Department of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany.
Department of Medicine K2, Karolinska Institute, Stockholm, Sweden.
Diabetes Res Clin Pract. 2020 Apr;162:108092. doi: 10.1016/j.diabres.2020.108092. Epub 2020 Feb 26.
The Guideline Workshop 2019, held in October 2019 in Munich, Germany, had the purpose of facilitating discussion on strategies for optimization of guideline processes in diabetes amongst a group of representatives of renown national and international societies in the field of diabetes, cardiology, and nephrology. Results of this panel's discussions are presented in this manuscript and comprise a variety of suggestions for improving the quality and usability of guidelines, as well as to accelerate the development and responsiveness of guidelines to newly published, relevant data from clinical trials such as cardiovascular outcome trials in diabetes mellitus. These include, but are not limited to, recommendations to optimize presentation of content in guidelines, use of the GRADE-approach to rating the quality of evidence to harmonize guidelines, and utilization of digital health technologies to accelerate, streamline, and optimize communication on relevant data and development of clinical guidelines and necessary updates, while reducing costs. Recognizing that achieving alignment in guideline development among various medical organizations will be a long-term process, representatives from cross-sectional medical organizations relevant to cardio-renal metabolic disease and experts in guideline methodology will work together in the future. Among other activities, it is planned to continue the activity and organize a Guideline Workshop in 2020.
2019 年 10 月在德国慕尼黑举行的指南研讨会的目的是促进糖尿病领域知名的国家和国际学会的代表之间讨论优化糖尿病、心脏病学和肾脏病学领域指南流程的策略。本文件介绍了该小组讨论的结果,提出了多种建议,以提高指南的质量和可用性,并加快指南对临床试验(如糖尿病心血管结局试验)新发布相关数据的反应速度。这些建议包括但不限于优化指南内容呈现方式的建议、使用 GRADE 方法对证据质量进行评级以协调指南,以及利用数字健康技术加速、简化和优化相关数据以及临床指南和必要更新的沟通,同时降低成本。认识到在不同医学组织之间实现指南制定的一致性将是一个长期的过程,来自与心血管-肾脏代谢疾病相关的跨学科医学组织的代表和指南方法学专家将在未来共同合作。作为其他活动的一部分,计划继续开展这项活动,并计划在 2020 年举办一次指南研讨会。