KCI등재
SCI
SCIE
SCOPUS
Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development
저자
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 National University, Gongju, Korea.) ; 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.)
발행기관
학술지명
Journal of Korean medical science(Journal of Korean Medical Science)
권호사항
발행연도
2023
작성언어
English
주제어
등재정보
KCI등재,SCI,SCIE,SCOPUS
자료형태
학술저널
수록면
1-20(20쪽)
DOI식별코드
제공처
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.
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