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The therapeutic guidelines database, an original new tool

edited by: Blackwell Publishing

Fundamental & Clinical Pharmacology, Vol. 21 (September 2007), pp. 5-5.


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Introduction: Physicians are expected to prescribe according to current scientific data and evidence-based medicine, as embodied by official treatment guidelines. In order to apply these, physicians should be aware of ways to access them, and smoothly integrate their content into their daily practice. Our objectives were to provide validated summaries of treatment guidelines, to facilitate access to original documents, and to keep physicians informed on updates and related news. Methods: For one hundred most frequently encountered diseases, expert writers (GPs and specialists) were chosen to produce a summary of current validated treatment guidelines. The outline and content of these summaries were harmonized in order to increase user-friendliness. Tree-shaped decision algorithms constitute the core of each summary. They are completed with disease and diagnosis information, specific clinical situations, patient information as well as drug and non drug treatment information (all available medicinal products are listed). Whenever possible, these summaries are weighed with grades of recommendation corresponding to scientific levels of evidence, as defined by the HAS (high autority of health). Results: The therapeutic guidelines database is available through: - a website which proposes therapeutic guidelines summaries and related information regarding diseases most frequently encountered by GPs. A search engine has been integrated, which allows physicians to locate French and international treatment guidelines. This engine transforms queries expressed in usual French medical terms into MeSH (medical subjects headings) - compatible queries in order to search French and international databases efficaciously. We created a watch team to update the database and inform physicians about the latest available guidelines as well as other recent guidelinerelated news.- a pocket book with one hundred treatment strategies based on guideline summaries. Conclusion: The therapeutic guidelines database is the first one for Frenchspeaing healthcare professionals. It allows access to validated therapeutic guidelines (summaries, full-text guidelines, as well as related news). The next step is to measure the effects of this new tool on GPs daily practice.


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