Cannabis And Cannabinoid Based Medicines In Cancer Care

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Cannabis and Cannabinoid-Based Medicines in Cancer Care

Author : Claude Cyr,Mellar P. Davis,Danial Schecter,Paul Daeninck
Publisher : Springer Nature
Page : 325 pages
File Size : 42,7 Mb
Release : 2022-02-11
Category : Medical
ISBN : 9783030899189

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Cannabis and Cannabinoid-Based Medicines in Cancer Care by Claude Cyr,Mellar P. Davis,Danial Schecter,Paul Daeninck Pdf

The use of cannabinoid-based medicines (CBM), and cannabis in particular, has risen steadily among cancer and palliative care patients over the last few years. This textbook aims to address the multiple challenges facing healthcare providers regarding the use of CBM in this vulnerable patient population. It provides insight into the latest preclinical and clinical data and offers a practical approach on the use of CBM in a rapidly evolving landscape. It answers questions regarding the prescribing process and elucidates controversies regarding cannabis’ disease-modifying effects. The first chapters will review basic concepts of the endocannabinoid system and pharmacology of CBM, while focusing more specifically on the unique characteristics of two main cannabinoids: THC and CBD. Indicating which benefits can be expected from using either or both of these compounds, the book then addresses issues of drug-drug interactions and other challenges involved in prescribing CBM to frail patients with polypharmacy and multiple comorbidities. Comparing available products, both approved and non-approved by the FDA, the book discusses regional challenges for accessing reliably tested and labelled products in the context of standardization efforts. After carefully determining objectives and addressing patient expectations, further chapters will examine the different clinical settings in which CBM may be useful in cancer care and explore symptom management, including cancer pain, anxiety, nausea, and insomnia among others. The possible benefits of cannabis psychoactivity will also be discussed, including harm reduction strategies for patients who wish to explore these effects. Cannabis and Cannabinoid-Based Medicines in Cancer Care: A Comprehensive Guide to Medical Management serves as a comprehensive text for oncologists, palliative care specialists, general practitioners, and nurse practitioners working with cancer patients or in palliative care settings.

Marijuana As Medicine?

Author : Institute of Medicine,Janet Joy,Alison Mack
Publisher : National Academies Press
Page : 216 pages
File Size : 43,6 Mb
Release : 2000-12-30
Category : Medical
ISBN : 9780309065313

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Marijuana As Medicine? by Institute of Medicine,Janet Joy,Alison Mack Pdf

Some people suffer from chronic, debilitating disorders for which no conventional treatment brings relief. Can marijuana ease their symptoms? Would it be breaking the law to turn to marijuana as a medication? There are few sources of objective, scientifically sound advice for people in this situation. Most books about marijuana and medicine attempt to promote the views of advocates or opponents. To fill the gap between these extremes, authors Alison Mack and Janet Joy have extracted critical findings from a recent Institute of Medicine study on this important issue, interpreting them for a general audience. Marijuana As Medicine? provides patientsâ€"as well as the people who care for themâ€"with a foundation for making decisions about their own health care. This empowering volume examines several key points, including: Whether marijuana can relieve a variety of symptoms, including pain, muscle spasticity, nausea, and appetite loss. The dangers of smoking marijuana, as well as the effects of its active chemical components on the immune system and on psychological health. The potential use of marijuana-based medications on symptoms of AIDS, cancer, multiple sclerosis, and several other specific disorders, in comparison with existing treatments. Marijuana As Medicine? introduces readers to the active compounds in marijuana. These include the principal ingredient in Marinol, a legal medication. The authors also discuss the prospects for developing other drugs derived from marijuana's active ingredients. In addition to providing an up-to-date review of the science behind the medical marijuana debate, Mack and Joy also answer common questions about the legal status of marijuana, explaining the conflict between state and federal law regarding its medical use. Intended primarily as an aid to patients and caregivers, this book objectively presents critical information so that it can be used to make responsible health care decisions. Marijuana As Medicine? will also be a valuable resource for policymakers, health care providers, patient counselors, medical faculty and studentsâ€"in short, anyone who wants to learn more about this important issue.

The Health Effects of Cannabis and Cannabinoids

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on the Health Effects of Marijuana: An Evidence Review and Research Agenda
Publisher : National Academies Press
Page : 487 pages
File Size : 54,7 Mb
Release : 2017-03-31
Category : Science
ISBN : 9780309453073

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The Health Effects of Cannabis and Cannabinoids by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Committee on the Health Effects of Marijuana: An Evidence Review and Research Agenda Pdf

Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€"outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€"that summarizes and prioritizes pressing research needs.

Therapeutic Uses of Cannabis

Author : British Medical Association
Publisher : CRC Press
Page : 164 pages
File Size : 49,5 Mb
Release : 1997-11-18
Category : Medical
ISBN : 9057023180

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Therapeutic Uses of Cannabis by British Medical Association Pdf

At the last Annual Representative Meeting of the British Medical Association a motion was passed that `certain additional cannabinoids should be legalized for wider medicinal use.'' This report supports this landmark statement by reviewing the scientific evidence for the therapeutic use of cannabinoids and sets the agenda for change. It will be welcomed by those who believe that cannabinoids can be used in medical treatment. The report discusses in a clear and readable form the use and adverse effects of the drug for nausea, multiple sclerosis, pain, epilepsy, glaucoma, and asthma.

Marijuana and Medicine

Author : Institute of Medicine
Publisher : National Academies Press
Page : 288 pages
File Size : 41,7 Mb
Release : 1999-07-10
Category : Medical
ISBN : 9780309071550

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Marijuana and Medicine by Institute of Medicine Pdf

The medical use of marijuana is surrounded by a cloud of social, political, and religious controversy, which obscures the facts that should be considered in the debate. This book summarizes what we know about marijuana from evidence-based medicineâ€"the harm it may do and the relief it may bring to patients. The book helps the reader understand not only what science has to say about medical marijuana but also the logic behind the scientific conclusions. Marijuana and Medicine addresses the science base and the therapeutic effects of marijuana use for medical conditions such as glaucoma and multiple sclerosis. It covers marijuana's mechanism of action, acute and chronic effects on health and behavior, potential adverse effects, efficacy of different delivery systems, analysis of the data about marijuana as a gateway drug, and the prospects for developing cannabinoid drugs. The book evaluates how well marijuana meets accepted standards for medicine and considers the conclusions of other blue-ribbon panels. Full of useful facts, this volume will be important to anyone interested in informed debate about the medical use of marijuana: advocates and opponents as well as policymakers, regulators, and health care providers.

Management of Chemotherapy-Induced Nausea and Vomiting

Author : Rudolph M. Navari
Publisher : Adis
Page : 0 pages
File Size : 40,8 Mb
Release : 2018-03-30
Category : Medical
ISBN : 3319800582

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Management of Chemotherapy-Induced Nausea and Vomiting by Rudolph M. Navari Pdf

This book provides a comprehensive review of new agents, a detailed description of new uses of current agents, and an integration of the available agents in clinical practice. A description of a detailed clinical approach provides clinical practitioners with the most up-to-date recommendations for the prevention and treatment of chemotherapy-induced nausea and vomiting (CINV) in various clinical settings. CINV is one of the most feared treatment related toxicities. Patient surveys for the past thirty years consistently demonstrate patients’ perception of deterioration in quality of life due to chemotherapy treatments. The introduction of the antiemetics, serotonin 5-HT3 receptor antagonists and the neurokinin-1 receptor antagonists, have improved the control of chemotherapy-induced emesis, but the treatment of chemotherapy-induced nausea remains a significant clinical problem. Patients continue to have quality of life issues which prevent normal functioning during active treatment. New agents such as the second generation 5-HT3 receptor antagonist palonosetron and the new neuroknin-1 receptor antagonists rolapitant and netupitant are being introduced into clinical practice, and it is anticipated that these new agents will improve the control of CINV. Agents such as olanzapine (a FDA approved anti-psychotic), gabapentin (a FDA approved neuroleptic), and ginger (a food additive), which have been used primarily for other indications, are now being tested as potential, effective antiemetics. This work represents the first available comprehensive summary that details all new antiemetic agents and, particularly, their clinical role in treating patients; an important reference for practitioners seeking to improve the quality of life of patients undergoing chemotherapy.

Cannabis and Cannabinoids

Author : Ethan B Russo
Publisher : Routledge
Page : 482 pages
File Size : 52,8 Mb
Release : 2013-09-05
Category : Health & Fitness
ISBN : 9781136614934

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Cannabis and Cannabinoids by Ethan B Russo Pdf

Study the latest research findings by international experts! This comprehensive volume presents state-of-the-art scientific research on the therapeutic uses of cannabis and its derivatives. All too often, discussions of the potential medical uses of this substance are distorted by political considerations that have no place in a medical debate. Cannabis and Cannabinoids: Pharmacology, Toxicology, and Therapeutic Potential features fair, equitable discussion of this emerging and controversial medical topic by the world’s foremost researchers. Cannabis and Cannabinoids examines the benefits, drawbacks, and side effects of medical marijuana as a treatment for various conditions and diseases. This book discusses the scientific basis for marijuana’s use in cases of pain, nausea, anorexia, and cachexia. It also explores its possible benefits in glaucoma, ischemia, spastic disorders, and migraine. Cannabis and Cannabinoids examines all facets of the medical use of marijuana, including: botany history biochemistry pharmacology clinical use toxicology side effects Cannabis and Cannabinoids is a reference work that will become indispensable to physicians, psychologists, researchers, biochemists, graduate students, and interested members of the public. No other book available offers this comprehensive, even-handed look at a deeply divisive subject.

Use of Cannabis Derivatives in Cancer Patients

Author : Pharmacology University
Publisher : Pharmacology University
Page : 21 pages
File Size : 50,9 Mb
Release : 2021-12-11
Category : Health & Fitness
ISBN : 8210379456XXX

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Use of Cannabis Derivatives in Cancer Patients by Pharmacology University Pdf

The cell is the morphological and functional unit of every living being. This biological organization is capable of growing to be transformed into stem cells and thus be divided by two processes; mitosis: giving rise to two new identical daughter cells and meiosis: responsible for giving way to the formation of four daughter cells different from each other with half the genetic code of the mother cell. Generally, the cells die by apoptosis and are replaced by new ones. In cancer, these cells multiply autonomously, without any control, in an irregular manner. They invade local and neighboring tissues, causing metastasis and high morbidity and mortality rates. The definition of cancer is the loss of control of an organized system, where its cells alter by losing the apoptosis program or "cell suicide" resulting in this dreaded and lethal disease. Epidemiologically, cancer is one of the leading causes of death around the world. For 2018, there were a total of 18.1 million new cases and 9.5 million deaths. Considering the projected high statistics regarding cancer in the future is essential to develop therapeutic alternatives to minimize tumor growth and adverse effects from chemotherapies that mean less risk to a patient's life. At present, there are no specific drugs to inhibit tumor growth or absolute pain management in patients with terminal cancer. Remarkably, thanks to modern scientific research, the anti-tumor role of the endocannabinoid system in cancer disease, as well as the relief of other symptoms from conventional treatments, has been established. The endocannabinoid system has emerging modulatory activity on proteins and nuclear factors. It regulates cell proliferation, differentiation, and survival. Thus, it is possible to think that this system controls fundamental homeostatic processes and neoplastic transformation. Natural cannabinoids and endocannabinoids, synthetic CB1 agonists, and other molecules exhibiting indirect cannabinoid agonist activity (endocannabinoid transporters and cannabinoid degradation inhibitors) can limit tumor growth and progression of several types of cancer by inhibiting cell motility. These include, among others, lymphoid, thyroid, breast, prostate, skin, glioma, glioblastoma, and leukemias. Exploring the scientific literature becomes increasingly evident that the endocannabinoid system is intimately related to elements that delay the cellular progression of cancer. There are other properties attributed to it beneficial for these patients, such as anxiolytic, anti-inflammatory, antiemetic, sleep-regulating, and other cannabinoid effects. Thus, using medical cannabis is a beneficial therapeutic alternative of great interest as an adjuvant in the management and treatment of cancer disease, becoming one of the most effective and safe ways to stop the progression of this disease in the future. Therefore, in this book, Pharmacology University explores the pathophysiological mechanisms that occur in cancer, its stages, how the endocannabinoid system can stop its progression, and the benefits that its administration can have in the clinical improvement of these patients.

Marijuana and Medicine

Author : Institute of Medicine
Publisher : National Academies Press
Page : 288 pages
File Size : 48,9 Mb
Release : 1999-06-10
Category : Medical
ISBN : 9780309132909

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Marijuana and Medicine by Institute of Medicine Pdf

The medical use of marijuana is surrounded by a cloud of social, political, and religious controversy, which obscures the facts that should be considered in the debate. This book summarizes what we know about marijuana from evidence-based medicine--the harm it may do and the relief it may bring to patients. The book helps the reader understand not only what science has to say about medical marijuana but also the logic behind the scientific conclusions. Marijuana and Medicine addresses the science base and the therapeutic effects of marijuana use for medical conditions such as glaucoma and multiple sclerosis. It covers marijuana's mechanism of action, acute and chronic effects on health and behavior, potential adverse effects, efficacy of different delivery systems, analysis of the data about marijuana as a gateway drug, and the prospects for developing cannabinoid drugs. The book evaluates how well marijuana meets accepted standards for medicine and considers the conclusions of other blue-ribbon panels. Full of useful facts, this volume will be important to anyone interested in informed debate about the medical use of marijuana: advocates and opponents as well as policymakers, regulators, and health care providers.

Medical Marijuana and the Effects of Cannabinoids on Fighting Cancer, Multiple Sclerosis, Epilepsy, Parkinson's, and Other Neurodegenerative Diseases

Author : Rana R. Zeine,Brian W. Teasdale
Publisher : Medical Information Science Reference
Page : 0 pages
File Size : 46,8 Mb
Release : 2022-12-16
Category : Electronic
ISBN : 1668456524

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Medical Marijuana and the Effects of Cannabinoids on Fighting Cancer, Multiple Sclerosis, Epilepsy, Parkinson's, and Other Neurodegenerative Diseases by Rana R. Zeine,Brian W. Teasdale Pdf

Research on the therapeutic efficacy of cannabinoids has demonstrated that cannabidiol (CBD), either alone or in 1:1 mixtures with delta-9-tetrahydrocannabinol (THC), can effectively treat animals in experimental models of neuroinflammatory, demyelinative, neurodegenerative, neuropsychiatric, and neoplastic diseases. Short-term, small-scale, human cohorts, observational studies, randomized, non-randomized, placebo-controlled, and uncontrolled clinical trials have provided low-certainty and moderate-certainty evidence that medical marijuana can reduce spasticity, neuropathic pain, neuroinflammation, anxiety, sleep disturbance, urinary bladder dysfunction, frequency and duration of seizure, tumor size, and metastasis as well as promote overall cancer survival. Medical Marijuana and the Effects of Cannabinoids on Fighting Cancer, Multiple Sclerosis, Epilepsy, Parkinson's, and Other Neurodegenerative Diseases presents the findings from clinical and basic medical scientists who are investigating the cellular and molecular mechanisms of cannabinoid-mediated inhibition of innate and adaptive immune responses, mobilization of myeloid-derived immunosuppressive cells, enhancement of neuroprotection, facilitation of oligodendrocyte survival, promotion of CNS progenitor cell differentiation to support regeneration and remyelination, arrest of tumor cell proliferation, decrease in tumor cell adhesion, disruption of tumor angiogenesis, inhibition of endothelial cells, and prevention of cancer metastasis by inhibition of cell migration. The chapters further discuss pharmacologic challenges and precisely how the delicate balance between the opposing effects of various types of cannabinoid receptors can be controlled by manipulating specific membrane channels and signaling pathways to achieve favorable long-term clinicopathologic outcomes in oncology and neurology. Covering topics such as neurodegenerative diseases, spectroscopic applications, and ethical issues, this premier reference source is an essential resource for medical professionals, pharmacists, hospital administrators, government officials, students and faculty of higher education, librarians, researchers, and academicians.

Cannabinoids and Pain

Author : Samer N. Narouze
Publisher : Springer Nature
Page : 339 pages
File Size : 49,5 Mb
Release : 2021-07-01
Category : Medical
ISBN : 9783030691868

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Cannabinoids and Pain by Samer N. Narouze Pdf

This book presents a well-balanced view of the potential medical use of cannabinoids in pain. It comprehensively covers the current challenges with medical cannabis utilization and provides recommendations for research and future directions. Organized into nine sections, the book begins with an introduction to medical cannabis, including its history, regulations, and the general attitudes of pain physicians on cannabis. Section two explores the biological effects of marijuana via the endocannabinoid system and its complex structure of receptors and enzymes. Sections three, four, and five then delve further into pharmacology and the mechanisms of action applicable to cannabinoids in managing pain. Timely and socially conscious, section six examines the benefits of substituting opioids with cannabinoids for preoperative management. Echoing the book's well-rounded content, sections seven and eight consider the challenges with medical cannabis, including safety and quality control, brain development risks, vaping hazards, and withdrawal. The book then closes with a look at the future of cannabis in medical research. Thoroughly and equitably composed, Cannabinoids and Pain is an invaluable resource for primary care physicians, pain and palliative care physicians, and oncologists.

