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5 results on '"Italian national guidelines system"'

1. Introduction and methods of the evidence-based guidelines for the diagnosis and management of autism spectrum disorder by the Italian National Institute of Health

Author

Gian Paolo Morgano, Francesca Fulceri, Franco Nardocci, Corrado Barbui, Giovanni Ostuzzi, Davide Papola, Laura Maria Fatta, Alice Josephine Fauci, Daniela Coclite, Antonello Napoletano, Franco De Crescenzo, Gian Loreto D’Alò, Laura Amato, Michela Cinquini, Primiano Iannone, Holger Jens Schünemann, Maria Luisa Scattoni, and on behalf of the Italian National Institute of Health guideline working group on Autism Spectrum Disorder

Subjects
Autism Spectrum disorder, Italian National Institute of health, Italian national guidelines system, GRADE approach, Healthcare decision, Diagnosis, Computer applications to medicine. Medical informatics, R858-859.7
Abstract

Abstract Background Autism Spectrum Disorder (ASD) is a neuro-developmental disorder that affects communication and behavior with a prevalence of approximately 1% worldwide. Health outcomes of interventions for ASD are largely Participant Reported Outcomes (PROs). Specific guidelines can help support the best care for people with ASD to optimize these health outcomes but they have to adhere to standards for their development to be trustworthy. Objective The goal of this article is to describe the new methodological standards of the Italian National Institute of Health and novel aspects of this guideline development process. This article will serve as a reference standard for future guideline development in the Italian setting. Methods We applied the new standards of the Italian National Institute of Health to the two guidelines on diagnosis and management of children/adolescents and adults with ASD, with a focus on the scoping, panel composition, management of conflict of interest, generation and prioritization of research questions, early stakeholders’ involvement, and PROs. Recommendations are based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence-to-Decision frameworks. Results Following a public application process, the ISS established two multidisciplinary panels including people with ASD and/or their caregivers. Seventy-nine research questions were identified as potentially relevant for the guideline on children and adolescents with ASD and 31 for the one on adults with ASD. Questions deemed to have the highest priority were selected for inclusion in the guidelines. Other stakeholders valued their early involvement in the process which will largely focus on PROs. The panels then successfully piloted the development of recommendations using the methodological standards and process set by the ISS with a focus on PROs. Conclusions In this article, we describe the development of practice guidelines that focus on PROs for the diagnosis and management of ASD based on novel methods for question prioritization and stakeholder involvement. The recommendations allow for the adoption or adaptation to international settings.

Published
2020
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2. Introduction and methods of the evidence-based guidelines for the diagnosis and management of autism spectrum disorder by the Italian National Institute of Health.

Author

Morgano, Gian Paolo, Fulceri, Francesca, Nardocci, Franco, Barbui, Corrado, Ostuzzi, Giovanni, Papola, Davide, Fatta, Laura Maria, Fauci, Alice Josephine, Coclite, Daniela, Napoletano, Antonello, De Crescenzo, Franco, D'Alò, Gian Loreto, Amato, Laura, Cinquini, Michela, Iannone, Primiano, Schünemann, Holger Jens, Scattoni, Maria Luisa, on behalf of the Italian National Institute of Health guideline working group on Autism Spectrum Disorder, Arduino, Maurizio, and Bellosio, Cristina

Subjects
AUTISM spectrum disorders, SPECTRUM allocation, CONFLICT management, GUIDELINES, COMMUNICATIVE disorders
Abstract

Background: Autism Spectrum Disorder (ASD) is a neuro-developmental disorder that affects communication and behavior with a prevalence of approximately 1% worldwide. Health outcomes of interventions for ASD are largely Participant Reported Outcomes (PROs). Specific guidelines can help support the best care for people with ASD to optimize these health outcomes but they have to adhere to standards for their development to be trustworthy.Objective: The goal of this article is to describe the new methodological standards of the Italian National Institute of Health and novel aspects of this guideline development process. This article will serve as a reference standard for future guideline development in the Italian setting.Methods: We applied the new standards of the Italian National Institute of Health to the two guidelines on diagnosis and management of children/adolescents and adults with ASD, with a focus on the scoping, panel composition, management of conflict of interest, generation and prioritization of research questions, early stakeholders' involvement, and PROs. Recommendations are based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence-to-Decision frameworks.Results: Following a public application process, the ISS established two multidisciplinary panels including people with ASD and/or their caregivers. Seventy-nine research questions were identified as potentially relevant for the guideline on children and adolescents with ASD and 31 for the one on adults with ASD. Questions deemed to have the highest priority were selected for inclusion in the guidelines. Other stakeholders valued their early involvement in the process which will largely focus on PROs. The panels then successfully piloted the development of recommendations using the methodological standards and process set by the ISS with a focus on PROs.Conclusions: In this article, we describe the development of practice guidelines that focus on PROs for the diagnosis and management of ASD based on novel methods for question prioritization and stakeholder involvement. The recommendations allow for the adoption or adaptation to international settings. [ABSTRACT FROM AUTHOR]

