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Results for “Consensus Statements as Topic”

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PubMed2004

[Diagnostic criteria in clinical evaluation of multiple sclerosis: role of magnetic resonance imaging].

The objective of this article is to summarize the diagnostic criteria recommended by the International Panel on the Diagnosis of Multiple Sclerosis in 2001. The recommendations of another working group, the Consortium of Multiple Sclerosis Centers Consensus Meeting, which met in Vancouver in 2001, concerning the diagnosis and follow-up of patients with multiple sclerosis are also presented in an effort to standardize the protocols for magnetic resonance imaging of these patients.

Brain↗
PubMed1992

Group judgments of appropriateness: the effect of panel composition.

The current interest in the development of practice guidelines raises an important question about the effect of expert panel composition on the outcome of the guideline development process. We compared the ratings of appropriateness of indications for carotid endarterectomy produced by two panels: an all-surgical panel and a "balanced" panel composed of four surgeons, two neurologists, and one specialist each from family practice, internal medicine, and radiology. We then compared the effect of the two sets of ratings when used to evaluate 1302 patients who had undergone carotid endarterectomy. The all-surgical panel found more indications "appropriate" (24 versus 14%) and fewer indications "inappropriate" (61 versus 70%) than the balanced panel (p less than 0.01). The all-surgical panel also more often reached agreement. When ratings were applied to patients, 70% were appropriate by the all-surgical criteria versus 38% by the balanced panel, while 19% of the operations were inappropriate by all-surgical criteria, versus 31% by the balanced panel ratings. However, the percentage of procedures judged "inappropriate with agreement" was 15% for all-surgical and 16% for the balanced panel. We conclude that the all-surgical panel was more likely to favor operative treatment for carotid disease than the multispecialty panel, but that concensus judgments of inappropriateness by the two panels were very similar.

Arteriosclerosis↗
PubMed1992

[Impact of consensus conferences held in Spain].

OBJECTIVE: To show the impact of these consensus meetings on health-workers. DESIGN: A descriptive study using a postal survey. SITE. The Province of Avila. PATIENTS OR OTHERS PARTICIPANTS: Registered doctors and nurses in the Province of Avila, in the month of March, 1991. MAIN MEASUREMENTS AND RESULTS: 19.2% of the doctors and 13% of the nurses answered the survey. The consensus meetings were known to 29.6% of the doctors and 13.5% of the nurses. Out of these, 70.3% of the doctors and 54.5% of the nurses refer to a modification in their behaviour. Nevertheless, the majority of the health-workers saw well-monitored hypertense patients monthly and believe that the entire population's level of cholesterol should be determined. This runs against the recommendations of the consensus meetings. There were no differences on this between those who knew of the meetings and those who did not. CONCLUSIONS: The results and recommendations of the consensus meetings were inadequately publicized. They have little or no effect on healthworkers' behaviour.

Consensus Statements as Topic↗