Felnőttkori lágyéksérvek kezelésének alapelvei – az Európai Sérvsebészeti Társaság ajánlása

2010 ◽  
Vol 63 (5) ◽  
pp. 287-296 ◽  
Author(s):  
György Wéber
Keyword(s):  
Steering Committee ◽  
Evidence Based ◽  
European Hernia Society

Absztrakt Az Európai Sérvsebészeti Társaság (European Hernia Society – EHS) ajánlása a lágyéksérvek kezelésének teljes spektrumát magában foglalja, a diagnózistól a műtét utáni rehabilitációig. A vezérfonalat az EHS 14 tagországának vezető sérvsebészeiből álló munkacsoport állította össze. Az evidence-based megállapítások talaján álló ajánlást – megjelenése előtt – egy szaktekintélyekből álló steering committee mellett a tagországok sérvsebészeti társaságai is véleményezték. A „Guidelines”-t a 2008-as Európai Sérvsebészeti Kongresszuson, Sevillában külön szekcióban elemezték, illetve megjelent a Hernia 2009/4. számában. A munkacsoport tervei szerint az ajánlást 2012-ben ismét átdolgozzák, illetve tartalmát – a megjelenő közlemények és tapasztalatok alapján – folyamatosan aktualizálják. A vezérfonal könnyen adaptálható a helyi protokollokhoz, és jól szolgálja a továbbképzési, illetve minőségbiztosítási szempontokat, ezért fontosnak tartjuk szélesebb körben történő ismertetését.

scholarly journals Development of the Translating Allied Health Knowledge (TAHK) Framework

2019 ◽  
Vol 8 (7) ◽  
pp. 412-423 ◽  
Author(s):  
Danielle Hitch ◽  
Genevieve Pepin ◽  
Kate Lhuede ◽  
Sue Rowan ◽  
Susan Giles
Keyword(s):  
Knowledge Translation ◽  
Allied Health ◽  
Health Knowledge ◽  
Outcome Measurement ◽  
Steering Committee ◽  
Evidence Based ◽  
Collaborative Process ◽  
Academic Knowledge ◽  
Complex Process ◽  
Clinician Support

Background: While evidence-based practice is a familiar concept to allied health clinicians, knowledge translation (KT) is less well known and understood. The need for a framework that enables allied health clinicians to access and engage with KT was identified. The aim of this paper is to describe the development of the Translating Allied Health Knowledge (TAHK) Framework. Methods: An iterative and collaborative process involving clinician and academic knowledge partners was utilised to develop the TAHK Framework. Multiple methods were utilised during this process, including a systematic literature review, steering committee consultation, mixed methods survey, benchmarking and measurement property analysis. Results: The TAHK Framework has now been finalised, and is described in detail. The framework is structured around four domains – Doing Knowledge Translation, Social Capital for Knowledge Translation, Sustaining Knowledge Translation and Inclusive Knowledge Translation – under which 14 factors known to influence allied health KT are classified. The formulation of the framework to date has laid a rigorous foundation for further developments, including clinician support and outcome measurement. Conclusion: The method of development adopted for the TAHK Framework has ensured it is both evidence and practice based, and further amendments and modifications are anticipated as new knowledge becomes available. The Framework will enable allied health clinicians to build on their existing capacities for KT, and approach this complex process in a rigorous and systematic manner. The TAHK Framework offers a unique focus on how knowledge is translated by allied health clinicians in multidisciplinary settings.

scholarly journals Dietary Ingredients Requiring Further Research Before Evidence-Based Recommendations Can Be Made for Their Use as an Approach to Mitigating Pain

Pain Medicine ◽  
2019 ◽  
Vol 20 (8) ◽  
pp. 1619-1632 ◽  
Author(s):  
Cindy Crawford ◽  
Courtney Boyd ◽  
Kevin Berry ◽  
Patricia Deuster ◽  
Keyword(s):  
Decision Making ◽  
Meta Analysis ◽  
Self Care ◽  
Steering Committee ◽  
Sufficient Evidence ◽  
Evidence Based ◽  
Special Operations ◽  
Assessment Development ◽  
Trade Offs ◽  
Rose Hip

