同样的证据,不同的建议:跨大西洋心脏膜疾病管理指南的方法评估
Milan Milojevic1, Miguel Sousa-Uva2, Mateo Marin-Cuartas3
1Department of Cardiac Surgery and Cardiovascular Research, Dedinje Cardiovascular Institute, Belgrade, Serbia.
美国心脏病学会 (ACC) /美国心脏协会 (AHA) 和欧洲心脏病学会 (ESC) /欧洲心胸外科协会 (EACTS) 制定膜心脏病指南的方法差异导致了不同的建议. 标准化对于全球实践的一致性至关重要.
科学领域:
- 心脏病学 心脏病学
- 临床实践指南 临床实践指南
- 卫生政策 卫生政策
背景情况:
- 来自ACC/AHA和ESC/EACTS的跨大西洋膜心脏病指南显示出显著的方法差异.
- 这些差异影响了治疗建议和潜在的全球实践模式.
研究的目的:
- 为了确定ACC/AHA和ESC/EACTS膜心脏病指南的开发方法上的差异.
- 提出标准化指导方针开发流程的步骤.
主要方法:
- 对准则开发方法的比较分析.
- 评估与医学研究所的标准进行了比较.
主要成果:
- 在委员会组成,证据评估,利益冲突管理和投票过程中发现了差异.
- 这两套指南都偏离了医学研究所在文献审查和证据分级方面的标准.
- 对于 mitra 排泄修复和大动脉假体选择,包括门置换的年龄切断,注意到不同的建议.
结论:
- 在指导方针开发中的方法变化导致不同的治疗建议.
- 准则制定过程的标准化对于提高全球医疗保健的统一性,可信性和质量至关重要.
更多相关视频
12:12Echocardiographic Approaches and Protocols for Comprehensive Phenotypic Characterization of Valvular Heart Disease in Mice
Published on: February 14, 2017
06:35Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
Published on: April 27, 2016
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Pre-Procedural Guidelines for Assessing Blood Pressure
Assessment of the Cardiovascular System II: Inspection
Head and Neck
Heart Valves
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
