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[Physicians' adherence to the guidelines on the chronic heart failure diagnosis and treatment].

Aim      To evaluate the physician's knowledge of basic provisions of clinical guidelines for diagnosis and treatment of chronic heart failure (CHF) and to determine how the actions of physicians in their everyday clinical practice comply with these provisions.Materials and methods The study analyzed anonymous questionnaires of 185 physicians (127 cardiologists, 40 internists and general practitioners, 18 other specialists) who were trained in advanced training programs during the 2020/2021 academic year. The main part of the questionnaire included 15 questions related to the classification, d

[Congenital toxoplasmosis: the importance of adherence to guidelines and clinical implications in Colombia.].

INTRODUCCIÓN: La toxoplasmosis congénita continúa siendo un problema de salud pública. Aun cuando existen guías plenamente divulgadas y conocidas, se observa poca implementación de ellas en algunas instituciones de salud y una inadecuada interpretación de las pruebas serológicas en las gestantes. Esto puede generar falta de captación y tratamiento en embarazadas con primoinfección por Toxoplasma gondii. CASOS CLÍNICOS: Se reportan dos casos de toxoplasmosis congénita, uno de ellos con desenlace fatal. En ambos no se siguieron las guías de práctica clínica, lo cual conllevó un diagnóstico tard

Assessing adherence to evidence-based guidelines of care for acne vulgaris.

BACKGROUND: Care guidelines are developed to assist in performing high-quality, cost-effective care. OBJECTIVE: This study was designed to assess the adherence to evidence-based guidelines of care for acne. METHODS: For acne treatment, we analyzed 2008-2015 National Ambulatory Medical Care Survey visits. For each medication mention, a grade was assigned based upon the American Academy of Dermatology 2007 treatment guidelines. RESULTS: Most encounters achieved the grade of A, regardless of specialty or patient population. A proportion of visits involved the use of oral antibiotics monotherap

Adherence to antibiotic guidelines for erysipelas or cellulitis is associated with a favorable outcome.

Outside areas of S. aureus strains resistant to methicillin (MRSA) in the community, no studies showed a relationship between the treatment … e: peripheral arterial disease, AOR 4.80 (2.20-10.49); and bacteremia, AOR 5.21 (2.31-11.76), while guideline adherence was the only modifiable protective factor, OR 0.48 (0.26-0.89). In erysipelas and cellulitis, adherence to guidelines was associated with a favorable outcome.

Toward Achieving 100% Adherence for Retinopathy of Prematurity Screening Guidelines.

PURPOSE: To report on the use of a cloud-based electronic medical record (ROP Check; Glacier Medical Software, Anchorage, AK) designed to provide American Academy of Pediatrics (AAP) guideline-adherent retinopathy of prematurity (ROP) care through the scheduling and documenting of ROP examinations. METHODS: Data analysis on 3,155 patients from a de-identified dataset from 13 neonatal intensive care units. RESULTS: All newborns with a gestational age of 22 to 30 weeks (N = 2,278) were entered with a documented ROP examination. Of those, 98% and 97.4% completed their initial and follow-up exam

Poor adherence to clinical guidelines for women undergoing breast reduction.

INTRODUCTION: Indication for breast reduction in a publically funded or an insurance-funded setting depends on the severity of the subjective symptoms and on the clinical evaluation. The purpose of this study was to evaluate whether Danish surgeons follow a clinical practice recommending a minimum tissue resection weight of 400-500 g per breast. METHODS: Included in the study were a total of 366 female patients with breast hypertrophy who underwent bilateral breast reduction surgery at three large university hospitals in Denmark in the period from August 2008 to November 2013. The patients' h

Endoscopic training in gastroenterology fellowship: adherence to core curriculum guidelines.

BACKGROUND: The Gastroenterology Core Curriculum and American Society of Gastrointestinal Endoscopy provide guidelines for endoscopic training. Program adherence to these recommendations is unclear. This study aims to assess endoscopic training experience during fellowship. DESIGN: Questionnaire study. SETTING: The questionnaire was circulated to US fellowship programs, with the assistance of the American Gastroenterological Association. PARTICIPANTS: Graduating third-year fellows. RESULTS: Seventy-three fellows returned the questionnaire. Nearly all fellows met the required numbers for es

Assessment of adherence to the guidelines for the management of nausea and vomiting induced by chemotherapy.

ObjectiveTo assess adherence of the prescribing physicians in a private cancer care center to the American Society of Clinical Oncology guideline for antiemetic prophylaxis, in the first cycle of antineoplastic chemotherapy.MethodsA total of 139 chemotherapy regimens, of 105 patients, were evaluated retrospectively from 2011 to 2013.ResultsWe observed 78% of non-adherence to the guideline rate. The main disagreements with the directive were the prescription of higher doses of dexamethasone and excessive use of 5-HT3 antagonist for low risk emetogenic chemotherapy regimens. On univariate analys

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… Other variables considered significant in the univariate analysis were not determinant of guideline adherence or non-adherence after the multivariate analysis ( Table 3 ). … adherence. …

Adherence to cervical cancer screening guidelines by gynecologists in the Pacific Northwest.

