Bradley Edward L
Clinical Sciences (Surgery), Florida State University, Tallahassee, Fla. 34231, USA.
Pancreatology. 2003;3(2):139-43. doi: 10.1159/000070082.
Within the past 5 years, no fewer than 6 guidelines for the management of acute pancreatitis have appeared in the literature, including the current submission from the International Association of Pancreatology. When these collected guidelines are subjected to comparison, however, marked similarities emerge between the proposals, and significant differences are rare. Surprisingly, neither the passage of time nor the application of evidence-based medicine techniques to the creation of guidelines for acute pancreatitis has resulted in substantive changes to the original guidelines offered by the Atlanta Symposium. Moreover, it is important to realize that, despite claims of objectivity, opinion may enter into the process of guideline creation whenever proposals are based upon lesser levels of evidence. Until the guidelines common to these collected proposals have been supported by randomized controlled trials, it is unlikely that we need any more guidelines for acute pancreatitis.
在过去5年里，文献中出现了不少于6份关于急性胰腺炎管理的指南，包括国际胰腺病协会提交的这份最新指南。然而，当对这些收集到的指南进行比较时，各提议之间出现了显著的相似之处，重大差异很少见。令人惊讶的是，时间的推移以及将循证医学技术应用于急性胰腺炎指南的制定，都没有给亚特兰大研讨会提出的原始指南带来实质性改变。此外，必须认识到，尽管声称具有客观性，但只要提议基于较低水平的证据，意见就可能进入指南制定过程。在这些收集到的提议所共有的指南得到随机对照试验的支持之前，我们不太可能需要更多关于急性胰腺炎的指南。
