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Prioritizing dermatoses: rationally selecting guideline topics.

R J Borgonjen1, J J E van Everdingen2, P C M van de Kerkhof1

  • 1Department of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.

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|September 2, 2014
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Summary
This summary is machine-generated.

Dermatologists prioritized melanoma, skin cancer, psoriasis, and atopic dermatitis for clinical practice guideline development. They found reducing practice variation more important than mortality or cost when selecting topics.

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Area of Science:

  • Dermatology
  • Clinical Practice Guideline Development

Background:

  • Limited resources necessitate efficient clinical practice guideline (CPG) topic selection.
  • A standardized method for CPG topic selection is often lacking.
  • Criteria used for prioritizing CPG topics lack clarity.

Purpose of the Study:

  • To identify and rank key dermatological topics for CPG development.
  • To determine the criteria dermatologists deem essential for selecting guideline topics.

Main Methods:

  • Surveyed 410 Dutch dermatologists to rank top 20 desired CPG topics.
  • Dermatologists rated 10 criteria for topic selection using a 5-point Likert scale.
  • Combined topic scores and criterion ratings to establish overall priority.

Main Results:

  • 157 distinct topics identified from 118 responses (29% response rate).
  • Top priority topics include melanoma, squamous cell carcinoma, basal cell carcinoma, psoriasis, and atopic dermatitis.
  • Reducing practice variation was prioritized over mortality and healthcare costs in topic selection.

Conclusions:

  • Global dermatological organizations have developed guidelines for the top 20 identified topics.
  • Dermatologists' views on topic selection criteria align with international guideline programs and literature.