RT Journal Article
T1 Clinical practice guidelines adaptation for internists - An EFIM methodology.
A1 Leśniak, Wiktoria
A1 Morbidoni, Laura
A1 Dicker, Dror
A1 Marín-León, Ignacio
A1 EFIM, 
K1 Clinical practice guidelines
K1 Guideline adaptation
K1 Internal medicine
K1 Internists
K1 Multimorbidity
AB 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.
YR 2020
FD 2020-05-29
LK https://hdl.handle.net/10668/26860
UL https://hdl.handle.net/10668/26860
LA en
DS RISalud
RD Apr 12, 2025