Full Answer
What is the meaning of who guidelines?
A WHO guideline is defined broadly as any information product developed by WHO that contains recommendations for clinical practice or public health policy. Recommendations are statements designed to help end-users make informed decisions on whether, when and how to undertake specific actions such as clinical interventions, ...
How many clinical practice guidelines are there in the United States?
Between 1992 and 1996, the Agency for Health Care Policy and Research (now the Agency for Healthcare Research and Quality) sponsored development of a series of 19 clinical practice guidelines. These guideline products are no longer viewed as guidance for current medical practice, and are provided for archival purposes only.
What are clinical practice guidelines and why are they important?
“Clinical practice guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” (Institute of Medicine, 1990)
What is the role of who in developing global guidelines?
The development of global guidelines ensuring the appropriate use of evidence represents one of the core functions of WHO. A WHO guideline is defined broadly as any information product developed by WHO that contains recommendations for clinical practice or public health policy.
Who sets clinical practice guidelines?
APA develops two types of guidelines: clinical practice guidelines (CPGs) and professional practice guidelines (PPGs). Both types of guidelines are aspirational and consist of recommendations to practitioners to assist in the delivery of high quality care.
Who writes treatment guidelines?
1 The arguments put forward are that most guidelines are usually authored by insiders/experts in the subject area, who are highly influential to begin with and that the authorship further promotes their careers, creating hierarchies of clan power.
Where do medical guidelines come from?
Guidelines are usually produced at national or international levels by medical associations or governmental bodies, such as the United States Agency for Healthcare Research and Quality. Local healthcare providers may produce their own set of guidelines or adapt them from existing top-level guidelines.
What is a medical guideline and how is it created?
Guidelines help doctors understand the best ways to diagnose, treat and even prevent diseases and conditions. Guideline recommendations are based on the strongest available scientific evidence. The creation of a guideline is a rigorous process because careful scientific study is at the heart of every guideline.
Who writes NCCN Guidelines?
The NCCN Guidelines are developed and updated by 61 individual panels, comprising over 1,700 clinicians and oncology researchers from the 32 NCCN Member Institutions. These panel members are multidisciplinary, disease- and issue-specific subspecialists who are clinicians, researchers, and advocates.
Which organization created and maintains the National Guideline Clearinghouse website?
The National Guideline Clearinghouse is a public resource website for evidence-based clinical practice guidelines run by the Agency for Healthcare Research and Quality.
How do you get treatment guidelines?
Organizations that Produce Guidelines Often, you can find practice guidelines by searching the websites of the Institutes within the National Institutes of Health network. Try using each website's "Search" feature to look for "clinical practice guidelines", "practice guidelines", or "guidelines".
How do you develop a guideline?
Introduction.Planning guidelines.Setting up guideline groups.Declaration and management of interests.Formulating questions and choosing outcomes.Evidence retrieval and synthesis.Evidence assessment.Developing recommendations.More items...
What are guidelines in healthcare?
Guidelines are generally defined as “systematically developed statements to assist practitioners and patients make decisions about appropriate health care for specific circumstances.” Guidelines are “tools” to help decision-makers make better decisions and therefore it is essential that both development and ...
What are national clinical guidelines?
Clinical practice guidelines are recommendations for clinicians about the care of patients with specific conditions. They should be based upon the best available research evidence and practice experience.
What are clinical practice guidelines based on?
The statements contain recommendations that are based on evidence from a rigorous systematic review and synthesis of the published medical literature. These guidelines are not fixed protocols that must be followed, but are intended for health care professionals and providers to consider.
Guidelines and Measures
This AHRQ microsite was set up by AHRQ to provide users a place to find information about its legacy guidelines and measures clearinghouses, National Guideline Clearinghouse TM (NGC) and National Quality Measures Clearinghouse TM (NQMC). This information was previously available on guideline.gov and qualitymeasures.ahrq.gov, respectively.