Abstract Objective Approximately 55–76% of Service members use dietary supplements for various reasons; although such use has become popular, decisions are often driven by information that is not evidence-based. This work evaluates whether current research on dietary ingredients for chronic musculoskeletal pain provides sufficient evidence to inform decisions for practice and self-care, specifically for Special Operations Forces personnel. Methods A steering committee convened to develop research questions and factors required for decision-making. Key databases were searched through August 2016. Eligible systematic reviews and randomized controlled trials were assessed for methodological quality. Meta-analysis was applied where feasible. Grading of Recommendations, Assessment, Development and Evaluation was used to determine confidence in the effect estimates. The committee used a decision table to make evidence-informed judgments across decision-making factors and recommendations for practice and self-care use. Results Nineteen dietary ingredients were assessed. No recommendations were given for boswellia, ginger, rose hip, or s-adenosyl-L-methionine (SAMe); specifically, although ginger can be obtained via food, no recommendation is provided for use as a supplement due to unclear research. Further, there were insufficient strong research on boswellia and SAMe and possible compliance issues (i.e., high number of capsules required daily) associated with rose hip. Conclusions No recommendations were made when the evidence was low quality or trade-offs were so closely balanced that any recommendation would be too speculative. Research recommendations are provided to enhance the quality and body of evidence for the most promising ingredients. Clinicians and those with chronic pain can rely on evidence-based recommendations to inform their decisions.

scholarly journals European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

2020 ◽  
Author(s):  
Fernando Alfageme ◽  
Ximena Wortsman ◽  
Orlando Catalano ◽  
Gaston Roustan ◽  
Maria Crisan ◽  
...  
Keyword(s):  
Skin Diseases ◽  
Normal Skin ◽  
Position Statement ◽  
Steering Committee ◽  
European Federation ◽  
Technical Requirement ◽  
Evidence Based ◽  
Inflammatory Skin Diseases ◽  
Training Requirements ◽  
Aesthetic Dermatology

AbstractDermatologic ultrasound is a recent application of ultrasound for the evaluation of healthy skin and appendages and their diseases. Although the scientific literature regarding this application is still not sufficient for evidence-based guidelines, general recommendations issued by scientific societies are necessary. The EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) steering committee for dermatologic ultrasound has developed a series of consensus position statements regarding the main fields of dermatologic ultrasound (technical requirement, normal skin and appendages, inflammatory skin diseases, tumoral skin diseases, aesthetic dermatology and practice-training requirements). This document is the foundation for future evidence-based recommendations and guidelines for dermatologic ultrasound practice.

scholarly journals CHD and respiratory syncytial virus: global expert exchange recommendations

2017 ◽  
Vol 27 (8) ◽  
pp. 1504-1521 ◽  
Author(s):  
Robert M. R. Tulloh ◽  
Constancio Medrano-Lopez ◽  
Paul A. Checchia ◽  
Claudia Stapper ◽  
Naokata Sumitomo ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Heart Transplant ◽  
Severe Disease ◽  
Risk Groups ◽  
Steering Committee ◽  
Current Evidence ◽  
Evidence Based ◽  
Delphi Consensus ◽  
Tropical Regions ◽  
Syncytial Virus

