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Eur J Cardiovasc Prev Rehabil, 10: S1-S10, 2003
European guidelines on cardiovascular disease prevention in clinical practice: third joint task force of European and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of eight societies and by invited experts).
De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, Ebrahim S, Faergeman O, Graham I, Mancia G, Cats VM, Orth-Gomer K, Perk J, Pyorala K, Rodicio JL, Sans S, Sansoy V, Sechtem U, Silber S, Thomsen T, Wood D; European Society of Cardiology Committee for Practice Guidelines.
European Society of Cardiology. guy.debacker@ugent.be
Guidelines aim to present all the relevant evidence on a particular
issue in order to help physicians to weigh the benefits and risks
of a particular diagnostic or therapeutic procedure. They should
be helpful in everyday clinical decision-making. A great number
of guidelines have been issued in recent years by different organisations--European
Society of Cardiology (ESC), American Heart Association (AHA),
American College of Cardiology (ACC), and other related societies.
By means of links to web sites of National Societies several hundred
guidelines are available. This profusion can put at stake the
authority and validity of guidelines, which can only be guaranteed
if they have been developed by an unquestionable decision-making
process. This is one of the reasons why the ESC and others have
issued recommendations for formulating and issuing guidelines.
In spite of the fact that standards for issuing good quality guidelines
are well defined, recent surveys of guidelines published in peer-reviewed
journals between 1985 and 1998 have shown that methodological
standards were not complied with in the vast majority of cases.
It is therefore of great importance that guidelines and recommendations
are presented in formats that are easily interpreted. Subsequently,
their implementation programmes must also be well conducted. Attempts
have been made to determine whether guidelines improve the quality
of clinical practice and the utilisation of health resources.
In addition, the legal implications of medical guidelines have
been discussed and examined, resulting in position documents,
which have been published by a specific task force. The ESC Committee
for practice guidelines (CPG) supervises and coordinates the preparation
of new guidelines and expert consensus documents produced by task
forces, expert groups or consensus panels. The Committee is also
responsible for the endorsement of these guidelines or statements.
Publication Types:
· Guideline
· Practice Guideline
PMID: 14555889 [PubMed]