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临床实践指南中去强化治疗建议的研究：是加强还是减少？

An Examination of Deintensification Recommendations in Clinical Practice Guidelines: Stepping Up or Scaling Back?

机构信息

VA Center for Clinical Management and Research, Ann Arbor, Michigan.

University of Michigan Medical School, Ann Arbor, Michigan.

出版信息

JAMA Intern Med. 2018 Mar 1;178(3):414-416. doi: 10.1001/jamainternmed.2017.7198.

DOI:10.1001/jamainternmed.2017.7198
PMID:29255902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5885915/
Abstract

In light of initiatives to decrease use of unnecessary services, this article examines whether current guidelines for diabetes and cardiovascular disease preferentially recommend intensification rather than deintensification of care.

摘要

鉴于减少不必要服务使用的举措，本文探讨了当前关于糖尿病和心血管疾病的指南是否优先推荐强化而非弱化治疗。

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本文引用的文献

1
Inclusion of Hypoglycemia in Clinical Practice Guidelines and Performance Measures in the Care of Patients With Diabetes.糖尿病患者护理临床实践指南和绩效指标中纳入低血糖相关内容。
JAMA Intern Med. 2016 Nov 1;176(11):1714-1716. doi: 10.1001/jamainternmed.2016.5046.
2
Deintensification of Routine Medical Services: The Next Frontier for Improving Care Quality.常规医疗服务的去强化：提升医疗质量的新前沿
JAMA Intern Med. 2016 Jul 1;176(7):978-80. doi: 10.1001/jamainternmed.2016.2292.
3
Undermeasuring Overuse--An Examination of National Clinical Performance Measures.测量不足与过度使用——对国家临床绩效指标的审视
JAMA Intern Med. 2015 Oct;175(10):1709-11. doi: 10.1001/jamainternmed.2015.4025.
4
Choosing wisely--the politics and economics of labeling low-value services.明智选择——低价值服务的标签化的政治和经济。
N Engl J Med. 2014 Feb 13;370(7):589-92. doi: 10.1056/NEJMp1314965. Epub 2014 Jan 22.
5
Limitations of applying summary results of clinical trials to individual patients: the need for risk stratification.将临床试验的总结结果应用于个体患者的局限性：风险分层的必要性。
JAMA. 2007 Sep 12;298(10):1209-12. doi: 10.1001/jama.298.10.1209.