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논문 기본 정보

자료유형
학술저널
저자정보
Choi Miyoung (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Lee Hyeon-Jeong (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Yu Su-Yeon (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.Department of Medical Information College of Nursing and Health Kongju Nationa) Kim Jimin (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Park Jungeun (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Ryoo Seungeun (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Kim Inho (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Park Dong Ah (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Yoon Young Kyung (Division of Infectious Diseases Department of Internal Medicine Korea University College of Medicine Seoul Korea.) Joh Joon-Sung (Department of Internal Medicine National Medical Center Seoul Korea.) Park Sunghoon (Department of Pulmonary Allergy and Critical Care Medicine Hallym University Sacred Heart Hospital Anyang Korea.) Yun Ki Wook (Department of Pediatrics Seoul National University College of Medicine Seoul Korea.) Choi Chi-Hoon (Department of Radiology College of Medicine Chungbuk National University Cheongju Korea.) Kim Jae-Seok (Department of Laboratory Medicine Kangdong Sacred Heart Hospital Hallym University College of Medicine Seoul Korea.) Shin Sue (Department of Laboratory Medicine Seoul National University-Seoul Metropolitan Government Boramae Hospital Seoul Korea.) Kim Hyun (Department of Emergency Medicine Yonsei University Wonju College of Medicine Wonju Korea.) Huh Kyungmin (Division of Infectious Diseases Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea.) Jeong In-Seok (Department of Thoracic and Cardiovascular Surgery Chonnam National University Hospital and Medical School Gwangju Korea.) Choi Soo-Han (Department of Pediatrics Pusan National University Hospital Pusan National University School of Medicine Busan Korea.) Hwang Sung Ho (Department of Radiology Korea University Anam Hospital Korea University College of Medicine Seoul Korea.) Lee Hyukmin (Department of Laboratory Medicine Yonsei University College of Medicine Seoul Korea.) Lee Dong Keon (Department of Emergency Medicine Seoul National University Bundang Hospital Seongnam Korea.) Yong Hwan Seok (Department of Radiology Korea University Guro Hospital Korea University College of Medicine Seoul Korea.) Yum Ho Kee (Department of Respiratory and Critical Care Medicine Inje University Seoul Paik Hospital Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.23
발행연도
2023.6
수록면
1 - 20 (20page)
DOI
10.3346/jkms.2023.38.e195

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초록· 키워드

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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.
#COVID-19 #Practice Guidelines as Topic #Living Evidence #Systematic Review #GRADE Approach

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