1.Publishing clinical prActice GuidelinEs (PAGE): Recommendations from editors and reviewers.
Nan YANG ; Wei ZHAO ; Wen-An QI ; Chen YAO ; Chong-Ya DONG ; Zhen-Guo ZHAI ; Tong CHEN ; En-Mei LIU ; Guo-Bao LI ; You-Lin LONG ; Xin-Yi WANG ; Zi-Jun WANG ; Ruo-Bing LEI ; Qi ZHOU ; Yao-Long CHEN ; Liang DU
Chinese Journal of Traumatology 2022;25(6):312-316
Transparency Ecosystem for Research and Journals in Medicine (TERM) working group summarized the essential recommendations that should be considered to review and publish a high-quality guideline. These recommendations from editors and reviewers included 10 components of essential requirements: systematic review of existing relevant guidelines, guideline registration, guideline protocol, stakeholders, conflicts of interest, clinical questions, systematic reviews, recommendation consensus, guideline reporting and external review. TERM working group abbreviates them as PAGE (essential requirements for Publishing clinical prActice GuidelinEs), and recommends guideline authors, editors, and peer reviewers to use them for high-quality guidelines.
Humans
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Practice Guidelines as Topic
6.Review on history and current practices of cancer multidisciplinary care.
Journal of the Korean Medical Association 2016;59(2):88-94
Cancer care can be complex with increased specialization within disciplines and more-sophisticated treatment techniques. Multidisciplinary care (MDC) is an integrated team approach to bring together a group of health professionals with appropriate skills to consider patient's treatment and care options. MDC are now conducted worldwide and is recommended as best practice for the management of patients with cancer. There is increasing evidence that MDC improves quality of care, treatment outcomes of patient with cancer and. other clinical outcomes, but concerns are raised over the paucity of good-quality evidence on their overall impact. In this review, we described available evidence on the impact of cancer MDC, and also reviewed focused on cancer MDC strategy depending on countries.
Health Occupations
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Humans
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Practice Guidelines as Topic
7.Microsurgery Training for the Twenty-First Century.
Simon Richard MYERS ; Stefan FROSCHAUER ; Yelena AKELINA ; Pierluigi TOS ; Jeong Tae KIM ; Ali M GHANEM
Archives of Plastic Surgery 2013;40(4):302-303
Current educational interventions and training courses in microsurgery are often predicated on theories of skill acquisition and development that follow a 'practice makes perfect' model. Given the changing landscape of surgical training and advances in educational theories related to skill development, research is needed to assess current training tools in microsurgery education and devise alternative methods that would enhance training. Simulation is an increasingly important tool for educators because, whilst facilitating improved technical proficiency, it provides a way to reduce risks to both trainees and patients. The International Microsurgery Simulation Society has been founded in 2012 in order to consolidate the global effort in promoting excellence in microsurgical training. The society's aim to achieve standarisation of microsurgical training worldwide could be realised through the development of evidence based educational interventions and sharing best practices.
Curriculum
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Humans
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Microsurgery
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Practice Guidelines as Topic
8.The Development of Korean Medication Algorithm for Major Psychiatric Disorder.
Journal of the Korean Medical Association 2004;47(2):150-155
Recently the clinical practice guideline and medication algorithm for several disorders have been developed and distributed for an optimal treatment as evidencebased medicine. The Korean Medication Algorithm Project for Major Psychiatric Disorders was initiated by the 'Korean College of Neuropsychopharmacolgy' in fall 2000, and later the 'Korean Academy of Schizophrenia' joined the project. This article reviews the advantages and limitations of the guideline and the algorithm in general, and specifically reviews the design, process and method of development of the 'Korean Medication Algorithm Project for Major Psychiatric Disorders'.
Bipolar Disorder
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Methods*
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Practice Guidelines as Topic
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Schizophrenia
9.Trend analysis of grading systems for level of evidence and strength of recommendation.
Kyung Hwa SEO ; Sun Hee LEE ; Ein Soon SHIN ; Sun Mi LIM ; Ji Eun JANG ; Yu Min JUNG ; Yoon Hyung PARK
Journal of the Korean Medical Association 2011;54(7):758-768
When clinicians or healthcare professionals are to make decisions, they can judge the quality of evidence and reliability of recommendations by 'Level of evidence' and 'Grade of recommendation'. Because of this, the step of grading evidence and recommendations is very important in developing clinical practice guidelines. The objective of this study was to identify the various grading systems and criteria of the clinical practice guidelines. We reviewed 101 guidelines from the National Guideline Clearinghouse Database and chose 66 sets of guidelines to analyze in terms of the grading systems for level of evidence and strength of recommendation. The grading systems for 'Level of evidence' were classified into 4 types by criteria such as study design, study quality, consistency, limitations, strength of evidence, and validity. Type II was the most common evidence grading system applied by 12 organizations (37.5%) and 30 sets of guidelines (45.5%). The grading systems for 'Grade of recommendation' were classified into 4 types by criteria such as level/quality of evidence, strength of recommendations, study quality, consistency, applicability, balance between benefit and harm, and effectiveness/usefulness. Type I was the most common recommendation grading system applied by 9 organizations (33.4%) and 23 sets of guidelines (40.4%). A formal grading system based on consistent and clear approaches is needed because the process of grading work can be subjective when clinical practice guideline users are making decisions. It is necessary for clinical practice guideline developers to have a common criterion so that they can judge the grade of evidence and recommendations objectively in the development of clinical practice guidelines.
Delivery of Health Care
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Methods*
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Practice Guidelines as Topic
10.Pertussis diagnosis: the limitation of the currently used criteria and the suggestion of Global Pertussis Initiative.
Kai-Hu YAO ; Ji-Kui DENG ; Rexiati DAWUTI
Chinese Journal of Contemporary Pediatrics 2016;18(9):891-896
It has been recognized that pertussis is a disease that affects all age groups. There are obvious limitations in the currently used diagnostic criteria with "one-size-fits-all" definition, which is not advantageous to start individual treatment and perform strategies for preventing the transmission. Therefore, the expert group of Global Pertussis Initiative gives a suggestion for the diagnosis of pertussis. Based on the related published studies, the present article analyzes the limitations of the current criteria, and introduces the GPI's suggestion in detail.
Humans
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Practice Guidelines as Topic
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Whooping Cough
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diagnosis