DS. D\u01b0\u01a1ng Ng\u1ecdc C\u00f4ng Khanh<\/p>\n
H\u1ed3i c\u00f2n h\u1ecdc \u0111\u1ea1i h\u1ecdc m\u00ecnh hay ngh\u0129: Khi t\u00ecm m\u1ed9t th\u00f4ng tin y khoa hay c\u00e2u h\u1ecfi nghi\u00ean c\u1ee9u g\u00ec, m\u00ecnh th\u1ea5y c\u00f3 r\u1ea5t nhi\u1ec1u r\u1ea5t nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c publish, \u0111\u00f4i khi m\u00ecnh kh\u00f4ng bi\u1ebft n\u00f3 \u0111\u00e1ng tin c\u1eady kh\u00f4ng n\u1eefa? L\u00fac \u0111\u00f3, m\u00ecnh hay d\u1ef1a v\u00e0o thang ph\u00e2n b\u1eadc y h\u1ecdc ch\u1ee9ng c\u1ee9 (Hierachy of Evidence based Medicine) v\u00e0 m\u00ecnh ngh\u0129 \u0111\u00e1ng tin c\u1eady nh\u1ea5t theo th\u1ee9 t\u1ef1 l\u00e0 ph\u00e2n t\u00edch g\u1ed9p (meta-analysis), systematic reriew, Randomised control trials (RCT),\u2026Nh\u01b0ng gi\u1edd m\u00ecnh m\u1edbi bi\u1ebft ch\u01b0a ch\u1eafc m\u1ed9t nghi\u00ean c\u1ee9u RCT \u0111\u00e3 \u0111\u00e1ng tin c\u1eady h\u01a1n m\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t (observational study). L\u00fac \u0111\u00f3 m\u00ecnh kh\u00f4ng h\u1ec1 bi\u1ebft \u0111\u1eb7t nh\u1eefng c\u00e2u h\u1ecfi khi g\u1eb7p m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ec3 ph\u00e2n t\u00edch nghi\u00ean c\u1ee9u n\u00e0y thu\u1ed9c lo\u1ea1i n\u00e0o? khi g\u1eb7p d\u1ea1ng nghi\u00eau c\u1ee9u n\u00e0y c\u1ea7n \u0111\u1eb7t nh\u1eefng c\u00e2u h\u1ecfi g\u00ec \u0111\u1ec3 bi\u1ebft ph\u01b0\u01a1ng ph\u00e1p l\u00e0m c\u00f3 \u0111\u00fang kh\u00f4ng? \u0111i\u1ec3m m\u1ea1nh l\u00e0 g\u00ec? y\u1ebfu l\u00e0 g\u00ec? v\u00e0 c\u00f3 \u0111\u00e1ng tin kh\u00f4ng? n\u1ebfu tin \u0111\u01b0\u1ee3c th\u00ec c\u1ea7n l\u1ea5y ra nh\u1eefng k\u1ebft qu\u1ea3 g\u00ec? v\u00e0 nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0y c\u00f3 \u00e1p d\u1ee5ng l\u00ean b\u1ec7nh nh\u00e2n trong nh\u1eefng t\u00ecnh hu\u1ed1ng c\u1ee7a m\u00ecnh hay kh\u00f4ng? H\u00e0ng lo\u1ea1t nh\u1eefng c\u00e2u h\u1ecfi nh\u01b0 v\u1eady \u0111\u1ec3 xem x\u00e9t m\u1ed9t nghi\u00ean c\u1ee9u ng\u01b0\u1eddi ta th\u01b0\u1eddng g\u1ecdi l\u00e0 critical appraisal. V\u00e0 m\u00ecnh \u0111\u01b0\u1ee3c h\u1ecdc critical appraisal trong m\u00f4n \u201cEvidence-based Medicine\u201d trong h\u1ecdc k\u1ef3 1. Gi\u00e1o tr\u00ecnh ch\u00ednh \u0111\u1ec3 h\u1ecdc m\u00f4n n\u00e0y l\u00e0 quy\u1ec3n \u201cUsers\u2019 Guides to the medical literature\u201d, c\u00f3 2 \u1ea5n b\u1ea3n. \u1ea4n b\u1ea3n \u0111\u1ea7y \u0111\u1ee7 l\u00e0 quy\u1ec3n \u201cUsers\u2019 Guides to the medical literature. A manual for evidence-based clinical practice\u201d, c\u00f2n m\u1ed9t \u1ea5n b\u1ea3n kh\u00e1c l\u01b0\u1ee3t ra nh\u1eefng ch\u01b0\u01a1ng tr\u1ecdng y\u1ebfu l\u00e0 \u201cUsers\u2019 Guides to the medical literature. Essentials of evidence-based clinical practice\u201d.<\/p>\n
Khi g\u1eb7p ph\u1ea3i m\u1ed9t t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng: C\u00e1ch th\u1ee9c b\u1ea1n \u0111\u1eb7t ra c\u00e2u h\u1ecfi \u0111\u1ec3 c\u00f3 th\u1ec3 tr\u1ea3 l\u1eddi \u0111\u01b0\u1ee3c nh\u01b0 th\u1ebf n\u00e0o (Ask)? Th\u1ee9 t\u1ef1 c\u00e1c ngu\u1ed3n th\u00f4ng tin b\u1ea1n ti\u1ebfp c\u1eadn s\u1ebd ra sao (Acquire)? V\u00e0 khi ch\u1ecdn m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u1ec3 \u0111\u1ecdc, b\u1ea1n s\u1ebd \u0111\u1eb7t ra lo\u1ea1t c\u00e2u h\u1ecfi