以严谨科学的态度审视和撰写专家共识

Reviewing and writing expert consensus in a scientifically rigorous manner

医学的发展从经验医学向循证医学转变,为人类疾病的诊断与治疗提供更加科学精准的临床证据,以指导临床实践,为患者带来获益。但仍然有部分疾病(如罕见病、疑难重症等)由于各种原因难以获得大规模循证医学证据,而这些疾病常是临床诊断与治疗的难点,需要高水平专家的指导和建议。因此,相应的专家共识应运而生。笔者分析国内外近年关于消化疾病领域的专家共识,重点介绍国际通用的临床专家共识制订方法和路径,提出现阶段符合我国国情、立足国际视野、掌握国际共识Delphi路径,进一步规范我国临床领域专家共识的制订方法,旨在显著提高我国临床医学专家共识的学术水平,为广大临床工作者提供科学、规范且具有国际水平的专家共识,最终服务临床患者。

The development of medicine has shifted from empirical medicine to evidence-based medicine,providing more scientific and precise clinical evidence for the diagnosis and treat-ment of human diseases,and to guide clinical practice and bring benefits to patients.However,there are still some diseases for which it is difficult to obtain large-scale evidence-based medical evidence for various reasons,especially some rare diseases and difficult and serious diseases.These rare diseases and difficult and serious diseases are often difficult to diagnose and treat in clinical practice,and need guidance and advice from highly qualified experts,thus,various expert consensuses have emerged.The authors analyze the recent expert consensus in the field of digestive diseases at home and abroad,and focus on the methods and pathways for the development of the international common clinical expert consensus.It is proposed that the current stage is in line with China's national condi-tions,based on the international perspective,and mastering the international consensus Delphi pathway,in order to further standardizing the method of developing expert consensus in the clinical field of China,significantly improve the academic level of expert consensus in China,provide scientific,standardized,and international-level expert consensus for the majority of clinical workers,and finally serve the majority of patients and ultimately serving clinical patients.