Waldfahrer Frank
Department of Otolaryngology, Head & Neck Surgery, University Hospital of Erlangen, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016 Dec 15;15:Doc01. doi: 10.3205/cto000128. eCollection 2016.
Guidelines were introduced in hospital- and practice-based otorhinolaryngology in the 1990ies, and have been undergoing further development ever since. There are currently 20 guidelines on file at the German Society of Oto-Rhino-Laryngology, Head & Neck Surgery. The society has cooperated in further 34 guidelines. The quality of the guidelines has been continuously improved by concrete specifications put forward by the Association of the Scientific Medical Societies in Germany (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V., AWMF). Since increasing digitalization has made access to scientific publications quicker and simpler, relevant study results can be incorporated in guidelines more easily today than in the analog world. S2e and S3 guidelines must be based on a formal literature search with subsequent evaluation of the evidence. The consensus procedure for S2k guidelines is also regulated. However, the implementation of guidelines in routine medical practice must still be considered inadequate, and there is still a considerable need for improvement in adherence to these guidelines.
20世纪90年代，医院和诊所的耳鼻咽喉科开始引入指南，此后一直在不断发展。目前，德国耳鼻咽喉头颈外科学会存档了20项指南。该学会还参与制定了另外34项指南。德国科学医学专业协会（Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften e.V., AWMF）提出的具体规范不断提高了这些指南的质量。由于数字化程度不断提高，获取科学出版物变得更快、更简单，如今与模拟时代相比，相关研究结果可以更轻松地纳入指南。S2e和S3指南必须基于正式的文献检索以及随后的证据评估。S2k指南的共识程序也有规定。然而，指南在日常医疗实践中的实施仍被认为不足，在遵守这些指南方面仍有相当大的改进空间。