g\u00ec \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 tin c\u1eady c\u1ee7a nghi\u00ean c\u1ee9u \u0111\u00f3, tin \u0111\u01b0\u1ee3c kh\u00f4ng, \u1edf m\u1ee9c \u0111\u1ed9 n\u00e0o, \u0111i\u1ec3m m\u1ea1nh, y\u1ebfu l\u00e0 g\u00ec (Appraise)? Nh\u1eefng k\u1ebft qu\u1ea3 n\u00e0o n\u00ean l\u1ea5y ra t\u1eeb nghi\u00ean c\u1ee9u \u0111\u00f3, v\u00e0 k\u1ebft qu\u1ea3 \u0111\u00f3 c\u00f3 \u00e1p d\u1ee5ng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u1edf t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng c\u1ee7a m\u00ecnh hay kh\u00f4ng (Apply)?<\/p>\n
Quy\u1ec3n s\u00e1ch s\u1ebd h\u01b0\u1edbng d\u1eabn b\u1ea1n m\u1ed9t c\u00e1ch h\u1ec7 th\u1ed1ng \u0111\u1ec3 tr\u1ea3 l\u1eddi c\u00e1c c\u00e2u h\u1ecfi tr\u00ean, t\u1eebng ch\u01b0\u01a1ng l\u00e0 c\u00e1ch critical appraisal t\u00f9y theo 4 d\u1ea1ng c\u00e2u h\u1ecfi nghi\u00ean c\u1ee9u ch\u00ednh c\u00e2u h\u1ecfi v\u1ec1 ch\u1ea9n \u0111o\u00e1n (diagnosis), \u0111i\u1ec1u tr\u1ecb (therapy), ti\u00ean l\u01b0\u1ee3ng (prognosis) hay t\u00e1c h\u1ea1i (harm). Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 ch\u01b0\u01a1ng t\u00ecm ki\u1ebfm d\u1eef li\u1ec7u (finding the evidence), systematic review, etc.<\/p>\n
\u0110\u1ec3 d\u1ec5 ti\u1ebfp c\u1eadn, \u0111\u1ea7u ti\u00ean b\u1ea1n n\u00ean \u0111\u1ecdc quy\u1ec3n Essentials tr\u01b0\u1edbc, sau \u0111\u00f3 \u0111\u1ecdc quy\u1ec3n Manual n\u1ebfu b\u1ea1n c\u1ea7n th\u00eam m\u1ed9t s\u1ed1 ch\u01b0\u01a1ng v\u1ec1 Network Meta-analysis s\u1ebd \u0111\u1ee1 c\u00f3 c\u1ea3m gi\u00e1c ng\u00e1n h\u01a1n.<\/p>\n
Trong th\u1eddi \u0111\u1ea1i evidence-based medicine hi\u1ec7n nay, ch\u00fang ta b\u1ecb bao v\u00e2y b\u1edfi h\u00e0ng tr\u0103m ngh\u00ecn nghi\u00ean c\u1ee9u, ai c\u0169ng tr\u00edch d\u1eabn nghi\u00ean c\u1ee9u, nh\u00e0 nh\u00e0 n\u00f3i nghi\u00ean c\u1ee9u, ng\u01b0\u1eddi ng\u01b0\u1eddi n\u00f3i nghi\u00ean c\u1ee9u, quy\u1ec3n s\u00e1ch n\u00e0y m\u00ecnh ngh\u0129 ph\u1ea7n n\u00e0o gi\u00fap ch\u00fang ta h\u1ebft hoang mang v\u00e0 nh\u01b0 m\u1ed9t c\u00f4ng c\u1ee5 gi\u00fap ch\u00fang ta t\u1ec9nh t\u00e1o \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u00e0ng thau.<\/p>\n
Ch\u00fac b\u1ea1n c\u00f3 nh\u1eefng ki\u00ean th\u1ee9c th\u00fa v\u1ecb t\u1eeb quy\u1ec3n s\u00e1ch n\u00e0y.<\/p>\n
<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
DS. D\u01b0\u01a1ng Ng\u1ecdc C\u00f4ng Khanh H\u1ed3i c\u00f2n h\u1ecdc \u0111\u1ea1i h\u1ecdc m\u00ecnh hay ngh\u0129: Khi t\u00ecm m\u1ed9t th\u00f4ng tin y khoa hay c\u00e2u h\u1ecfi nghi\u00ean c\u1ee9u g\u00ec, m\u00ecnh th\u1ea5y c\u00f3 r\u1ea5t nhi\u1ec1u r\u1ea5t nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c publish, \u0111\u00f4i khi m\u00ecnh kh\u00f4ng bi\u1ebft n\u00f3 \u0111\u00e1ng tin c\u1eady kh\u00f4ng n\u1eefa? L\u00fac \u0111\u00f3, m\u00ecnh hay d\u1ef1a v\u00e0o thang […]\n","protected":false},"author":1,"featured_media":4518,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4517","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4517","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=4517"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4517\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4518"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4517"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}