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Published on: September 26, 2018

Developing the 2011 Integrated Pediatric Guidelines for Cardiovascular Risk Reduction

Samuel S Gidding1, Stephen R Daniels, Rae Ellen W Kavey

  • 1Nemours Cardiac Center, A. I. DuPont Hospital for Children, Wilmington, Delaware 19803, USA. sgidding@nemours.org

Pediatrics
|April 12, 2012
PubMed

Insights

Developing credible cardiovascular health guidelines for children requires both formal evidence review and expert human judgment. Continuous self-critique is essential as new evidence and contexts evolve.

Area of Science:

  • Pediatric cardiovascular health
  • Evidence-based guideline development
  • Clinical decision-making

Background:

  • The
  • Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents
  • provide a framework for pediatric care.
  • Guideline development involves complex considerations beyond formal evidence.

Purpose of the Study:

  • To review the development process of the new pediatric cardiovascular guidelines.
  • To examine the interplay of evidence, human judgment, and ethical considerations.
  • To offer recommendations for future guideline creation.

Main Methods:

  • Analysis of the guideline development context.
  • Review of the formal evidence assessment process.
  • Examination of quality grading and social/ethical issues.
  • Critique of the final guidelines.

Main Results:

  • A formal evidence review process is crucial for guideline credibility.
  • Human judgment is indispensable for creating meaningful clinical recommendations.
  • Guideline development is an ongoing, self-critical process.

Conclusions:

  • Effective guideline development balances rigorous evidence with expert judgment.
  • Future guidelines should incorporate lessons learned regarding process and context.
  • Continuous adaptation to new evidence and evolving contexts is vital.

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