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)
© 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature..
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 AND METHODS: 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 regimes CONCLUSION: 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:63 |
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| Enthalten in: |
Urologie (Heidelberg, Germany) - 63(2024), 2 vom: 01. Feb., Seite 163-167 |
| Sprache: |
Deutsch |
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| Weiterer Titel: |
Chancen und Grenzen nationaler Leitlinien am Beispiel der „Leitlinien Kinderurologie“ des Arbeitskreises für Kinderurologie der österreichischen Gesellschaft für Urologie (ÖGU) |
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| Beteiligte Personen: |
Oswald, Josef [VerfasserIn] |
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| Links: |
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| Themen: |
Decision-making aids |
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| Anmerkungen: |
Date Completed 14.02.2024 Date Revised 14.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00120-023-02256-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a 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) |
| 246 | 3 | 3 | |a Chancen und Grenzen nationaler Leitlinien am Beispiel der „Leitlinien Kinderurologie“ des Arbeitskreises für Kinderurologie der österreichischen Gesellschaft für Urologie (ÖGU) |
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| 520 | |a © 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature. | ||
| 520 | |a 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) | ||
| 520 | |a OBJECTIVE: Could national guidelines based on international recommendations become authoritative as specific treatment recommendations for the various specialist groups? | ||
| 520 | |a MATERIALS AND METHODS: The value of international and national guidelines was assessed using the example case history of a child affected with vesicoureteral reflux | ||
| 520 | |a RESULTS: Due to the various therapeutic possibilities according to various guidelines, the child received unfavorable, incongruent, delayed, and repeated unsuccessful attempts with different treatment regimes CONCLUSION: 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 | ||
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| 650 | 4 | |a Legal significance | |
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