Hurwitz Benjamin A, Hurwitz Kathleen Bretzius, Ashwal Stephen
Sackler School of Medicine, Tel Aviv, Israel.
Pediatric Private Practice, Murrieta, California.
Pediatr Neurol. 2015 Mar;52(3):290-301. doi: 10.1016/j.pediatrneurol.2014.11.010. Epub 2014 Nov 26.
Practice guidelines have been developed in child neurology during the last fifteen years to address important clinical questions and provide evidence-based recommendations for patient care.
This review describes the guideline development process and how it has evolved to meet the needs of child neurologists.
Several current child neurology guidelines are reviewed and the advantages and disadvantages of guidelines, as well as the legal consequences of using them to determine a standard of care are discussed. The future of guidelines and of their influence on integrated support systems also is considered.
Child neurology practice guidelines are a helpful resource for clinicians, families and institutions as they provide evidence-based recommendations concerning the diagnosis and management of common neurological conditions affecting children. Incorporating consensus processes has allowed expansion of clinically relevant recommendations that has increased the utility of guidelines.
在过去十五年中，儿童神经病学领域制定了实践指南，以解决重要的临床问题，并为患者护理提供循证建议。
本综述描述了指南的制定过程及其如何演变以满足儿童神经科医生的需求。
对当前一些儿童神经病学指南进行了综述，并讨论了指南的优缺点，以及使用它们来确定护理标准的法律后果。还考虑了指南的未来及其对综合支持系统的影响。
儿童神经病学实践指南对临床医生、家庭和机构是一种有用的资源，因为它们提供了关于影响儿童的常见神经系统疾病的诊断和管理的循证建议。纳入共识过程使得临床相关建议得以扩展，从而提高了指南的实用性。
