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沙特阿拉伯糖尿病并发症管理指南:运用德尔菲技术达成国内专家共识

Guidelines for the Management of Complications of Diabetes in Saudi Arabia Using Delphi Technique for Consensus Among National Experts.

作者信息

Aldahash Raed, Batais Mohammed A, El-Metwally Ashraf, Alhosan Saja, Alharbi Mohammed, Almutairi Mohammed, Alsaeed Abdulghani, Alsofiani Mohammed, AlMehthel Mohammed, Aldubayee Mohammed, Aldossari Khaled, Alshehri Sulieman

机构信息

Department of Medicine, Ministry of National Guard Health Affairs, Riyadh 11426, Saudi Arabia.

King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh 11481, Saudi Arabia.

出版信息

Clin Pract. 2024 Dec 31;15(1):9. doi: 10.3390/clinpract15010009.

Abstract

(1) Background: Saudi Arabia has one of the leading cases of diabetes globally, with approximately 27.8% of adults suffering from the disease. Given the negative consequences of diabetes mellitus (DM), it is critical to develop guidelines for its management. (2) Methods: After a thorough review of the literature around diabetes management, a diverse panel of 14 clinical experts was identified to participate in the Delphi process. The Delphi process included three rounds to ensure all available evidence was accounted for. (3) Results: The Delphi method concluded with a total of 37 guidelines reviewed and approved by the panelists, followed by verification from a third party in Saudi Arabia. The Delphi and external evaluation confirmed that authentic, relevant, and applicable evidence for diabetes management in Saudi Arabia was accounted for. The process concluded with a list of 37 statements about the management of acute and chronic complications of diabetes in Saudi Arabia. (4) Conclusions: The preparation of contextual evidence for the management of diabetes in Saudi Arabia will be instrumental in addressing the burden of disease in the region. The guidelines offer useful insights into diabetes care, especially by prioritizing early detection and proactive management of complications. They highlight the importance of lifestyle changes and medical therapy. However, due to the ever-changing nature of diabetes, the document must be monitored and updated on a regular basis to ensure its continued relevance and effectiveness.

摘要

(1) 背景:沙特阿拉伯是全球糖尿病主要病例国家之一,约27.8%的成年人患有该疾病。鉴于糖尿病(DM)的负面后果,制定其管理指南至关重要。(2) 方法:在全面回顾有关糖尿病管理的文献后,确定了由14名临床专家组成的多元化小组参与德尔菲法流程。德尔菲法流程包括三轮,以确保考虑到所有现有证据。(3) 结果:德尔菲法最终得出由小组成员审查并批准的共37条指南,随后由沙特阿拉伯的第三方进行核实。德尔菲法和外部评估确认已考虑到沙特阿拉伯糖尿病管理的真实、相关且适用的证据。该流程最终形成了一份关于沙特阿拉伯糖尿病急性和慢性并发症管理的37条声明清单。(4) 结论:为沙特阿拉伯糖尿病管理准备背景证据将有助于应对该地区的疾病负担。这些指南为糖尿病护理提供了有用的见解,特别是通过优先考虑并发症的早期检测和积极管理。它们强调了生活方式改变和药物治疗的重要性。然而,由于糖尿病的性质不断变化,必须定期监测和更新该文件,以确保其持续相关性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94c5/11763823/6b2fd6db1a5d/clinpract-15-00009-g001.jpg

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