信頼性の高いがん検診ガイドラインを作成するためのNew American Cancer Societyのプロセスです
Otis Brawley1, Tim Byers, Amy Chen
1American Cancer Society, Atlanta, Georgia, USA.
JAMA
|December 15, 2011
まとめ
異なる組織からのがんスクリーニングガイドラインは,混乱を引き起こす可能性があります. 米国がん協会 (ACS) は,信頼性の高いがん検診ガイドラインを確立するために,IOM (国際医学研究所) の基準に準拠した新しい方法を現在使用しています.
科学分野:
- 腫瘍学 腫瘍学
- クリニカル・プラクティスのガイドライン
- 根拠に基づいた医学は,証拠に基づいた医療です.
背景:
- 様々な組織のがん検診ガイドラインは,しばしば矛盾する勧告を提示しています.
- これらの不一致は,医療従事者,一般市民,政策立案者の間で混乱を招く可能性があります.
- 医学研究所 (IOM) は,ガイドライン開発とエビデンスレビューの改善基準を提唱する報告書を発表した.
研究 の 目的:
- アメリカがん学会 (ACS) ががん検診ガイドラインを策定するための改訂方法について概要を述べる.
- ACSのガイドラインが透明で一貫性があり,厳格であることを保証する.
- ACSガイドラインの作成を,信頼性の高い臨床実践ガイドラインのためのIOMの原則と整合させる.
主な方法:
- 信頼できるガイドライン開発のためのIOMの原則の採択.
- ガイドラインの作成のための単一の汎用的なグループの形成.
- 独立した体系的な証拠レビューの委託.
- スクリーニングテストの利点,制限,および害の明瞭な表現.
主要な成果:
- ACSは,ガイドライン開発のための改訂された,より透明で一貫した,厳格なプロセスを実装しました.
- 新しいACS方法は,信頼性の高いガイドラインのためのIOMの基準を組み込む.
- ガイドラインは,スクリーニングテストのメリットとデメリットを明確に伝えます.
結論:
- 改訂されたACSメソッドは,がんスクリーニングガイドラインが信頼できる情報源であることを保証します.
- これらの更新されたガイドラインは,医療従事者,一般市民,および政策立案者に対し,臨床実務,個人の選択,および公共政策において役立ちます.
- 新しいプロセスは,ACSのがんスクリーニングの推奨事項の信頼性と有用性を高めます.
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