The guidelines are recommendations with the aim to improving the level of patient carethrough the systematic review of the best scientific available evidence and generallyconsidered to be a preferred model of care.With the L. 8 November 2012, n. 189 is presumable to change significantly the mode ofto approach to guidelines of legal medicine, providing for a higher and different profileof interest in a new area of responsibility by the practitioner.The research makes available to us instruments, as the Appraisal of Guidelines forResearch and Evaluation (AGREE), useful in the evaluation of the quality of guidelines,effective and simple to use and, in the specific case of AGREE, also widely approved inliterature. The authors realize an medico legal analysis of quality assessment of guidelineson osteoporosis operated by the National System Guidelines taking interestingideas on the possible effects of the initiative of the legislator.The use of such instruments, formally characterized by a criteriology useful also inmedico legal use, shows not encouraging limits of applicability of the guidelines and itdraws attention on the burden of the evaluator practitioners about malpractice whichwill necessarily integrate their knowledge of research methodology in order to remedy theevaluation need that will be during the assessment.
La valutazione della qualità delle linee guida: una nuova sfida per la medicina legale. Considerazioni medico legali sul metodo AGREE
RICCI, PASQUALE;
2014-01-01
Abstract
The guidelines are recommendations with the aim to improving the level of patient carethrough the systematic review of the best scientific available evidence and generallyconsidered to be a preferred model of care.With the L. 8 November 2012, n. 189 is presumable to change significantly the mode ofto approach to guidelines of legal medicine, providing for a higher and different profileof interest in a new area of responsibility by the practitioner.The research makes available to us instruments, as the Appraisal of Guidelines forResearch and Evaluation (AGREE), useful in the evaluation of the quality of guidelines,effective and simple to use and, in the specific case of AGREE, also widely approved inliterature. The authors realize an medico legal analysis of quality assessment of guidelineson osteoporosis operated by the National System Guidelines taking interestingideas on the possible effects of the initiative of the legislator.The use of such instruments, formally characterized by a criteriology useful also inmedico legal use, shows not encouraging limits of applicability of the guidelines and itdraws attention on the burden of the evaluator practitioners about malpractice whichwill necessarily integrate their knowledge of research methodology in order to remedy theevaluation need that will be during the assessment.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
