Chair of the Practice Harmonization and Guidelines committee of EBMT, Barcelona, Spain.
CHU de Lille, Univ Lille, INSERM U1286, Infinite,, 59000, Lille, France.
Bone Marrow Transplant. 2023 Jun;58(6):696-700. doi: 10.1038/s41409-023-01958-w. Epub 2023 Mar 27.
For hematopoietic cell transplantation (HCT) and cellular therapy (CT), clinical patient care is localized, and practices may differ between countries and from center to center even within the same country. Historically, international guidelines were not always adapted to the changing daily clinical practice and practical topics there were not always addressed. In the absence of well-established guidelines, centers tended to develop local procedures/policies, frequently with limited communication with other centers. To try to harmonize localized clinical practices for malignant and non-malignant hematological disorders within EBMT scope, the practice harmonization and guidelines (PH&G) committee of the EBMT will co-ordinate workshops with topic-specific experts from interested centers. Each workshop will discuss a specific issue and write guidelines/recommendations that practically addresses the topic under review. To provide clear, practical and user-friendly guidelines when international consensus is lacking, the EBMT PH&G committee plans to develop European guidelines by HCT and CT physicians for peers' use. Here, we define how workshops will be conducted and guidelines/recommendations produced, approved and published. Ultimately, there is an aspiration for some topics, where there is sufficient evidence base to be considered for systematic reviews, which are a more robust and future-proofed basis for guidelines/recommendations than consensus opinion.
对于造血细胞移植(HCT)和细胞治疗(CT),临床患者护理是本地化的,即使在同一国家内,实践也可能因国家和中心之间的不同而有所不同。从历史上看,国际指南并不总是适应不断变化的日常临床实践,也并非总是涉及实际问题。由于缺乏完善的指南,中心往往会制定当地的程序/政策,这些政策通常与其他中心的沟通有限。为了尝试在 EBMT 范围内协调恶性和非恶性血液病的本地化临床实践,EBMT 的实践协调和指南(PH&G)委员会将与来自相关中心的特定主题专家协调研讨会。每次研讨会将讨论一个具体问题,并编写切实解决审查主题的指南/建议。为了在缺乏国际共识的情况下提供清晰、实用和用户友好的指南,EBMT PH&G 委员会计划由 HCT 和 CT 医生为同行制定欧洲指南。在这里,我们定义了如何进行研讨会以及如何制定、批准和发布指南/建议。最终,对于一些有足够证据基础的主题,有足够的证据基础来考虑系统评价,这是比共识意见更稳健和更具前瞻性的指南/建议基础。