How applicable are clinical practice guidelines to elderly patients with comorbidities?
How applicable are clinical practice guidelines to elderly patients with comorbidities?
复制标题
临床实践指南对患有合并症的老年患者的适用性如何？
DOI：
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复制
发表时间：
2011
期刊：
影响因子：
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通讯作者：
Ross Upshur
中科院分区：
文献类型：
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作者：
D. Mutasingwa;H. Ge;Ross Upshur
OBJECTIVE
To examine the applicability of 10 common clinical practice guidelines (CPGs) to elderly patients with multiple comorbidities.
DESIGN
Content analysis of published Canadian CPGs for the following chronic diseases: diabetes, dyslipidemia, dementia, congestive heart failure, depression, osteoporosis, hypertension, gastroesophageal reflux disease, chronic obstructive pulmonary disease, and osteoarthritis.
MAIN OUTCOME MEASURES
Presence or absence of 4 key indicators of applicability of CPGs to elderly patients with multiple comorbidities. These indicators include any mention of older adults or people with comorbidities, time needed to treat to benefit in the context of life expectancy, and barriers to implementation of the CPG.
RESULTS
Out of the 10 CPGs reviewed, 7 mentioned treatment of the elderly, 8 mentioned people with comorbidities, 4 indicated the time needed to treat to benefit in the context of life expectancy, 5 discussed barriers to implementation, and 7 discussed the quality of evidence.
CONCLUSION
This study shows that although most CPGs discuss the elderly population, only a handful of them adequately address issues related to elderly patients with comorbidities. In order to make CPGs more patient centred rather than disease driven, guideline developers should include information on elderly patients with comorbidities.
影响因子：
120.7
作者：
Boyd, CM;Darer, J;Wu, AW
通讯作者：
Wu, AW