Development of the Italian clinical practice guidelines for the treatment of diabetic foot syndrome: design and methodological aspects.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Monami Matteo, Scatena Alessia, Miranda Cesare, Monge Luca, De Cassai Alessandro, Volpe Antonio, Tramonta Rodolfo, Medea Gerardo, Bordieri Corrado, Falcone Marco, Stefanon Laura, Bernetti Andrea, Cappella Cristina, Gargiulo Mauro, Lorenzoni Valentina, Scevola Germano, Stabile Eugenio, Ragghianti Benedetta, Silverii Giovanni Antonio, da Ros Roberto, Meloni Marco, Giurato Laura, Murdolo Giuseppe, Bianchini Eleonora, Gaggia Francesco, Gauna Carlotta, Romeo Francesco, Apicella Matteo, Mantuano Michele, Uccioli Luigi, Vermigli Cristiana, Panel of the Italian Guidelines for the treatment of Diabetic Foot Syndrome and on behalf of SID and AMD
Аннотация
METHODS: The creation of SID/AMD Guidelines is based on an extended work made by 19 panelists and 12 members of the Evidence Review Team. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) methodology has been used to decide aims, reference population, and target health professionals. Clinical questions have been created using PICO (Patient, Intervention, Comparison, Outcome) conceptual framework. The definition of questions has been performed using a two-step web-based Delphi methodology, a structured technique aimed at obtaining by repeated rounds of questionnaires a consensus opinion from a panel of experts in areas wherein evidence is scarce or conflicting, and opinion is important.
RESULTS: The mean age of panelists (26.3% women) was 53.7 ± 10.6 years. The panel proposed 34 questions. A consensus was immediately reached for all the proposed questions, 32 were approved and 2 were rejected.
CONCLUSIONS: The areas covered by clinical questions included diagnosis of ischemia and infection, treatment of ischemic, neuropathic, and infected ulcers, prevention of foot ulceration, organization and education issues, and surgical management. The PICO presented in this paper are designed to provide indications for healthcare professionals in charge of diabetic foot treatment and prevention, primarily based on clinical needs of people with diabetic foot syndrome and considering the existing organization of health care.