[Risk minimalisation measures for medications; are they incorporated in Dutch clinical guidelines?]

Q4 Medicine
Renske J Grupstra, Satu J Siiskonen, Helga Gardarsdottir
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引用次数: 0

Abstract

Objective: Risk minimisation measures (RMM) are put in place to ensure safe and effective use of medicines. This study assessed whether RMM for five medicines are implemented in Dutch clinical guidelines.

Design: Descriptive study.

Method: Dutch clinical guidelines where treatment with valproate, fluoroquinolones, methotrexate, metformin or fluorouracil was recommended were identified. In those guidelines that had been updated after publication of the RMM, we determined whether RMM-information was included in the guideline.

Results: Out of 50 identified guidelines recommending treatment with one of the five medicines, only 21 (42%) were revised after RMM-implementation. Of these 21 guidelines, 12 (n = 57%) included RMM-related information.

Conclusion: Uptake of RMM information in Dutch clinical guidelines is limited and RMM-publication does not prompt guideline updates. This suggests that guidelines alone are not an optimal way to inform health care professionals of new safety warnings.

[药物风险最小化措施;是否已纳入荷兰临床指南?]
目标:采取风险最小化措施(RMM)是为了确保安全有效地使用药物。本研究评估了荷兰临床指南中是否对五种药物实施了风险最小化措施:描述性研究:方法:对建议使用丙戊酸钠、氟喹诺酮类药物、甲氨蝶呤、二甲双胍或氟尿嘧啶治疗的荷兰临床指南进行识别。在 RMM 发布后更新的指南中,我们确定指南中是否包含 RMM 信息:结果:在已确定的 50 份建议使用五种药物之一进行治疗的指南中,只有 21 份(42%)在 RMM 实施后进行了修订。在这 21 份指南中,有 12 份(n = 57%)包含了与 RMM 相关的信息:结论:荷兰临床指南对 RMM 信息的吸收有限,RMM 的发布并不能促进指南的更新。这表明,仅靠指南并不是向医护人员告知新安全警告的最佳方式。
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来源期刊
Nederlands tijdschrift voor geneeskunde
Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
302
期刊介绍: Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.
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