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【Ref: Spanos Konstantinos,Nana Petroula,Behrendt Christian-Alexander et al. Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance.[J] .J Endovasc Ther, 2020, 27: 889-901.】 The purpose of guidelines is to present evidence-based instruction to clinicians on how best to treat their patients. Guidelines should provide us with a template for practice and summarize the evidence in such a way as to protect both the patient and the clinician. The National Institute for Health and Care Excellence (NICE) guidelines on abdominal aortic aneurysm (AAA) repair failed miserably in this respect. They provide questions but few answers. The writing committee has shirked its responsibility and left the clinician vulnerable and unsupported and the patient at themercy of the individual clinicians’ interpretative skill and integrity. Furthermore, the new guideline differs so much from the original draft that it undermines the authority of the writing committee and the NICE institution as a whole. （指南的目的是向臨床醫(yī)生提供有關(guān)如何最好地治療患者的循證指導(dǎo)。指南應(yīng)為我們提供實(shí)踐模板，并以保護(hù)患者和臨床醫(yī)生的方式總結(jié)證據(jù)。美國(guó)國(guó)立衛(wèi)生研究院（NICE）關(guān)于腹主動(dòng)脈瘤（AAA）修復(fù)的指南在這方面慘遭失敗。他們提供問題，但很少回答。寫作委員會(huì)已經(jīng)放棄了責(zé)任，使臨床醫(yī)生易受傷害并缺乏支持，患者只能依靠個(gè)別臨床醫(yī)生的解釋能力和完整性。此外，新指南與原始草案有很大不同，以致破壞了寫作委員會(huì)和整個(gè)NICE機(jī)構(gòu)的權(quán)威。） NICE2020： National Institute of Health and Care Excellence (NICE). Abdominal aortic aneurysm: diagnosis and management. NICE guideline. Published March 19, 2020. https:// www. nice.org.uk/guidance/ng156. Accessed June 20, 2020. ESVS2019：(歐洲血管協(xié)會(huì)) Wanhainen A, Verzini F, Van Herzeele I, et al. European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg. 2019;57:8–93. SVS2018：(美國(guó)血管外科協(xié)會(huì)) Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018; 67:2–77.e2. JCS2013：(日本血管協(xié)會(huì)) JCS Joint Working Group. Guidelines for diagnosis and treatment of aortic aneurysm and aortic dissection (JCS 2011): digest version. Circ J. 2013;77:789–828. ESC2014：(歐洲心臟協(xié)會(huì)) Erbel R, Aboyans V, Boileau C, et al. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;35:2873–2926. 內(nèi)容如下 |
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