AbstractBackgroundPalivizumab is the standard immunoprophylaxis against serious disease due to respiratory syncytial virus infection. Current evidence-based prophylaxis guidelines may not address certain children with CHD within specific high-risk groups or clinical/management settings.MethodsAn international steering committee of clinicians with expertise in paediatric heart disease identified key questions concerning palivizumab administration; in collaboration with an additional international expert faculty, evidence-based recommendations were formulated using a quasi-Delphi consensus methodology.ResultsPalivizumab prophylaxis was recommended for children with the following conditions: <2 years with unoperated haemodynamically significant CHD, who are cyanotic, who have pulmonary hypertension, or symptomatic airway abnormalities; <1 year with cardiomyopathies requiring treatment; in the 1st year of life with surgically operated CHD with haemodynamically significant residual problems or aged 1–2 years up to 6 months postoperatively; and on heart transplant waiting lists or in their 1st year after heart transplant. Unanimous consensus was not reached for use of immunoprophylaxis in children with asymptomatic CHD and other co-morbid factors such as arrhythmias, Down syndrome, or immunodeficiency, or during a nosocomial outbreak. Challenges to effective immunoprophylaxis included the following: multidisciplinary variations in identifying candidates with CHD and prophylaxis compliance; limited awareness of severe disease risks/burden; and limited knowledge of respiratory syncytial virus seasonal patterns in subtropical/tropical regions.ConclusionEvidence-based immunoprophylaxis recommendations were formulated for subgroups of children with CHD, but more data are needed to guide use in tropical/subtropical countries and in children with certain co-morbidities.

scholarly journals How to Develop and Implement Recommended Guidance for European Psychiatry?

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
W. Gaebel
Keyword(s):  
Health Care ◽  
Good Practice ◽  
Implementation Strategies ◽  
Steering Committee ◽  
Evidence Based ◽  
Pilot Work ◽  
Care Gaps ◽  
Clinical Questions ◽  
Methodological Aspects

One of the concrete projects resolved at the 2nd EPA European Platform of Psychiatrists meeting in Nice 2008 concerns the development and implementation of evidence-based treatment recommendations in psychiatry with an European dimension named "Recommended Guidance". The major objective is to improve quality of mental health care in Europe by providing evidence-based information and advice regarding core clinical questions and to identify and minimize health care gaps. As following steps it was targeted to establish a steering committee, to obtain clinical core priorities by contacting national psychiatric societies, to provide examples of good practice based on existing information, and to develop (first) "recommended guidance" for selected topics as pilot work. To promote this process, information regarding existing guidelines in psychiatry, methodological aspects of their development and evaluation as well as implementation strategies will be provided.

scholarly journals Implementation and success factors from Thailand’s 1-3-7 surveillance strategy for malaria elimination

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Cheewanan Lertpiriyasuwat ◽  
Prayuth Sudathip ◽  
Suravadee Kitchakarn ◽  
Darin Areechokchai ◽  
Sathapana Naowarat ◽  
...  
Keyword(s):  
Malaria Elimination ◽  
Success Factors ◽  
Steering Committee ◽  
Evidence Based ◽  
Surveillance Strategy ◽  
Malaria Burden ◽  
Surveillance And Response ◽  
Management Capacity ◽  
Regional Partnership ◽  
History Of

AbstractThailand’s National Malaria Elimination Strategy 2017–2026 introduced the 1-3-7 strategy as a robust surveillance and response approach for elimination that would prioritize timely, evidence-based action. Under this strategy, cases are reported within 1 day, cases are investigated within 3 days, and foci are investigated and responded to within 7 days, building on Thailand’s long history of conducting case investigation since the 1980s. However, the hallmark of the 1-3-7 strategy is timeliness, with strict deadlines for reporting and response to accelerate elimination. This paper outlines Thailand’s experience adapting and implementing the 1-3-7 strategy, including success factors such as a cross-sectoral Steering Committee, participation in a collaborative regional partnership, and flexible local budgets. The programme continues to evolve to ensure prompt and high-quality case management, capacity maintenance, and adequate supply of lifesaving commodities based on surveillance data. Results from implementation suggest the 1-3-7 strategy has contributed to Thailand’s decline in malaria burden; this experience may be useful for other countries aiming to eliminate malaria.

scholarly journals Italian national consensus statement on management and pharmacological treatment of phenylketonuria