OBJECTIVE: In 2012, US organizations released updated cervical cancer screening guidelines calling for less frequent screening. We surveyed practicing gynecologists in the Pacific Northwest region to understand their screening practices, gauge their uptake of the new guidelines, and identify reasons why they may not follow the new guidelines. MATERIAL AND METHODS: Gynecologists from Washington, Oregon, Montana, and Idaho were sent an online survey on behalf of their state's medical association. The survey consisted of 9 questions on sex, practice setting, community size, cervical cancer scree

Adherence to hypothermia guidelines: a French multicenter study of fullterm neonates.

AIM: The objective of this study was to describe the French practice of hypothermia treatment (HT) in full-term newborns with hypoxic-ischemic encephalopathy (HIE) and to analyze the deviations from the guidelines of the French Society of Neonatology. MATERIALS AND METHODS: From May 2010 to March 2012 we recorded all cases of HIE treated by HT in a French national database. The population was divided into three groups, "optimal HT" (OHT), "late HT" (LHT) and "non-indicated" HT (NIHT), according to the guidelines. RESULTS: Of the 311 newborns registered in the database and having HT, 65% were

Do gastroenterologists adhere to diagnostic and treatment guidelines for celiac disease?

AIM: Our group hypothesized that significant variation exists between suggested clinical guidelines, the clinical practices of practicing gastroenterologists and academic experts in celiac disease (CD). METHOD: We designed 4 CD vignettes comparing experts and practicing gastroenterologists. Practicing gastroenterologists (n=169) were surveyed during Digestive Disease Week 2009 and experts (n=22) answered e-mail surveys. Ratings for answers in each vignette was done using a 9-point RAND Appropriateness Scale (RAS) with endorsement defined as RAS score of 7 to 9. We also calculated the RAND "Di

Adherence to guidelines for the prescribing of double and triple combinations of antithrombotic agents.

BACKGROUND: To prevent cardiovascular complications, sometimes double and triple therapy with a vitamin K antagonist (VKA), clopidogrel and/or acetylsalicylic acid (ASA) are indicated. These combinations increase the patient's risk of serious bleeding events. Therefore, adherence to clinical guidelines is of the utmost importance when these high-risk therapies are prescribed. METHODS: We performed a retrospective cohort study of 238 cases in a community pharmacy that were treated with a combination of VKA, clopidogrel and/or ASA between January 2006 and December 2009. Hospital records and com

Adherence to national guidelines in prevention of mother to child transmission of HIV.

BACKGROUND: Mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV) contributes to over 90% of the paediatric HIV infections. The national PMTCT guidelines make recommendations for specific interventions to reduce perinatal transmission. Data on adherence to the guidelines by caregivers and quality of PMTCT care is however limited. OBJECTIVE: To evaluate the extent to which PMTCT care offered to HIV positive women admitted for delivery at Kenyatta National Hospital (KNH) and Pumwani Maternity Hospital (PMH) adheres to National Guidelines in order to reduce vertical transmiss

Adherence to guidelines for patients hospitalized with heart failure: a nationwide survey.

BACKGROUND: Despite significant advances in the therapy of heart failure, many patients still do not receive optimal treatment. OBJECTIVES: To document the standard of care that patients hospitalized with HF in Israel received during a 2 month period. METHODS: The Heart Failure Survey in Israel 2003 was a prospective 2 month survey of patients admitted to all 25 public hospitals in Israel with a diagnosis of HF. RESULTS: The mean age of the 4102 patients was 73 years and 43% were female. The use of angiotensin-converting enzyme/angiotensin receptor blockers and beta blockers both declined f

Pharmacotherapeutic management of COPD patients in Greece--adherence to international guidelines.

BACKGROUND: International guidelines for Chronic Obstructive Pulmonary Disease (COPD) propose the most cost-effective management of the dise … acological interventions for the management of COPD. Only the LS prescriptions showed a tendency to guideline adherence. Differences in preferences for different pharmacological drug classes were noted. Thus, LSs were found to generally prefer inhaled corticosteroids (ICSs), followed by anticholinergic drug + a beta(2)-short-acting agonist combinations, long-acting b …

Impact of Order Set Design on Pediatric Intravenous Fluid Guideline Adherence: A National Study.

OBJECTIVES: We sought to describe order set designs implemented by hospitals participating in the national Standardization of Fluids in Inpa … ined quantitative survey data with SOFI data to evaluate associations between order set changes and guideline adherence using linear mixed-effects regression models. RESULTS: One hundred site leaders were surveyed twice during the SOFI trial (92% response rate). Order set modifications were predominantly made to admission order sets and included listing isotonic IVF …

Guideline adherence for the management of cardiovascular disease in primary care: a scoping review.

BACKGROUND: Worldwide, cardiovascular diseases (CVDs) persist as a leading cause of mortality. Clinical practice guidelines (CPGs) aim to support evidence-based decision-making and improve outcomes in primary care. However, application of these guidelines is often inconsistent, raising concerns about potential unconsidered barriers to implementation. OBJECTIVES: This review aimed to assess the extent to which CVD-related CPGs are followed in general practice and factors influencing the application. METHODS: A structured literature review was conducted in August 2025 in accordance with the PR

How a 10-minute bout requirement for physical activity affects guideline adherence estimates, Germany.

OBJECTIVE: To examine how adherence to the World Health Organization's (WHO) physical activity guidelines changes with and without the appli … nute bout requirement for accelerometry-measured activity volumes substantially increased estimated guideline adherence. The change has implications for interpreting time trends in guideline adherence and alters conclusions about which population subgroups meet the guidelines.