Fallen E L, Armstrong P, Cairns J, Dafoe W, Frasure-Smith N, Langer A, Massel D, Oldridge N, Peretz D, Tremblay G J
Cardiovascular Program, McMaster University, Hamilton, Ont.
CMAJ. 1991 Apr 15;144(8):1015-25.
In October 1989, the Canadian Cardiovascular Society announced a program to achieve consensus on important issues in the care of patients with cardiovascular disease. This report on the management of the postmyocardial infarction patient represents the first in a series of these consensus conferences. The process for establishing consensus recommendations involved several steps. A primary panel of 11 experts from various fields was selected to review the available clinical evidence and to make a list of recommendations about management decisions in the postmyocardial infarction period. The initial report was distributed to a secondary panel of 16 reviewers* representing allied health care constituencies from across Canada. On the basis of the critical reviews and feedback from these reviewers, a revised report was distributed to all members (over 800) of the Canadian Cardiovascular Society for further review and feedback. This iterative approach resulted in a penultimate report that was presented at a plenary session of the annual scientific meeting of the Canadian Cardiovascular Society on Oct. 18, 1990, in Halifax, NS. On the basis of discussion and feedback from this symposium, the consensus review was completed.
1989年10月,加拿大心血管学会宣布了一项计划,旨在就心血管疾病患者护理中的重要问题达成共识。这份关于心肌梗死后患者管理的报告是这些共识会议系列中的第一份。建立共识性建议的过程包括几个步骤。首先挑选了一个由来自各个领域的11名专家组成的主要小组,以审查现有的临床证据,并列出关于心肌梗死后时期管理决策的建议清单。初始报告分发给了一个由16名评审员组成的二级小组*,这些评审员代表了加拿大各地的相关医疗保健群体。根据这些评审员的批判性审查和反馈,一份修订报告分发给了加拿大心血管学会的所有成员(超过800名),以供进一步审查和反馈。这种迭代方法产生了一份倒数第二的报告,该报告于1990年10月18日在新斯科舍省哈利法克斯举行的加拿大心血管学会年度科学会议全体会议上提交。根据本次研讨会的讨论和反馈,完成了共识性审查。