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[Interdisciplinary guidelines: cholelithiasis]
M Classen1, H J Illiger, S Mattern
1II. Medizinische Klinik, Klinikum Rechts der Isar, München.
Insights
Developing interdisciplinary guidelines for internal medicine and surgery, such as for gallstones (cholelithiasis), presents a significant quality management challenge. This work builds upon previous efforts in internal medicine diagnostics and therapy.
Area of Science:
- Medicine
- Quality Management
- Clinical Guidelines
Context:
- Quality management in internal medicine and surgery is complex due to the broad scope of these fields.
- The German scientific societies of internal medicine developed a manual for "Rationelle Diagnostik und Therapie in der Inneren Medizin" (Rational Diagnostics and Therapy in Internal Medicine) between 1994 and 1996.
- Interdisciplinary cooperation is crucial for addressing the interests of multiple medical branches.
Purpose:
- To present interdisciplinary guidelines for the management of cholelithiasis (gallstones).
- To address the challenges in developing joint internal medicine and surgical guidelines.
- To build upon existing frameworks for rational diagnostics and therapy.
Summary:
- This work focuses on the development of interdisciplinary guidelines for cholelithiasis, integrating internal medicine and surgical perspectives.
- It highlights the difficulties in quality management for large medical fields like internal medicine and surgery.
- The guidelines are presented as a collaborative effort, building on prior work in internal medicine.
Impact:
- Facilitates evidence-based, coordinated patient care for cholelithiasis.
- Establishes a model for developing future interdisciplinary clinical guidelines.
- Improves the quality and efficiency of managing gallstone disease through integrated medical and surgical approaches.
Abstract:
Quality management in internal medicine and surgery is especially difficult because of the magnitude of these two subjects. Between the years 1994 and 1996, the German scientific societies of internal medicine developed the manual "Rationelle Diagnostik und Therapie in der Inneren Medizin". The cooperation of colleagues was most helpful when the interests of several internal branches were involved. An even greater challenge is the development of interdisciplinary internal and surgical guidelines, which are presented here for cholelithiasis.