Abortion in the First Trimester. Guideline of the DGGG (S2k-Level, AWMF Registry No. 015-094, December 2022) - Part 2 with Recommendations for Surgical Termination of Pregnancy and Follow-up Care After Termination of Pregnancy.

Purpose The aim was to develop evidence-based recommendations where possible. The guideline presents the medical principles and scientific evidence for indications, counselling of affected persons, performing terminations, the choice of method, and the care and monitoring of a terminated pregnancy up until week 12 + 0 of gestation p. c. Methods In accordance with the requirements for an S2k-guideline, the contents of the guideline were drafted following a systematic search of the literature by a representative interdisciplinary group of experts. Guideline authors held several formal meetings under the auspices of the German Society for Gynaecology and Obstetrics (DGGG) during which the contents of the guideline were finalised and agreed upon. Recommendations The guideline provides recommendations on the surgical termination of pregnancy and follow-up care after termination of pregnancy.

Abortion in the First Trimester. Guideline of the DGGG (S2k-Level, AWMF Registry No. 015-094, December 2022) - Part 1 with Recommendations on Care Structures, Information and Advice on Decision-Making, Measures Before Abortion and Medical Abortion.

Purpose The aim was to develop evidence-based recommendations where possible. The guideline presents the medical principles and scientific evidence for indications, the counselling of affected women, performing terminations, the choice of method, and the care and monitoring of a terminated pregnancy up until week 12 + 0 of gestation p. c. Methods In accordance with the requirements for S2k-guidelines, the contents of the guideline were drafted following a systematic search of the literature by a representative interdisciplinary group of experts. Guideline authors held several formal meetings under the auspices of the German Society for Gynaecology and Obstetrics (DGGG) during which the contents of the guideline were finalised and agreed upon. Recommendations A total of 61 recommendations are provided, covering care structures, provision of information and counselling to support decision-making, the measures to be taken before terminating the pregnancy, and medical termination of the pregnancy.

Awareness and knowledge of the clinical practice guideline on Parkinson's disease among German neurologists.

BACKGROUND/AIMS: With increasing diagnostic and therapeutic options of Parkinsonian syndromes (PS), evidence-based medicine clinical practice guidelines for Parkinson's disease and related disorders have been published. This study evaluates the awareness and the knowledge of the German practice guideline for Parkinson's disease among neurologists. METHODS: The cross-sectional questionnaire-based study was conducted in 2005 in Germany on a survey of 181 neurologists in private practice. RESULTS: 53.1% (n = 95) of the participants specified to be aware of the guideline. A low level of knowledge was reported in diagnostic and therapeutic strategies for motor and nonmotor complications (including depression and dementia), and in the diagnostic features of atypical PS. Neurologists who were aware of the guideline had a significantly better knowledge of the different clinical features of idiopathic (94.7 vs. 84.3%; p = 0.023) versus nonidiopathic (88.3 vs. 77.1%; p = 0.048) PS in general, and specifically of multiple system atrophy (54.3 vs. 36.1%; p = 0.016) as well as of characteristics concerning increased daytime sleepiness (95.7 vs. 86.7%; p = 0.032). CONCLUSION: The awareness and the knowledge of the guideline in everyday medical practice are still limited. Future interventions for a better implementation must include strategies which are suitable to modify behavior patterns.