LINEE GUIDA Dove e come cercarle

LINEE GUIDA

Dove e come cercarle

Chiara Bassi

Agenzia sanitaria e sociale regionale Agenzia sanitaria e sociale regionale Agenzia sanitaria e sociale regionale Agenzia sanitaria e sociale regionale

DI SOLITO…

DI SOLITO…

CLINICAL GUIDELINES

“Raccomandazioni sviluppate in modo sistematico per assistere operatori

sanitari e pazienti nelle decisioni sulla gestione appropriata di specifiche

condizioni cliniche”

Institute of Medicine, 1992 .

CHI PRODUCE LE LINEE GUIDA

 AGENZIE GOVERNATIVE E/O DI TECHNOLOGY ASSESSMENT

non pubblicate a stampa (BD Linee Guida, Siti Agenzie)

 SOCIETA’ SCIENTIFICHE

spesso pubblicate su riviste scientifiche (Medline, Embase, …)

BANCHE DATI

NATIONAL GUIDELINE CLEARINGHOUSE

- Prodotta dall’Agency for Healthcare Research and Quality (già AHCPR), American Medical Association, American Association for Health Plans (1998)

- Contiene attualmente 2568 LG (che rispondono ai precisi criteri di inclusione) inviate da Società

Scientifiche, Agenzie governative , …

- Di ciascuna LG viene fornito un Brief Summary, un Complete Summary e, dove è disponibile, il link al full text

- Sistema di comparazione delle LG presenti in banca dati

- Gli aggiornamenti sono settimanali

NATIONAL GUIDELINE CLEARINGHOUSE

http://www.guideline.gov/

NATIONAL GUIDELINE CLEARINGHOUSE

NCG - CRITERI DI INCLUSIONE

- The clinical practice guideline contains systematically developed statements that include recommendations, strategies, or information that assists physicians and/or other health care practitioners and patients make decisions about appropriate health care for specific clinical circumstances.

- The clinical practice guideline was produced under the auspices of medical specialty associations; relevant professional societies, public or private organizations, government agencies at the Federal, State, or local level; or health care organizations or plans. A clinical practice guideline developed and issued by an individual not officially sponsored or supported by one of the above types of organizations does not meet the inclusion criteria for NGC.

- Corroborating documentation can be produced and verified that a systematic literature search and review of existing scientific evidence published in peer

reviewed journals was performed during the guideline development. A guideline is not excluded from NGC if corroborating documentation can be produced and verified detailing specific gaps in scientific evidence for some of the guideline's

recommendations.

- The full text guideline is available upon request in print or electronic format (for free or for a fee), in the English language. The guideline is current and the most recent version produced. Documented evidence can be produced or verified that the guideline was developed, reviewed, or revised within the last five years.

NHS EVIDENCE

http://www.evidence.nhs.uk/

NHS – CRITERI DI INCLUSIONE

- The clinical practice guideline was produced under the auspices of an international or national medical specialty association, relevant professional society or government agency.

- The guideline is produced in the UK, or produced outside the UK by one of the foregoing types of groups and officially

endorsed by an authoritative UK organization.

- Corroborating documentation can be produced and verified that a systematic literature search and review of existing scientific evidence published in peer reviewed journals was performed during the guideline development.

- The guideline has been developed, reviewed, or revised within the last 5 years.

- The guideline is in English.

NHS EVIDENCE

SNLG – Sistema Nazionale Linee Guida

http://www.snlg-iss.it/

SNLG

- Nasce sotto la responsabilità dell’Agenzia per i Servizi Sanitari Regionali e dell’Istituto Superiore di Sanità.

- La banca dati italiana di linee guida, costruita a partire dal modello della National Guideline Clearinghouse, è uno strumento di raccolta e pre- digestione clinico/metodologica della gran mole di documenti pubblicati.

- Per ogni singola linea guida sono stati sviluppati strumenti di valutazione in forma di check-list; tutte le principali raccomandazioni sono state tradotte in italiano.

- Fa parte del Piano sanitario nazionale (PSN) 1998-2000. Si pone come obiettivo la stesura di linee guida che permettano al medico di avere a disposizione le migliori conoscenze scientifiche esistenti.

SNLG – Sistema Nazionale Linee Guida

SITI AGENZIE GOVERNATIVE

AGENZIE GOVERNATIVE

- National Institute for Clinical Excellence (NICE) Agenzia del servizio sanitario nazionale britannico http://www.nice.org.uk/

- Agency for Healthcare Quality and Research (AHRQ)

Agenzia governativa US, al cui interno sono disponibili rapporti sanitari EB e raccomandazioni di US Preventive Service Task Force (USPSTF)

http://www.ahcpr.gov/research/womenix.htm - Haute Autorité de Santé (HAS)

Agenzia governativa francese

http://www.anaes.fr/anaes/anaesparametrage.nsf/HomePage?ReadForm - The Canadian Task Force on Preventive Health Care (CTFPHC)

Agenzia governativa canadese http://www.ctfphc.org

SIGN

Agenzia del Servizio sanitario Scozzese

http://www.sign.ac.uk/guidelines/published/index.html

CMA

Agenzia della Canadian Medical Association

http://mdm.ca/cpgsnew/cpgs/index.asp

NEW ZEALAND GUIDELINES GROUP

Agenzia del Servizio sanitario Neozelandese

http://www.nzgg.org.nz/gldb_search.cfm

Australian medical association

in The Medical Journal of Australia (MJA)

http://www.mja.com.au/public/guides/guides.html

AGENZIE GOVERNATIVE

NICE

http://www.nice.org.uk/

NICE

http://www.nice.org.uk/

http://www.cadth.ca/index.php/en/home

Canadian Agency for Drugs and Technology in Health (CADTH)

http://www.cadth.ca/index.php/en/home

Canadian Agency for Drugs and Technology in Health (CADTH)

AACE

http://www.aace.com/

AMERICAN COLLEGE OF CARDIOLOGY http://www.acc.org/clinical/statements.htm

ASCO

http://www.asco.org/ac/1,1003,_12-002130,00.asp

Royal College of Obstetricians and Gynaecologists (RCOG) http://www.rcog.org.uk/

Australian medical association

in The Medical Journal of Australia (MJA)

http://www.mja.com.au/public/guides/guides.html

Società Scientifiche

LE LINEE GUIDA NELLE

BANCHE DATI

PUBMED

GUIDELINES

Medline Embase Psychinfo Cinahl

THESAURUS Guidelines (1993)

Practice Guideline

Treatment guidline

Practice Guidelines

PUBLICATION TYPE

Guideline (1991) Practice guideline (1992)

NO NO Practice

Guidelines

PER FINIRE…MOTORI SPECIALISTICI

http://www.tripdatabase.com/

TRIPDATABASE

http://www.tripdatabase.com/