The evidence is weak but points to the need for shared decision making, reports Gareth Iacobucci This week The BMJ publishes the latest articles in its Rapid Recommendations series, which aims to accelerate evidence into practice and answer the questions that matter to clinicians quickly and transparently. The latest review examines the evidence for the use of corticosteroids for treating sore throat, one of the commonest reasons for primary care appointments.1 International guidance on corticosteroids for sore throats varies, but a trial published in April 2017 indicated that they might be effective.2 After conducting a systematic review and meta-analysis that included data from the April trial,3 the Rapid Recommendation authors make a weak recommendation to use a single dose of oral corticosteroids in patients presenting with acute sore throat. The recommendation …

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BMJ评论：考虑使用糖皮质激素治疗急性喉咙痛

Gareth Iacobucci报道说，证据薄弱，但指出需要共同决策。本周BMJ发表了“快速建议”系列中的最新文章，旨在加快证据的实施，并迅速，透明地回答对临床医生重要的问题。最新评论审查了使用皮质类固醇治疗咽喉炎的证据，这是任命初级保健人员的最常见原因之一.1皮质类固醇激素用于咽喉炎的国际指南各不相同，但2017年4月发表的一项试验表明它们可能有效。 2在对系统分析和荟萃分析（包括4月份试验的数据）后，3快速推荐的作者不建议在患有急性咽喉炎的患者中使用单剂量的口服皮质类固醇激素。推荐...