Consenso Delphi-RAND de la Sociedad Española de Medicina Interna sobre controversias en terapia y profilaxis anticoagulante en enfermedades médicas. Proyecto INTROMBIN (INcertidumbre en TROMBoprofilaxis en Medicina INterna)

Ruiz‐Ruiz, Francisco J.; Medrano, Francisco J.; Navarro-Puerto, M.A.; Rodríguez-Torres, P.; Romero-Alonso, A.; Santos‐Lozano, José Manuel; Río, C. Alonso-Ortiz del; Varela-Aguilar, J.M.; Calderón, E.; Marín-León, I.

doi:10.1016/j.rce.2018.04.006

Cited by 2 publications

(1 citation statement)

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“…Furthermore, the described methodology facilitates the dissemination and implementation of evidence based recommendations. There are many problems related to the use of guidelines, some of the most significant are: 1) the noise produced by the overabundance of CPG on the same topic, frequently with contradictory recommendations [6]; 2) CPG with unspecific recommendations that do not apply to many patients in internal medicine practice [17], and 3) the challenge to implement recommendations to patients not well represented in the trials which are the basis for the CPG recommendations, for example to elderly patients or people with many comorbidities [18].…”

Section: Discussionmentioning

confidence: 99%

Clinical practice guidelines adaptation for internists - An EFIM methodology

Leśniak

Morbidoni

Dicker

et al. 2020

European Journal of Internal Medicine

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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.

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Section: Discussionmentioning

confidence: 99%