Published
2020
Full Text
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3. Clinical practice guideline for the integrated management of major trauma by the Italian National Institute of Health: process and methods

Author

Fauci A. J., Coclite D., Napoletano A., D'Angelo D., Biffi A., Castellini G., Gianola S., Iacorossi L., Latina R., Porcu G., Salomone K., Chiara O., Iannone P., Coniglio C., de Blasio E. -V., Fabbri A., Flego G., Geraci M., Maccauro G., Rampoldi A., Ruggieri M. P., Santolini F., Stocchetti N., Tacconi C., Tugnoli G., Fauci A.J., Coclite D., Napoletano A., D'Angelo D., Biffi A., Castellini G., Gianola S., Iacorossi L., Latina R., Porcu G., Salomone K., Chiara O., Iannone P., Coniglio C., de Blasio E.-V., Fabbri A., Flego G., Geraci M., Maccauro G., Rampoldi A., Ruggieri M.P., Santolini F., Stocchetti N., Tacconi C., Tugnoli G., Fauci, A, Coclite, D, Napoletano, A, D'Angelo, D, Biffi, A, Castellini, G, Gianola, S, Iacorossi, L, Latina, R, Porcu, G, Salomone, K, Chiara, O, Iannone, P, Coniglio, C, de Blasio, E, Fabbri, A, Flego, G, Geraci, M, Maccauro, G, Rampoldi, A, Ruggieri, M, Santolini, F, Stocchetti, N, Tacconi, C, and Tugnoli, G

Subjects
Major trauma, Italy, Delivery of Health Care, Integrated, Healthcare decision-making, Practice Guidelines as Topic, Humans, Wounds and Injuries, Clinical Practice Guideline, GRADE approach, Settore MED/45 - Scienze Infermieristiche Generali, Cliniche E Pediatriche, Italian National Guidelines System
Abstract

Background. Major trauma describes serious injuries requiring lifesaving interventions or resulting in long-term disability; it represents about 8% of all deaths worldwide. Specific guidelines can help reduce deaths and disabilities, provided they adhere to high quality and trustworthiness standards. This article aims at introducing the development process of the Istituto Superiore di Sanità, ISS (Italian National Institute of Health) guideline for major trauma integrated management. Methods. We applied the ISS methodological standards including the GRADE-ADOLOPMENT approach for adoption, adaptation, and de novo development of trustworthy guidelines. Results. The scope was formulated by the multidisciplinary panel with stakeholders’ involvement; two guidelines were identified as appropriate sources for adolopment. Forty questions from the two source guidelines were prioritised and five new ones formulated. New systematic reviews or updates were conducted for each clinical question, Evidence to Decision frameworks developed or re-assessed and the recommendations formulated after public consultations and external review. The policy on conflicts of interest was applied throughout the process. Conclusions. Through a broad expertise representation, the early and wide stakeholders’ participation, a continual process for disclosure and management of conflict of interests and the transparency of the process, ISS standards are proving to be an efficient model for developing trustworthy clinical guidance.

Published
2021

4. Clinical practice guideline for the integrated management of major trauma by the Italian National Institute of Health: process and methods

Author

Fauci, A, Coclite, D, Napoletano, A, D'Angelo, D, Biffi, A, Castellini, G, Gianola, S, Iacorossi, L, Latina, R, Porcu, G, Salomone, K, Chiara, O, Iannone, P, Coniglio, C, de Blasio, E, Fabbri, A, Flego, G, Geraci, M, Maccauro, G, Rampoldi, A, Ruggieri, M, Santolini, F, Stocchetti, N, Tacconi, C, Tugnoli, G, Fauci A. J., Coclite D., Napoletano A., D'Angelo D., Biffi A., Castellini G., Gianola S., Iacorossi L., Latina R., Porcu G., Salomone K., Chiara O., Iannone P., Coniglio C., de Blasio E. -V., Fabbri A., Flego G., Geraci M., Maccauro G., Rampoldi A., Ruggieri M. P., Santolini F., Stocchetti N., Tacconi C., Tugnoli G., Fauci, A, Coclite, D, Napoletano, A, D'Angelo, D, Biffi, A, Castellini, G, Gianola, S, Iacorossi, L, Latina, R, Porcu, G, Salomone, K, Chiara, O, Iannone, P, Coniglio, C, de Blasio, E, Fabbri, A, Flego, G, Geraci, M, Maccauro, G, Rampoldi, A, Ruggieri, M, Santolini, F, Stocchetti, N, Tacconi, C, Tugnoli, G, Fauci A. J., Coclite D., Napoletano A., D'Angelo D., Biffi A., Castellini G., Gianola S., Iacorossi L., Latina R., Porcu G., Salomone K., Chiara O., Iannone P., Coniglio C., de Blasio E. -V., Fabbri A., Flego G., Geraci M., Maccauro G., Rampoldi A., Ruggieri M. P., Santolini F., Stocchetti N., Tacconi C., and Tugnoli G.

