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Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development
BACKGROUND: In Korea, during the early phase of the coronavirus disease 2019 (COVID-19) pandemic, we responded to the uncertainty of treatments under various conditions, consistently playing catch up with the speed of evidence updates. Therefore, there was high demand for national-level evidence-bas...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Medical Sciences
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261709/ https://www.ncbi.nlm.nih.gov/pubmed/37309700 http://dx.doi.org/10.3346/jkms.2023.38.e195 |
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author | Choi, Miyoung Lee, Hyeon-Jeong Yu, Su-Yeon Kim, Jimin Park, Jungeun Ryoo, Seungeun Kim, Inho Park, Dong Ah Yoon, Young Kyung Joh, Joon-Sung Park, Sunghoon Yun, Ki Wook Choi, Chi-Hoon Kim, Jae-Seok Shin, Sue Kim, Hyun Huh, Kyungmin Jeong, In-Seok Choi, Soo-Han Hwang, Sung Ho Lee, Hyukmin Lee, Dong Keon Yong, Hwan Seok Yum, Ho Kee |
author_facet | Choi, Miyoung Lee, Hyeon-Jeong Yu, Su-Yeon Kim, Jimin Park, Jungeun Ryoo, Seungeun Kim, Inho Park, Dong Ah Yoon, Young Kyung Joh, Joon-Sung Park, Sunghoon Yun, Ki Wook Choi, Chi-Hoon Kim, Jae-Seok Shin, Sue Kim, Hyun Huh, Kyungmin Jeong, In-Seok Choi, Soo-Han Hwang, Sung Ho Lee, Hyukmin Lee, Dong Keon Yong, Hwan Seok Yum, Ho Kee |
author_sort | Choi, Miyoung |
collection | PubMed |
description | BACKGROUND: In Korea, during the early phase of the coronavirus disease 2019 (COVID-19) pandemic, we responded to the uncertainty of treatments under various conditions, consistently playing catch up with the speed of evidence updates. Therefore, there was high demand for national-level evidence-based clinical practice guidelines for clinicians in a timely manner. We developed evidence-based and updated living recommendations for clinicians through a transparent development process and multidisciplinary expert collaboration. METHODS: The National Evidence-based Healthcare Collaborating Agency (NECA) and the Korean Academy of Medical Sciences (KAMS) collaborated to develop trustworthy Korean living guidelines. The NECA-supported methodological sections and 8 professional medical societies of the KAMS worked with clinical experts, and 31 clinicians were involved annually. We developed a total of 35 clinical questions, including medications, respiratory/critical care, pediatric care, emergency care, diagnostic tests, and radiological examinations. RESULTS: An evidence-based search for treatments began in March 2021 and monthly updates were performed. It was expanded to other areas, and the search interval was organized by a steering committee owing to priority changes. Evidence synthesis and recommendation review was performed by researchers, and living recommendations were updated within 3–4 months. CONCLUSION: We provided timely recommendations on living schemes and disseminated them to the public, policymakers and various stakeholders using webpages and social media. Although the output was successful, there were some limitations. The rigor of development issues, urgent timelines for public dissemination, education for new developers, and spread of several new COVID-19 variants have worked as barriers. Therefore, we must prepare systematic processes and funding for future pandemics. |
format | Online Article Text |
id | pubmed-10261709 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Academy of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-102617092023-06-15 Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development Choi, Miyoung Lee, Hyeon-Jeong Yu, Su-Yeon Kim, Jimin Park, Jungeun Ryoo, Seungeun Kim, Inho Park, Dong Ah Yoon, Young Kyung Joh, Joon-Sung Park, Sunghoon Yun, Ki Wook Choi, Chi-Hoon Kim, Jae-Seok Shin, Sue Kim, Hyun Huh, Kyungmin Jeong, In-Seok Choi, Soo-Han Hwang, Sung Ho Lee, Hyukmin Lee, Dong Keon Yong, Hwan Seok Yum, Ho Kee J Korean Med Sci Special Article BACKGROUND: In Korea, during the early phase of the coronavirus disease 2019 (COVID-19) pandemic, we responded to the uncertainty of treatments under various conditions, consistently playing catch up with the speed of evidence updates. Therefore, there was high demand for national-level evidence-based clinical practice guidelines for clinicians in a timely manner. We developed evidence-based and updated living recommendations for clinicians through a transparent development process and multidisciplinary expert collaboration. METHODS: The National Evidence-based Healthcare Collaborating Agency (NECA) and the Korean Academy of Medical Sciences (KAMS) collaborated to develop trustworthy Korean living guidelines. The NECA-supported methodological sections and 8 professional medical societies of the KAMS worked with clinical experts, and 31 clinicians were involved annually. We developed a total of 35 clinical questions, including medications, respiratory/critical care, pediatric care, emergency care, diagnostic tests, and radiological examinations. RESULTS: An evidence-based search for treatments began in March 2021 and monthly updates were performed. It was expanded to other areas, and the search interval was organized by a steering committee owing to priority changes. Evidence synthesis and recommendation review was performed by researchers, and living recommendations were updated within 3–4 months. CONCLUSION: We provided timely recommendations on living schemes and disseminated them to the public, policymakers and various stakeholders using webpages and social media. Although the output was successful, there were some limitations. The rigor of development issues, urgent timelines for public dissemination, education for new developers, and spread of several new COVID-19 variants have worked as barriers. Therefore, we must prepare systematic processes and funding for future pandemics. The Korean Academy of Medical Sciences 2023-05-25 /pmc/articles/PMC10261709/ /pubmed/37309700 http://dx.doi.org/10.3346/jkms.2023.38.e195 Text en © 2023 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Special Article Choi, Miyoung Lee, Hyeon-Jeong Yu, Su-Yeon Kim, Jimin Park, Jungeun Ryoo, Seungeun Kim, Inho Park, Dong Ah Yoon, Young Kyung Joh, Joon-Sung Park, Sunghoon Yun, Ki Wook Choi, Chi-Hoon Kim, Jae-Seok Shin, Sue Kim, Hyun Huh, Kyungmin Jeong, In-Seok Choi, Soo-Han Hwang, Sung Ho Lee, Hyukmin Lee, Dong Keon Yong, Hwan Seok Yum, Ho Kee Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development |
title | Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development |
title_full | Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development |
title_fullStr | Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development |
title_full_unstemmed | Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development |
title_short | Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development |
title_sort | two years of experience and methodology of korean covid-19 living clinical practice guideline development |
topic | Special Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261709/ https://www.ncbi.nlm.nih.gov/pubmed/37309700 http://dx.doi.org/10.3346/jkms.2023.38.e195 |
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