Guideline methodology of the Society for Vascular Surgery including the experience with the GRADE framework

被引:72
作者
Murad, Mohammad Hassan [1 ,2 ]
Montori, Victor M. [2 ,3 ]
Sidawy, Anton N. [5 ]
Ascher, Enrico [6 ]
Meissner, Mark H. [7 ]
Chaikof, Elliot L. [8 ]
Gloviczki, Peter [4 ]
机构
[1] Mayo Clin, Div Prevent Occupat & Aerosp Med, Rochester, MN 55905 USA
[2] Mayo Clin, Knowledge & Encounter Res Unit, Rochester, MN 55905 USA
[3] Mayo Clin, Div Endocrinol Diabet Metab & Nutr, Rochester, MN 55905 USA
[4] Mayo Clin, Div Vasc & Endovasc Surg, Rochester, MN 55905 USA
[5] George Washington Univ, Med Ctr, Washington, DC 20037 USA
[6] Maimonides Hosp, Div Vasc Surg, Brooklyn, NY 11219 USA
[7] Univ Washington, Med Ctr, Dept Surg, Seattle, WA 98195 USA
[8] Emory Univ, Dept Vasc Surg, Atlanta, GA 30322 USA
关键词
CLINICAL-PRACTICE GUIDELINES; CAROTID-ARTERY STENOSIS; ENDOVASCULAR REPAIR; MANAGEMENT; RECOMMENDATIONS; ENDARTERECTOMY; METAANALYSIS; DECISION; QUALITY; TRIALS;
D O I
10.1016/j.jvs.2011.01.036
中图分类号
R61 [外科手术学];
学科分类号
摘要
In 2006, the Society for Vascular Surgery began development of clinical practice guidelines to assist clinicians in the process of decision making. The Society selects clinical questions of high impact and evaluates the totality of evidence by identifying and conducting rigorous systematic reviews. Multidisciplinary committees follow the Grading of Recommendations, Assessment, Development and Evaluation framework (GRADE), standard consensus, and voting procedures. Factors other than evidence, including patients' values and preferences and the availability of surgical expertise, are also considered. We describe, in the context of cumulative 4-years' experience, the methods and rigor of current procedures adopted by the Society for Vascular Surgery in developing practice guidelines. We also discuss potential future efforts needed to maximize the quality, adoption, and application of the clinical recommendations. (J Vase Surg 2011;53:1375-80.)
引用
收藏
页码:1375 / 1380
页数:6
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