Banks P A
Clinical Gastroenterology Service, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Am J Gastroenterol. 1997 Mar;92(3):377-86.
Guidelines for clinical practice are intended to suggest preferable approaches to particular medical problems as established by interpretation and collation of scientifically valid research, derived from extensive review of published literature. When data are not available that will withstand objective scrutiny, a recommendation may be made based on a consensus of experts. Guidelines are intended to apply to the clinical situation for all physicians without regard to specialty. Guidelines are intended to be flexible, not necessarily indicating the only acceptable approach, and should be distinguished from standards of care that are inflexible and rarely violated. Given the wide range of choices in any health care problem, the physician should select the course best suited to the individual patient and the clinical situation presented. These guidelines are developed under the auspices of the American College of Gastroenterology and its practice parameters committee. These guidelines are also approved by the governing boards of the American Gastroenterological Association, American Society for Gastrointestinal Endoscopy, and American Association for the Study of Liver Diseases. Expert opinion is solicited from the outset for the document. Guidelines are reviewed in depth by the committee, with participation from experienced clinicians and others in related fields. The final recommendations are based on the data available at the time of the production of the document and may be updated with pertinent scientific developments at a later time. The following guidelines are intended for adults and not for pediatric patients.
临床实践指南旨在通过对已发表文献进行广泛综述，对科学有效的研究进行解读和整理，从而针对特定医学问题提出更可取的方法。当缺乏经得起客观审查的数据时，可能会基于专家共识提出建议。指南适用于所有医生的临床情况，不分专业。指南旨在具有灵活性，不一定表明唯一可接受的方法，应与僵化且极少被违反的医疗标准区分开来。鉴于任何医疗问题都有广泛的选择，医生应选择最适合个体患者和所呈现临床情况的方案。这些指南是在美国胃肠病学会及其实践参数委员会的支持下制定的。这些指南也得到了美国胃肠病协会、美国胃肠内镜学会和美国肝病研究协会理事会的批准。从一开始就为该文件征求专家意见。委员会对指南进行深入审查，有经验丰富的临床医生和相关领域的其他人员参与。最终建议基于文件编制时可得的数据，并可能在以后随着相关科学进展进行更新。以下指南适用于成人，不适用于儿科患者。
