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The Clinical Toxicology Recommendations Collaborative: purpose, organization, and methodology
Martin F Wilks1,2, Christopher Hoyte3,4, Kirk L Cumpston5
1Swiss Centre for Applied Human Toxicology, University of Basel, Basel, Switzerland.
Clinical Toxicology (Philadelphia, Pa.)
|March 11, 2024
Summary
The Clinical Toxicology Recommendations Collaborative (CTRC) develops evidence-based guidelines for poisoning management. This collaborative approach aims to improve patient care through unified, expert recommendations.
Area of Science:
- Clinical Toxicology
- Medical Guidelines
- Evidence-Based Practice
Background:
- Scientific societies unify to address critical issues.
- The Clinical Toxicology Recommendations Collaborative (CTRC) was established in 2016.
- CTRC focuses on developing recommendations for unclear or controversial poisoning management.
Purpose of the Study:
- To establish evidence- and consensus-based recommendations for patient poisoning management.
- To create a unified stance on important issues in clinical toxicology.
- To foster positive change for poisoned patients through international collaboration.
Main Methods:
- Led by major clinical toxicology societies (AACT, APAMT, EAPCCT).
- Utilizes Institute of Medicine standards and AGREE instrument.
- Employs systematic reviews (GRADE methodology) and modified Delphi method (RAND/UCLA Appropriateness Method) for consensus.
- Recommendations approved by unanimous consent, detailing levels of evidence and strength of recommendations.
Main Results:
- The CTRC process involves systematic reviews and consensus-building.
- Recommendations are derived from rigorous evidence assessment and expert voting.
- Limitations include evidence quantity/quality and panel voting dynamics.
Conclusions:
- CTRC employs a transparent, evidence- and consensus-based approach.
- Aims to establish an international framework for clinical toxicology.
- Enhances education and decision-making for improved patient outcomes in poisoning cases.
Keywords:
Clinical Toxicology Recommendations CollaborativeClinical recommendationsDelphi methodLikert scaleSystematic reviewsMore Related Videos
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