Abstract

Background. Major trauma describes serious injuries requiring lifesaving interventions or resulting in long-term disability; it represents about 8% of all deaths worldwide. Specific guidelines can help reduce deaths and disabilities, provided they adhere to high quality and trustworthiness standards. This article aims at introducing the development process of the Istituto Superiore di Sanità, ISS (Italian National Institute of Health) guideline for major trauma integrated management. Methods. We applied the ISS methodological standards including the GRADE-ADOLOPMENT approach for adoption, adaptation, and de novo development of trustworthy guidelines. Results. The scope was formulated by the multidisciplinary panel with stakeholders’ involvement; two guidelines were identified as appropriate sources for adolopment. Forty questions from the two source guidelines were prioritised and five new ones formulated. New systematic reviews or updates were conducted for each clinical question, Evidence to Decision frameworks developed or re-assessed and the recommendations formulated after public consultations and external review. The policy on conflicts of interest was applied throughout the process. Conclusions. Through a broad expertise representation, the early and wide stakeholders’ participation, a continual process for disclosure and management of conflict of interests and the transparency of the process, ISS standards are proving to be an efficient model for developing trustworthy clinical guidance.

Published
2021

5. Introduction and methods of the evidence-based guidelines for the diagnosis and management of autism spectrum disorder by the Italian National Institute of Health

Author

Morgano, G. P., Fulceri, F., Nardocci, F., Barbui, C., Ostuzzi, G., Papola, D., Fatta, L. M., Fauci, A. J., Coclite, D., Napoletano, A., De Crescenzo, F., D'Alo, G. L., Amato, L., Cinquini, M., Iannone, P., Schunemann, H. J., Scattoni, M. L., Arduino, M., Bellosio, C., Biasci, S., Buono, S., Cappa, C., Cordo, C., Di Tommaso, E., Duff, C. M., Felici, C., Massagli, A., Molteni, M., Reali, L., Tancredi, R., Valeri, G., Venturini, L., Zuddas, A., Andreoli, M., Bergamin, C., Bertelli, M., Catania, D., Cavagnola, R., Cirrincione, P., Corti, S., Crognale, M., Faggioli, R., Giogoli, A. M., Grittani, S., Keller, R., Pace, P., Politi, P., Starace, F., Valenti, M., Balduzzi, S., Basile, M., Cruciani, F., D'Amico, R., Davoli, M., Lorenzo, M. G., Minozzi, S., Mitrova, Z., Moschetti, I., Pistotti, V., Saulle, R., and Vecchi, S.

Subjects
Adult, Male, Evidence-based practice, Adolescent, Autism Spectrum Disorder, Psychological intervention, Guideline, Recommendations, lcsh:Computer applications to medicine. Medical informatics, 03 medical and health sciences, 0302 clinical medicine, Diagnosis, medicine, Humans, 030212 general & internal medicine, Patient Reported Outcome Measures, Autism Spectrum disorder, GRADE approach, Healthcare decision, Italian National Institute of health, Italian national guidelines system, Treatment, Grading (education), Child, Medical education, Evidence-Based Medicine, Research, Public Health, Environmental and Occupational Health, Conflict of interest, Stakeholder, Italy, Quality of Life, Practice Guidelines as Topic, General Medicine, Evidence-based medicine, medicine.disease, Autism spectrum disorder, ComputingMilieux_COMPUTERSANDSOCIETY, lcsh:R858-859.7, Psychology, 030217 neurology & neurosurgery
Abstract

Background Autism Spectrum Disorder (ASD) is a neuro-developmental disorder that affects communication and behavior with a prevalence of approximately 1% worldwide. Health outcomes of interventions for ASD are largely Participant Reported Outcomes (PROs). Specific guidelines can help support the best care for people with ASD to optimize these health outcomes but they have to adhere to standards for their development to be trustworthy. Objective The goal of this article is to describe the new methodological standards of the Italian National Institute of Health and novel aspects of this guideline development process. This article will serve as a reference standard for future guideline development in the Italian setting. Methods We applied the new standards of the Italian National Institute of Health to the two guidelines on diagnosis and management of children/adolescents and adults with ASD, with a focus on the scoping, panel composition, management of conflict of interest, generation and prioritization of research questions, early stakeholders’ involvement, and PROs. Recommendations are based on the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence-to-Decision frameworks. Results Following a public application process, the ISS established two multidisciplinary panels including people with ASD and/or their caregivers. Seventy-nine research questions were identified as potentially relevant for the guideline on children and adolescents with ASD and 31 for the one on adults with ASD. Questions deemed to have the highest priority were selected for inclusion in the guidelines. Other stakeholders valued their early involvement in the process which will largely focus on PROs. The panels then successfully piloted the development of recommendations using the methodological standards and process set by the ISS with a focus on PROs. Conclusions In this article, we describe the development of practice guidelines that focus on PROs for the diagnosis and management of ASD based on novel methods for question prioritization and stakeholder involvement. The recommendations allow for the adoption or adaptation to international settings.

Published
2020

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