scholarly journals Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease

2021 ◽  
Author(s):  
M. Milone ◽  
L. Basso ◽  
M. Manigrasso ◽  
R. Pietroletti ◽  
A. Bondurri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Colorectal Surgery ◽  
Consensus Statement ◽  
Pilonidal Disease ◽  
Scientific Evidence ◽  
Italian Society ◽  
Natal Cleft ◽  
Modified Delphi ◽  
Strongly Agree

AbstractPilonidal disease (PD) is a relatively common, benign but challenging condition of the natal cleft. This consensus statement was drawn up by a panel of surgeons, identified by the Italian Society of Colorectal Surgery (SICCR) as having a “special interest” in PD, with the aim of recommending the best therapeutic options according to currently available scientific evidence. A three-step modified-Delphi process was adopted, implying: (1) choice of the panelists; (2) development of a discussion outline and of target issues; and (3) a detailed systematic review of the current literature. The agreement/disagreement level was scored on a five-point Likert scale as follows: “A + : strongly agree; A–: agree; N: unsure/no opinion; D–: disagree; D + : strongly disagree. Each panelist contributed to the production of this manuscript, and the final recommendations were reviewed by the Clinical Practice Guidelines Committee.

The treatment of pilonidal disease: guidelines of the Italian Society of Colorectal Surgery (SICCR)

2015 ◽  
Vol 19 (10) ◽  
pp. 607-613 ◽  
Author(s):  
D. Segre ◽  
M. Pozzo ◽  
R. Perinotti ◽  
B. Roche
Keyword(s):  
Colorectal Surgery ◽  
Pilonidal Disease ◽  
Italian Society

scholarly journals Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

2015 ◽  
Vol 19 (10) ◽  
pp. 567-575 ◽  
Author(s):  
M. Trompetto ◽  
G. Clerico ◽  
G. F. Cocorullo ◽  
P. Giordano ◽  
F. Marino ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Consensus Statement ◽  
Italian Society

scholarly journals Chronic cough in childhood: A systematic review for practical guidance by the Italian Society of Pediatric Allergy and Immunology

2021 ◽  
Vol 49 (2) ◽  
pp. 133-154
Author(s):  
Gian Luigi Marseglia ◽  
Sara Manti ◽  
Elena Chiappini ◽  
Ilaria Brambilla ◽  
Carlo Caffarelli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Chronic Cough ◽  
Screening Program ◽  
Early Stage ◽  
National Health System ◽  
Italian Society ◽  
Pediatric Allergy ◽  
Allergy And Immunology ◽  
Wait And See

The current systematic review presented and discussed the most recent studies on pediatric chronic cough. In addition, the Italian Society of Pediatric Allergy and Immunology elaborated a comprehensive algorithm to guide the primary care approach to a pediatric patient with chronic cough.Several algorithms on chronic cough management have been adopted and validated in clinical practice; however, unlike the latter, we developed an algorithm focused on pediatric age, from birth until adulthood. Based on our findings, children and adolescents with chronic cough without cough pointers can be safely managed, initially using the watchful waiting approach and, successively, starting empirical treatment based on cough characteristics. Unlike other algorithms that suggest laboratory and instrumental investigations as a first step, this review highlighted the importance of a “wait and see” approach, consisting of parental reassurance and close clinical observation, also due to interprofessional collaboration and communication between general practitioners and specialists that guarantee better patient management, appropriate prescription behavior, and improved patient outcome. Moreover, the neonatal screening program provided by the Italian National Health System, which intercepts several diseases precociously, allowing to treat them in a very early stage, helps and supports a “wait and see” approach.Conversely, in the presence of cough pointers or persistence of cough, the patient should be tested and treated by the specialist. Further investigations and treatments will be based on cough etiology, aiming to intercept the underlying disease, prevent potentially irreversible tissue damage, and improve the general health of patients affected by chronic cough, as well as the quality of life of patients and their family. Further high-quality randomized controlled trials are needed to validate this algorithm’s performance in real clinical practice.

scholarly journals Erratum to: Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement

