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【Ref: Spanos Konstantinos,Nana Petroula,Behrendt Christian-Alexander et al. Management of Abdominal Aortic Aneurysm Disease: Similarities and Differences Among Cardiovascular Guidelines and NICE Guidance.[J] .J Endovasc Ther, 2020, 27: 889-901.】 The purpose of guidelines is to present evidence-based instruction to clinicians on how best to treat their patients. Guidelines should provide us with a template for practice and summarize the evidence in such a way as to protect both the patient and the clinician. The National Institute for Health and Care Excellence (NICE) guidelines on abdominal aortic aneurysm (AAA) repair failed miserably in this respect. They provide questions but few answers. The writing committee has shirked its responsibility and left the clinician vulnerable and unsupported and the patient at themercy of the individual clinicians’ interpretative skill and integrity. Furthermore, the new guideline differs so much from the original draft that it undermines the authority of the writing committee and the NICE institution as a whole. （指南的目的是向临床医生提供有关如何最好地治疗患者的循证指导。指南应为我们提供实践模板，并以保护患者和临床医生的方式总结证据。美国国立卫生研究院（NICE）关于腹主动脉瘤（AAA）修复的指南在这方面惨遭失败。他们提供问题，但很少回答。写作委员会已经放弃了责任，使临床医生易受伤害并缺乏支持，患者只能依靠个别临床医生的解释能力和完整性。此外，新指南与原始草案有很大不同，以致破坏了写作委员会和整个NICE机构的权威。） NICE2020： National Institute of Health and Care Excellence (NICE). Abdominal aortic aneurysm: diagnosis and management. NICE guideline. Published March 19, 2020. https:// www. nice.org.uk/guidance/ng156. Accessed June 20, 2020. ESVS2019：(欧洲血管协会) Wanhainen A, Verzini F, Van Herzeele I, et al. European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg. 2019;57:8–93. SVS2018：(美国血管外科协会) Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018; 67:2–77.e2. JCS2013：(日本血管协会) JCS Joint Working Group. Guidelines for diagnosis and treatment of aortic aneurysm and aortic dissection (JCS 2011): digest version. Circ J. 2013;77:789–828. ESC2014：(欧洲心脏协会) Erbel R, Aboyans V, Boileau C, et al. 2014 ESC guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;35:2873–2926. 内容如下 |
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