Disparities in prevalence and treatment of diabetes, cardiovascular and chronic kidney diseases - Recommendations from the taskforce of the guideline workshop.

There is a mounting clinical, psychosocial, and socioeconomic burden worldwide as the prevalence of diabetes, cardiovascular disease (CVD), and chronic kidney disease (CKD) continues to rise. Despite the introduction of therapeutic interventions with demonstrated efficacy to prevent the development or progression of these common chronic diseases, many individuals have limited access to these innovations due to their race/ethnicity, and/or socioeconomic status (SES). However, practical guidance to providers and healthcare systems for addressing these disparities is often lacking. In this article, we review the prevalence and impact of healthcare disparities derived from the above-mentioned chronic conditions and present broad-based recommendations for improving access to quality care and health outcomes within the most vulnerable populations.

[A new generation of reliable clinical practice guidelines through MAGIC]. / Una nueva generación de guías de práctica clínica confiables a través de MAGIC.

Safe and effective disease diagnosis and treatment requires that health personnel can access the best evidence, preferably through reliable clinical practice guidelines. Most guidelines have methodological weaknesses, suboptimal reporting formats, and frequently fail to update content. New standards developed by the US Institute of Medicine and the Guidelines International Network and Systems for Trustworthy Guidelines offer better opportunities for success in the development of guidelines, but also increase the demand for methodological competence, clinical experience and time. It is important to provide clinical practice guidelines with reliable content, and achieve their dissemination and update as needed. In this article we describe how to apply new standards, methods and tools for the creation, dissemination and updating of reliable clinical practice guidelines. Key steps were set for the elaboration of guidelines by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. It will be explained how an innovative research program, Making GRADE the Irresistible Choice (MAGIC) (www.magicproject.org), through its authorship and publication platform (MAGICapp), offers new solutions to facilitate the production, dissemination and dynamic update of reliable clinical practice guidelines. An example will be described about a recently published Norwegian guideline on the new oral anticoagulants for atrial fibrillation, showing how a guideline published in MAGICapp can be used in medical practice.

Una nueva generación de guías de práctica clínica confiables a través de MAGIC / A new generation of reliable clinical practice guidelines through MAGIC

El diagnóstico y el tratamiento seguro y eficaz de enfermedades en la consulta requieren que el personal de salud pueda acceder a la mejor evidencia, preferentemente a través de guías de práctica clínica confiables. La mayoría de guías sufren debilidades metodológicas, formatos de presentación subóptimos y frecuente falta de actualización de su contenido. Nuevos estándares desarrollados por el Institute of Medicine de los Estados Unidos y el Guideline International Network and Systems for Trustworthy Guidelines, ofrecen mejores oportunidades para el éxito en el desarrollo de guías, pero también aumentan la demanda de competencia metodológica, experiencia clínica y tiempo. Tan importante como proporcionar un contenido fiable de guías de práctica clínica es lograr la difusión y actualización de estas. En este artículo describimos cómo aplicar nuevos estándares, métodos y herramientas para la creación, difusión y actualización de las guías de práctica clínica confiables. Trazamos pasos clave para el desarrollo de guías a través de la utilización del sistema Grading of Recommendations Assessment, Development and Evaluation (GRADE). Explicamos cómo un programa de investigación innovador, MAking GRADE the Irresistible Choice (MAGIC) (www.magicproject.org) a través de su plataforma autoría y publicación (MAGICapp) ofrece nuevas soluciones para facilitar la producción, la difusión y la actualización dinámica de guías de práctica clínica confiables. Describimos un ejemplo práctico de una guía noruega publicada recientemente sobre los nuevos anticoagulantes orales para fibrilación auricular, mostrando cómo una guía publicada en el MAGICapp se puede utilizar la consulta médica.

Safe and effective disease diagnosis and treatment requires that health personnel can access the best evidence, preferably through reliable clinical practice guidelines. Most guidelines have methodological weaknesses, suboptimal reporting formats, and frequently fail to update content. New standards developed by the US Institute of Medicine and the Guidelines International Network and Systems for Trustworthy Guidelines offer better opportunities for success in the development of guidelines, but also increase the demand for methodological competence, clinical experience and time. It is important to provide clinical practice guidelines with reliable content, and achieve their dissemination and update as needed. In this article we describe how to apply new standards, methods and tools for the creation, dissemination and updating of reliable clinical practice guidelines. Key steps were set for the elaboration of guidelines by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. It will be explained how an innovative research program, Making GRADE the Irresistible Choice (MAGIC) (www.magicproject.org), through its authorship and publication platform (MAGICapp), offers new solutions to facilitate the production, dissemination and dynamic update of reliable clinical practice guidelines. An example will be described about a recently published Norwegian guideline on the new oral anticoagulants for atrial fibrillation, showing how a guideline published in MAGICapp can be used in medical practice.