Department of Medical-Surgical Science and Translational Medicine, Sapienza University of Rome, Sant'Andrea Hospital, Rome, Italy.
Unit of Gynecology, Sant'Andrea Hospital, Via di Grottarossa, 1039, Rome, Italy.
Reprod Biol Endocrinol. 2024 Jan 5;22(1):9. doi: 10.1186/s12958-023-01179-2.
In Italy the fertility rate is very low, and an increasing number of patients are infertile and require treatments. The Italian Law concerning the safety of patient care, and the professional liability of health professionals, indicates that health professionals must comply with the recommendations set out in the guidelines developed by public and private bodies and institutions, as well as scientific societies and technical-scientific associations of the health professions, except for specific cases. Unfortunately, no guideline for the diagnosis and the management of infertility is currently available in Italy. In 2019, the Italian Society of Human Reproduction pointed out the need to produce Italian guidelines and subsequently approved the establishment of a multidisciplinary and multiprofessional working group (MMWG) to develop such a guideline. The MMWG was representative of 5 scientific societies, one national federation of professional orders, 3 citizens' and patients' associations, 5 professions (including lawyer, biologist, doctor, midwife, and psychologist), and 3 medical specialties (including medical genetics, obstetrics and gynecology, and urology). The MMWG chose to adapt a high-quality guideline to the Italian context instead of developing one from scratch. Using the Italian version of the Appraisal of Guidelines for Research and Evaluation II scoring system, the National Institute of Clinical Excellence guidelines were selected and adapted to the Italian context. The document was improved upon by incorporating comments and suggestions where needed. This study presents the process of adaptation and discusses the pros and cons of the often-neglected choice of adapting rather than developing new guidelines.
在意大利，生育率非常低，越来越多的患者不孕不育，需要治疗。意大利关于患者护理安全和卫生专业人员职业责任的法律规定，卫生专业人员必须遵守公共和私营机构以及科学协会和卫生专业技术科学协会制定的准则中提出的建议，除非有特殊情况。不幸的是，意大利目前尚无不孕症的诊断和管理指南。2019 年，意大利人类生殖学会指出有必要制定意大利指南，并随后批准成立一个多学科和多专业工作组（MMWG）来制定这样的指南。MMWG 代表了 5 个科学协会、1 个全国专业协会联合会、3 个公民和患者协会、5 个专业（包括律师、生物学家、医生、助产士和心理学家）和 3 个医学专业（包括医学遗传学、妇产科和泌尿科）。MMWG 选择改编高质量的指南以适应意大利的情况，而不是从头开始开发。该工作组使用评估研究和评估 II 评分系统的意大利语版本，选择并改编了国家临床卓越研究所的指南以适应意大利的情况。根据需要，对文件进行了改进，纳入了评论和建议。本研究介绍了改编的过程，并讨论了改编而不是开发新指南这一经常被忽视的选择的优缺点。
