Development of clinical practice guidelines for patients with comorbidity and multiple diseases

作者：Bernabeu Wittel M^*; Alonso Coello P; Rico Blazquez M; Rotaeche del Campo R; Sanchez Gomez S; Casariego Vales E

来源：Revista Clinica Espanola, 2014, 214(6): 328-335.

DOI：10.1016/j.rce.2014.04.001

• Clinical practice guidelines
• Comorbidity
• Polypathology
• Multimorbidity

The management of patients with comorbidity and polypathology represents a challenge for all healthcare systems. Clinical practice guidelines (CPGs) have limitations when applied to this population. The aim of this study is to propose the terminology and methodology for optimally approach comorbidity and polypathology in the CPGs. Based on a literature review, we suggest a number of proposals for the approach in different phases of CPG preparation, with special attention to the inclusion of clusters of comorbidity in the initial questions the implementation of indirect evidence, the burden of disease management for patients and their environment, when establishing recommendations, as well as the strategies of dissemination and implementation. These proposals should be developed in greater depth with the implication of more agents in order to have valid and useful tools for this population.

• 出版日期2014-9