%0 Journal Article
%A Leśniak, Wiktoria
%A Morbidoni, Laura
%A Dicker, Dror
%A Marín-León, Ignacio
%A EFIM
%T Clinical practice guidelines adaptation for internists - An EFIM methodology.
%D 2020
%U https://hdl.handle.net/10668/26860
%X The rising number of clinical guidelines poses a new challenge to the internists. The main problems are: 1) available documents suffer from heterogeneous methodological quality, and 2) most of clinical guidelines target an 'ideal' patient affected by a single condition, while in real practice internists must face with comorbid patients typically undergoing a polypharmacy. To help address this challenge, EFIM Clinical Practice Working Group started a project aimed to answer a series of relevant clinical questions, by selecting the best available guidance containing recommendations applicable to complex patients under polypharmacy. The project started with the creation of a research protocol containing details about all the steps needed to write the Clinical Practice Guideline Summary. In particular, this methodological document specifies the rules: 1) to select topics and clinical questions; 2) to build up a panel of experts, carefully managing eventual conflict of interests; 3) to critically appraise clinical guidelines (using a validated tool as AGREE II), selecting the most valid and applicable to the common clinical practice (using ADAPTE; 4) to address and solve potential disagreements among the selected documents.
%K Clinical practice guidelines
%K Guideline adaptation
%K Internal medicine
%K Internists
%K Multimorbidity
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