2016 ◽  
Vol 20 (3) ◽  
pp. 201-201
Author(s):  
M. Trompetto ◽  
G. Clerico ◽  
G. F. Cocorullo ◽  
P. Giordano ◽  
F. Marino ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Consensus Statement ◽  
Italian Society

scholarly journals The Italian Society for Rheumatology clinical practice guidelines for the diagnosis and management of fibromyalgia Best practices based on current scientific evidence

Reumatismo ◽  
2021 ◽  
Vol 73 (2) ◽  
pp. 89-105
Author(s):  
A. Ariani ◽  
L. Bazzichi ◽  
P. Sarzi-Puttini ◽  
F. Salaffi ◽  
M. Manara ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Working Group ◽  
Best Practice ◽  
Scientific Evidence ◽  
Grey Literature ◽  
Italian Society ◽  
Pharmacological Management ◽  
Social Burden

Fibromyalgia or fibromyalgia syndrome (FMS) is defined as a central sensitization syndrome characterized by the dysfunction of neurocircuits detecting, transmitting and processing nociceptive stimuli; the prevalent manifestation is musculoskeletal pain. In addition to pain, there are multiple accompanying symptoms, in common with other algo-dysfunctional syndromes, which are reflected in a broad spectrum of somatic, neurocognitive and neuro-vegetative manifestations. An evidence-based approach is essential in FMS management, in order to improve patient health and to reduce its social burden. Since in the last ten years new international guidelines for clinical practice (Clinical Practice Guidelines or CPGs) concerning FMS diagnosis and pharmacological/ non-pharmacological management have been published, the Italian Society of Rheumatology (SIR) has decided to adapt them to the Italian national setting. The framework of the Guidelines International Network Adaptation Working Group was adopted to identify, appraise (AGREE II), synthesize, and customize the most recent CPGs on FMS to the needs of the Italian healthcare context. A working group of rheumatologists from SIR epidemiology unit and FMS experts identified relevant clinical questions to guide the systematic review of the literature. The target audience of these CPGs included physicians and healthcare professionals who manage FMS. The adapted recommendations were finally assessed by an external multidisciplinary panel. From the systematic search in databases (Pubmed/Medline, Embase) and grey literature, 6 CPGs were selected and appraised by two independent raters. The combination of the scientific evidence underlying the original CPGs with expert opinion lead to the development of 17 recommendations. The quality of evidence for each recommendation was reported and their potential impact on clinical practice was assessed. These SIR recommendations are expected to be a valuable aid in the diagnosis and treatment of FMS, as they will contribute to disseminate the best practice on the basis of the current scientific evidence.

scholarly journals CLINICAL PRACTICE GUIDELINES: A STRATEGY FOR EVALUATING PERCEPTION AND QUALITY

2018 ◽  
Author(s):  
Zendy-Estefany Carmargo-Cardona ◽  
Andres Bernal-Ballen ◽  
Jose-Leonardo Cely-Andrade
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Professionals ◽  
Scientific Evidence ◽  
Agree Ii ◽  
Agree Ii Instrument

Clinical practice guidelines (CPG) are recommendations based on a systematic review of scientific evidence and generally these documents are under constant assess. For this matter, a group of health-professionals which belong to Fundación Centro Colombiano de Hipoterapia evaluated the use and quality of the used CPG using AGREE II instrument. The obtained results evidence correlation between both parameters since health-professionals trust in their acquired experience without detracting from the benefits that can be obtained with the use of guidelines. Among the mentioned benefits, improving the quality of care, effectiveness in clinical decisions, and the optimization of costs related to health care can be mentioned. Nonetheless, health-professionals reflect uncertainty in the recommendations generated by the guidelines because of the barriers presented such as strictness in its elaboration, it lacks in updates, audits and evaluations. Key words: Clinical practice guidelines, assessment, quality.

scholarly journals Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease

2020 ◽  
Vol 24 (2) ◽  
pp. 145-164 ◽  
Author(s):  
G. Gallo ◽  
J. Martellucci ◽  
A. Sturiale ◽  
G. Clerico ◽  
G. Milito ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Consensus Statement ◽  
Hemorrhoidal Disease ◽  
Italian Society
Sign in / Sign up

Export Citation Format

Share Document