U.S. Preventive Services Task Force (USPSTF)
Created in 1984, the U.S.
Clinical Practice Guidelines Archive
Between 1992 and 1996, the Agency for Health Care Policy and Research (now the Agency for Healthcare Research and Quality) sponsored development of a series of 19 clinical practice guidelines. These guideline products are no longer viewed as guidance for current medical practice, and are provided for archival purposes only.
Abstract
The European Huntington's Disease Network (EHDN) commissioned an international task force to provide global evidence-based recommendations for everyday clinical practice for treatment of Huntington's disease (HD).
Introduction
HD is a rare neurodegenerative disorder of the central nervous system, with a genetic autosomal-dominant inheritance, that first involves basal ganglia (caudate nucleus and putamen) and results from expansion of a CAG trinucleotide repeat in the HTT (huntingtin) gene: alleles with 40 or more repeats are fully penetrant.
Materials and Methods
The EHDN guidelines task force developed guidelines between 2015 and 2018 based on a formalized consensus method, adapted from the 2015 French Health Authority recommendations (HAS) ( https://www.has-sante.fr/portail/jcms/c_272505/recommandations-par-consensus-formalize-rcf ).
Results
A condensed version of HD symptoms and recommendations is provided in the main text. A full version is available in Appendix 2. Publications justifying the grades of the recommendations are cited in the text. Recommendations provided without specific grading are underpinned by professional agreements.
Conclusion
The EHDN guidelines task force provides here scientific and consensual guidelines from experts from 15 European experts from the national and steering committees and 73 worldwide additional experts from 25 countries. Whereas, the literature extraction and scoring extent from 1965 to 2015, experts' input extended until October 2018.
Author Contributions
A-CB-L supervised the elaboration of the guidelines. OA, KY, CS-G, and RM selected the studies to be analyzed. A-CB-L, KY, CP, CS-G, and DR analyzed each study and assigned a level of scientific evidence. Members of the National Committees (A-CB-L, CV, KY, CP, CS-G, OA, DR, and DC) formulated initial recommendations for each HD symptom.
Acknowledgments
We wish to thank Delphine Delbos for her help in conducting the online questionnaires, Gaëlle Désaméricq and Alasdair Ross for their participation in data extraction, Jessica Koehli for her help in contacting HD experts.
Summary
These guidelines for the treatment of persons who have or are at risk for sexually transmitted infections (STIs) were updated by CDC after consultation with professionals knowledgeable in the field of STIs who met in Atlanta, Georgia, June 11–14, 2019. The information in this report updates the 2015 guidelines.
Introduction
The term “sexually transmitted infection” (STI) refers to a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. Physicians and other health care providers have a crucial role in preventing and treating STIs.
Methods
These guidelines were developed by CDC staff who worked with subject matter experts with expertise in STI clinical management from other federal agencies, nongovernmental academic and research institutions, and professional medical organizations.
Clinical Prevention Guidance
Prevention and control of STIs are based on the following five major strategies ( 3 ):
STI Detection Among Special Populations
Intrauterine or perinatally transmitted STIs can have debilitating effects on pregnant women, their fetuses, and their partners. All pregnant women and their sex partners should be asked about STIs, counseled about the possibility of perinatal infections, and provided access to recommended screening and treatment, if needed.
HIV Infection
Infection with HIV causes an acute but brief and nonspecific influenza-like retroviral syndrome that can include fever, malaise, lymphadenopathy, pharyngitis, arthritis, or skin rash. Most persons experience at least one symptom; however, some might be asymptomatic or have no recognition of illness ( 406 – 409 ).
Diseases Characterized by Genital, Anal, or Perianal Ulcers
In the United States, the majority of young, sexually active patients who have genital, anal, or perianal ulcers have either genital herpes or syphilis. The frequency of each condition differs by geographic area and population; however, genital herpes is the most prevalent of these diseases.
