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[Development of clinical practice guidelines for patients with comorbidity and multiple diseases]
M Bernabeu-Wittel1, P Alonso-Coello2, M Rico-Blázquez3
1Unidad de Gestión Clínica de Medicina Interna, Hospital Universitario Virgen del Rocío, SEMI, Sevilla, España.
Insights
Managing patients with multiple health conditions (comorbidity and polypathology) is challenging. This study proposes new terminology and methods to improve clinical practice guidelines for these complex patient cases.
Area of Science:
- Gerontology
- Public Health
- Clinical Medicine
Context:
- Managing patients with comorbidity and polypathology presents significant challenges for healthcare systems.
- Existing clinical practice guidelines (CPGs) often have limitations when applied to patients with multiple conditions.
Purpose:
- To propose standardized terminology and methodology for optimally addressing comorbidity and polypathology within CPGs.
- To enhance the development and application of CPGs for individuals with complex health needs.
Summary:
- This study reviews literature to suggest improvements in CPG development for comorbidity and polypathology.
- Key proposals include incorporating comorbidity clusters, utilizing indirect evidence, considering patient burden, and refining dissemination strategies.
Impact:
- Aims to create more valid and useful tools for healthcare providers managing patients with multiple conditions.
- Encourages further development and broader agent involvement to refine these tools for improved patient care.
Abstract:
The management of patients with comorbidity and polypathology represents a challenge for all healthcare systems. Clinical practice guidelines (CPGs) have limitations when applied to this population. The aim of this study is to propose the terminology and methodology for optimally approach comorbidity and polypathology in the CPGs. Based on a literature review, we suggest a number of proposals for the approach in different phases of CPG preparation, with special attention to the inclusion of clusters of comorbidity in the initial questions the implementation of indirect evidence, the burden of disease management for patients and their environment, when establishing recommendations, as well as the strategies of dissemination and implementation. These proposals should be developed in greater depth with the implication of more agents in order to have valid and useful tools for this population.
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Assessment: