Genomic Medicine Institute Geisinger, Danville, Pennsylvania, USA.
Heart and Vascular Institute, Geisinger, Danville, Pennsylvania, USA.
Curr Opin Lipidol. 2022 Dec 1;33(6):336-341. doi: 10.1097/MOL.0000000000000835. Epub 2022 Jun 27.
Guidelines provide recommendations for clinicians based on the best available evidence and informed by clinical expertise. These recommendations often fail to be utilized by clinicians hindering the translation of evidence into practice. The purpose of this review is to describe novel ways in which implementation science has been used to improve translation of guidelines into clinical practice in the field of lipidology.
We searched PubMed for articles related to guideline implementation in lipidology published in 2021 and 2022. Identified articles were categorized into three domains: first, poor uptake of guideline recommendations in practice; second, implementation science as a solution to improve care; and third, examples of how implementation science can be incorporated into guidelines.
The field of lipidology has identified that many guideline recommendations fail to be translated into practice and has started to utilize methods from implementation science to assess ways to shrink this gap. Future work should focus on deploying tools from implementation science to address current gaps in guideline development. Such as, developing a systematic approach to restructure guideline recommendations so they are implementable in practice and aid in clinicians' ability to easily translate them into practice.
指南根据现有最佳证据并结合临床专业知识为临床医生提供建议。这些建议往往未能被临床医生所采用，从而阻碍了证据向实践的转化。本综述的目的在于描述实施科学在改善脂质学领域指南向临床实践转化方面的新方法。
我们在 PubMed 上搜索了 2021 年和 2022 年发表的与脂质学指南实施相关的文章。确定的文章分为三个领域：第一，指南建议在实践中采纳率低；第二，实施科学是改善护理的解决方案；第三，实施科学如何融入指南的例子。
脂质学领域已经认识到许多指南建议未能转化为实践，并且已经开始利用实施科学的方法来评估缩小这一差距的方法。未来的工作应侧重于部署实施科学工具来解决指南制定中的当前差距。例如，制定一种系统的方法来重组指南建议，使它们在实践中具有可操作性，并帮助临床医生更容易地将其转化为实践。
