¿QUÉ CONDICIONES DEBEN REUNIR LAS GUÍAS DE DIAGNÓSTICO Y TRATAMIENTO PARA SER VERDADERAS GUÍAS DE PRÁCTICA CLINICA BASADAS EN LA EVIDENCIA?
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| Title: | ¿QUÉ CONDICIONES DEBEN REUNIR LAS GUÍAS DE DIAGNÓSTICO Y TRATAMIENTO PARA SER VERDADERAS GUÍAS DE PRÁCTICA CLINICA BASADAS EN LA EVIDENCIA? |
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| Alternate Title: | What conditions should the diagnosis and treatment guidelines meet, to be true clinical practice guidelines based on evidence? |
| Authors: | Zerga, Marta1 (AUTHOR) melizerga@hotmail.com |
| Source: | Medicina (Buenos Aires). mar/abr2024, Vol. 84 Issue 2, p305-312. 8p. |
| Abstract (English): | The guides for diagnosis and treatment prepared by scientific medical societies constitute a very useful tool for the professional practice of the specialty. Supported by an updated bibliography, they represent material of enormous value with recommendations from experts on the various topics of the specialty. This article attempts to determine if they could be designed as "Evidence - Based Clinical Practice Guidelines" (CPG BE), for which the stages in their development and the requirements that they reviewed. The CPG BE are a "set of recommendations prepared systematically to help professionals and patients in making decisions about the most appropriate health care, selecting the most appropriate diagnostic and/or therapeutic options to address a problem of health or a specific clinical condition". Their objective is to improve the effectiveness, efficiency and safety of clinical decisions, and they can serve a basis for the development of health policies. The preparation of CPGs represents a complex process, which requires knowledge, experience and resources, both in time and money. Its robustness does not depend on who does it, but on how it is done. This implies the participation of technicians who provide the evaluation of the evidence using the GRADE method and the consideration of cost-effectiveness aspects. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Las guías de diagnóstico y tratamiento elaboradas por las sociedades científicas médicas, constituyen una herramienta muy útil para el ejercicio profesional de la especialidad. Sustentadas en bibliografía actualizada, representan un material de enorme valor con recomendaciones de los expertos en los diversos temas de la especialidad. En el presente artículo se intenta determinar si las mismas podrían ser diseñadas acercándolas lo más estrechamente posible al formato de las Guías de Práctica Clínica Basadas en la Evidencia (GPC-BE), para lo cual se revisan las etapas en su elaboración y los requisitos que deberían cumplir para ser consideradas como tales. Las GPC-BE son un "conjunto de recomendaciones elaboradas de forma sistemática para ayudar a los profesionales y a los pacientes en la toma de decisiones sobre la atención sanitaria más apropiada, seleccionando las opciones diagnósticas y/o terapéuticas más adecuadas en el abordaje de un problema de salud o una condición clínica específica". Su objetivo es mejorar la efectividad, la eficiencia y la seguridad de las decisiones clínicas, y pueden servir de base para la elaboración de políticas de salud. La elaboración de las GPC representa un proceso complejo, que requiere conocimientos, experiencia y recursos tanto en tiempo como en dinero. Su robustez no depende de quienes la realizan, sino de cómo es realizada. Ello implica la participación de técnicos que aporten la evaluación de la evidencia por el método GRADE, y la consideración de aspectos de costo-efectividad. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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| Abstract: | The guides for diagnosis and treatment prepared by scientific medical societies constitute a very useful tool for the professional practice of the specialty. Supported by an updated bibliography, they represent material of enormous value with recommendations from experts on the various topics of the specialty. This article attempts to determine if they could be designed as "Evidence - Based Clinical Practice Guidelines" (CPG BE), for which the stages in their development and the requirements that they reviewed. The CPG BE are a "set of recommendations prepared systematically to help professionals and patients in making decisions about the most appropriate health care, selecting the most appropriate diagnostic and/or therapeutic options to address a problem of health or a specific clinical condition". Their objective is to improve the effectiveness, efficiency and safety of clinical decisions, and they can serve a basis for the development of health policies. The preparation of CPGs represents a complex process, which requires knowledge, experience and resources, both in time and money. Its robustness does not depend on who does it, but on how it is done. This implies the participation of technicians who provide the evaluation of the evidence using the GRADE method and the consideration of cost-effectiveness aspects. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00257680 |