Related Experiment Videos
[Methods in evidence-based medicine consensus findings--a case study in trauma surgery]
1Institut für Medizinische Informationsverarbeitung, Universität Tübingen. arosenb@gwdg.de
Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|August 2, 2003
Summary
Developing clinical guidelines for diagnostic imaging in trauma surgery requires methodological support for multidisciplinary panels. Internal quality management enhances results, though ensuring evidence-based consensus remains a challenge.
Area of Science:
- Medical Guidelines
- Trauma Surgery
- Diagnostic Imaging
Context:
- Guideline development program for diagnostic imaging in trauma surgery.
- Implementation of international standards and methodical concepts from AQuMed and AWMF.
- Structured consensus conference approach.
Purpose:
- Present and critically review methods and processes for guideline development.
- Assess the feasibility of multidisciplinary panel work with methodological support.
- Evaluate the effectiveness of internal quality management.
Summary:
- A multidisciplinary panel successfully developed guidelines for diagnostic imaging in trauma surgery, adhering to international standards.
- Methodological support enabled a small panel to manage extensive work, and internal quality management improved results with limited resources.
- While evidence and medical experience correlated well, a weakness was the lack of a definitive method to ensure consensus recommendations were always evidence-based.
Impact:
- Demonstrates that small, methodologically supported panels can produce high-quality guidelines.
- Highlights the utility of internal quality management in resource-limited guideline development.
- Identifies a critical area for improvement in evidence-based consensus conferences.