Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Developmentopen accessTwo Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development
- Other Titles
- Two Years of Experience and Methodology of Korean COVID-19 Living Clinical Practice Guideline Development
- Authors
- Choi, Miyoung; Lee, Hyeon-Jeong; Yu, Su-Yeon; Kim, Jimin; Park, Jungeun; Ryoo, Seungeun; Kim, Inho; Park, Dong Ah; Yoon, Young Kyung; Joh, Joon-Sung; Park, Sunghoon; Yun, Ki Wook; Choi, Chi-Hoon; Kim, Jae-Seok; Shin, Sue; Kim, Hyun; Huh, Kyungmin; Jeong, In-Seok; Choi, Soo -Han; Hwang, Sung Ho; Lee, Hyukmin; Lee, Dong Keon; Yong, Hwan Seok; Yum, Ho Kee
- Issue Date
- Jun-2023
- Publisher
- 대한의학회
- Keywords
- COVID-19; Practice Guidelines as Topic; Living Evidence; Systematic Review; GRADE Approach
- Citation
- Journal of Korean Medical Science, v.38, no.23, pp 1 - 20
- Pages
- 20
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- Journal of Korean Medical Science
- Volume
- 38
- Number
- 23
- Start Page
- 1
- End Page
- 20
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63638
- DOI
- 10.3346/jkms.2023.38.e195
- ISSN
- 1011-8934
1598-6357
- Abstract
- 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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Collections - 2. Clinical Science > Department of Radiology > 1. Journal Articles
- 2. Clinical Science > Department of Infectious Diseases > 1. Journal Articles
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