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Alberto Burlina ◽  
Giacomo Biasucci ◽  
Maria Teresa Carbone ◽  
Chiara Cazzorla ◽  
Sabrina Paci ◽  
...  
Keyword(s):  
Disease Management ◽  
Good Practice ◽  
National Level ◽  
Real Life ◽  
Steering Committee ◽  
Evidence Based ◽  
Expert Survey ◽  
Survey Paper ◽  
Sapropterin Dihydrochloride ◽  
Consensus Group

Abstract Background Phenylketonuria (PKU) is a rare inherited metabolic disorder caused by defects in the phenylalanine-hydroxylase gene (PAH), the enzyme catalyzing the conversion of phenylalanine to tyrosine. PAH impairment causes phenylalanine accumulation in the blood and brain, with a broad spectrum of pathophysiological and neurological consequences for patients. Prevalence of disease varies, with peaks in some regions and countries, including Italy. A recent expert survey described the real-life of clinical practice for PKU in Italy, revealing inhomogeneities in disease management, particularly concerning approach to pharmacotherapy with sapropterin hydrochloride, analogous of the natural PAH co-factor, allowing disease control in a subset of patients. Therefore, the purpose of this paper is to continue the work initiated with the expert survey paper, to provide national guidances aiming to harmonize and optimize patient care at a national level. Participants The Consensus Group, convened by 10 Steering Committee members, consisted of a multidisciplinary crowd of 46 experts in the management of PKU in Italy. Consensus process The Steering Committee met in a series of virtual meeting in order to discuss on clinical focuses to be developed and analyzed in guidance statements, on the basis of expert practice based evidence, large systematic literature review previously performed in the expert survey paper, and evidence based consensus published. Statements were re-discussed and refined during consensus conferences in the widest audience of experts, and finally submitted to the whole consensus group for a modified-Delphi voting. Results Seventy three statements, divided in two main clinical areas, PKU management and Pharmacotherapy, achieved large consensus in a multidisciplinary group of expert in different aspects of disease. Importantly, these statements involve guidances for the use of sapropterin dihydrochloride, still not sufficiently implemented in Italy, and a set of good practice to approach the use of novel enzyme replacement treatment pegvaliase. Conclusions This evidence-based consensus provides a minimum set of guidances for disease management to be implemented in all PKU centers. Moreover, these guidances represent the first statement for sapropterin dihydrochloride use, implementation and standardization in Italy, and a guide for approaching pegvaliase treatment at a national level on a consistent basis.

scholarly journals Implementation and Success Factors from Thailand’s 1-3-7 Surveillance Strategy for Malaria Elimination

2021 ◽  
Author(s):  
Cheewanan Lertpiriyasuwat ◽  
Prayuth Sudathip ◽  
Suravadee Kitchakarn ◽  
Darin Areechokchai ◽  
Sathapana Naowarat ◽  
...  
Keyword(s):  
Malaria Elimination ◽  
Success Factors ◽  
Steering Committee ◽  
Evidence Based ◽  
Surveillance Strategy ◽  
Malaria Burden ◽  
Surveillance And Response ◽  
Management Capacity ◽  
Regional Partnership ◽  
History Of

Abstract Thailand’s National Malaria Elimination Strategy 2017–2026 introduced the 1-3-7 strategy as a robust surveillance and response approach for elimination that would prioritize timely, evidence-based action. Under this strategy, cases are reported within 1 day, cases are investigated within 3 days, and foci are investigated and responded to within 7 days, building on Thailand’s long history of conducting case investigation since the 1980s. However, the hallmark of the 1-3-7 strategy is timeliness, with strict deadlines for reporting and response to accelerate elimination. This paper outlines Thailand’s experience adapting and implementing the 1-3-7 strategy, including success factors such as a cross-sectoral Steering Committee, participation in a collaborative regional partnership, and flexible local budgets. The program continues to evolve to ensure prompt and high-quality case management, capacity maintenance, and adequate supply of lifesaving commodities based on surveillance data. Results from implementation suggest the 1-3-7 strategy has contributed to Thailand’s decline in malaria burden; this experience may be useful for other countries aiming to eliminate malaria.

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