量指南,并构建指南全生命周期循环发展体系.循证医学方法体系持续演进,人工智能开始应用于指南研制,但相关方法学规范尚存空白.未来需融入患者视角,积极应对技术变革,最终致力于改善患者临床结局.

Evidence-based medicine(EBM)was introduced to China three decades ago,achieving a transition from concept adoption to autonomous development.It has since become a core component of clinical medicine and expanded into multiple fields,giving rise to various branch disciplines.International collaboration platforms,including the Cochrane China Network and GRADE centers,have been established domestically.As a key vehicle for translating evidence into practice,clinical practice guidelines are of profound significance.China Clinical Practice Guideline Alliance(GUIDANCE),established in 2021,adheres to standardized methodology,has produced numerous high-quality guidelines,and has constructed a cyclic development system encompassing the full lifecycle of guidelines.The methodological framework of EBM continues to evolve,with artificial intelligence beginning to be applied in guideline development;however,relevant methodological standards remain to be established.Moving forward,it is essential to incorporate patient perspectives,proactively respond to technological transformations,and ultimately remain committed to improving clinical outcomes for patients.

王吉耀

复旦大学附属中山医院 上海,200032

循证医学临床实践指南Cochrane协作网中国临床实践指南联盟

Evidence-based medicineClinical practice guidelinesCochrane collaborationChina clinical practice guideline alliance

《中国循证儿科杂志》 2026 (4)

244-245,2

10.3969/j.issn.1673-5501.2026.04.002

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