Hayward C P M, Moffat K A, George T I, Proytcheva M
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada.
Department of Medicine, McMaster University, Hamilton, ON, Canada.
Int J Lab Hematol. 2015 May;37 Suppl 1:36-45. doi: 10.1111/ijlh.12348.
Practice guidelines provide helpful support for clinical laboratories. Our goal was to assemble an inventory of publically listed guidelines on hematology laboratory topics, to create a resource for laboratories and for assessing gaps in practice-focused guidelines.
PubMed and website searches were conducted to assemble an inventory of hematology laboratory-focused guidelines. Exclusions included annual, technical, or collaborative study reports, clinically focused guidelines, position papers, nomenclature, and calibration documents.
Sixty-eight guidelines were identified on hematology laboratory practice topics from 12 organizations, some as joint guidelines. The median year of publication was 2010 and 15% were >10 years old. Coagulation topics had the largest numbers of guidelines, whereas some areas of practice had few guidelines. A minority of guidelines showed evidence of periodic updates, as some organizations did not remove or identify outdated guidelines.
This inventory of current practice guidelines will encourage awareness and uptake of guideline recommendations by the worldwide hematology laboratory community, with the International Society for Laboratory Hematology facilitating ongoing updates. There is a need to encourage best guideline development practices, to ensure that hematology laboratory community has current, high-quality, and evidence-based practice guidelines that cover the full scope of hematology laboratory practice.
实践指南为临床实验室提供了有益的支持。我们的目标是汇编一份关于血液学实验室主题的公开列出的指南清单，为实验室创建一个资源，并评估以实践为重点的指南中的差距。
通过PubMed和网站搜索来汇编以血液学实验室为重点的指南清单。排除的内容包括年度报告、技术报告或合作研究报告、以临床为重点的指南、立场文件、命名法和校准文件。
从12个组织中确定了68项关于血液学实验室实践主题的指南，有些是联合指南。出版年份的中位数为2010年，15%的指南超过10年。凝血主题的指南数量最多，而一些实践领域的指南较少。少数指南显示有定期更新的迹象，因为一些组织没有删除或识别过时的指南。
这份当前实践指南清单将鼓励全球血液学实验室界了解并采用指南建议，国际血液学检验学会将促进持续更新。有必要鼓励最佳的指南制定做法，以确保血液学实验室界拥有涵盖血液学实验室实践全部范围的最新、高质量和基于证据的实践指南。
