[Possibilities and limitations of national guidelines based on the example of pediatric urology guidelines from the Pediatric Urology Working Group of the Austrian Society for Urology and Andrology (ÖGU)]. / Chancen und Grenzen nationaler Leitlinien am Beispiel der "Leitlinien Kinderurologie" des Arbeitskreises für Kinderurologie der österreichischen Gesellschaft für Urologie (ÖGU).
Urologie
; 63(2): 163-167, 2024 Feb.
Article
em De
| MEDLINE
| ID: mdl-38110701
ABSTRACT
BACKGROUND:
Medical guidelines are defined as practical orientation and decision-making aids; they are legally defined as noncommittal recommendations. International guidelines are written in very general terms, especially in the case of heterogeneous clinical pictures (e.g., vesicoureteral reflux).OBJECTIVE:
Could national guidelines based on international recommendations become authoritative as specific treatment recommendations for the various specialist groups? MATERIALS ANDMETHODS:
The value of international and national guidelines was assessed using the example case history of a child affected with vesicoureteral reflux.RESULTS:
Due to the various therapeutic possibilities according to various guidelines, the child received unfavorable, incongruent, delayed, and repeated unsuccessful attempts with different treatment regimesCONCLUSION:
Due to the nonbinding nature of general guidelines, there is a risk of suboptimal therapy. National guidelines aimed at individualized treatment recommendations should aim for higher medical and legal status.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Urologia
/
Refluxo Vesicoureteral
/
Andrologia
Limite:
Child
/
Humans
País/Região como assunto:
Europa
Idioma:
De
Revista:
Urologie
Ano de publicação:
2024
Tipo de documento:
Article