Cannabis in Medicine

Author : Kenneth Finn
Publisher : Springer Nature
Page : 571 pages
File Size : 51,8 Mb
Release : 2020-07-09
Category : Medical
ISBN : 9783030459680

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Cannabis in Medicine by Kenneth Finn Pdf

Legalization of marijuana is becoming increasingly prominent in the United States and around the world. While there is some discussion of the relationship between marijuana and overall health, a comprehensive resource that outlines the medical literature for several organ systems, as well as non-medical societal effects, has yet to be seen. While all physicians strive to practice evidence-based medicine, many clinicians aren't aware of the facts surrounding cannabis and are guided by public opinion. This first of its kind book is a comprehensive compilation of multiple facets of cannabis recommendation, use and effects from a variety of different perspectives. Comprised of chapters dedicated to separate fields of medicine, this evidence-based guide outlines the current data, or lack thereof, as well as the need for further study. The book begins with a general overview of the neurobiology and pharmacology of THC and hemp. It then delves into various medical concerns that plague specific disciplines of medicine such as psychiatry, cardiology, gastrointestinal and neurology, among others. The end of the book focuses on non-medical concerns such as public health and safety, driving impairment and legal implications. Comprised of case studies and meta-analyses, Cannabis in Medicine: An Evidence-Based Approach provides clinicians with with a concise, evidence-based guide to various health concerns related to the use of marijuana. By addressing non-medical concerns, this book is also a useful resource for professionals working in the public health and legal fields.

Cannabis and Cannabis-based Medicines

Author : Anonim
Publisher : Royal College of Physicians
Page : 43 pages
File Size : 52,9 Mb
Release : 2005
Category : Cannabinoids
ISBN : 9781860162541

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Cannabis and Cannabis-based Medicines by Anonim Pdf

This report takes an objective look at the evidence on cannabis-based medicines and their ability to treat conditions such as multiple sclerosis and chronic pain.

Cancer and CBD OIL - Understanding the Benefits of Cannabis and Medical Marijuana

Author : Jane Fields
Publisher : Createspace Independent Publishing Platform
Page : 100 pages
File Size : 52,7 Mb
Release : 2017-08-05
Category : Electronic
ISBN : 1974301311

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Cancer and CBD OIL - Understanding the Benefits of Cannabis and Medical Marijuana by Jane Fields Pdf

Ever Wondered How CBD Oil Might Affect Cancer? Are you or a loved one struggling through the journey that is cancer, feeling hopeless at times as you watch the deterioration that cancer causes? Do you struggle with traditional pharmaceutical treatments for your cancer and are seeking a natural alternative? If so, "Cancer And CBD Oil: Understanding The Benefits Of Cannabis And Medical Marijuana" is THE book for you! It covers all you need to know about the potential that CBD Oil possesses to help alleviate your cancer symptoms and even battle the cancer itself! CBD Oil is a growing phenomenon as more and more US states and other nations legalize the use of cannabis both medicinally and recreationally. It has been proven to relieve symptoms of many different conditions, such as seizures and epilepsy, body pain and inflammation, anxiety, psychosis and depression. According to some statistics, at least 7.6 million people die each year from cancer throughout the world. 4 million of those people are between the ages of 30 and 69 at the time of their death. Doctors continue to prescribe radiation, chemotherapy, and addictive opioids that either do not work or whose side effects outweigh their benefits. Where can you turn when traditional treatments fail? This book proposes turning to CBD Oils and cannabinoids. What Separates This Book From The Rest? Most other books are either too simplified, resulting in a lack of true understanding of the benefits of Cannabis, while other books are written as research papers far above the vernacular of the modern American. This book combines a great deal of research as well as explanations of the studies and what makes them important in modern, laymen's terms. You can read this book once and have a deep understanding of how cannabis relates to cancer, and you can also read it again and again for reference and deeper understanding. This book contains a wealth of information ranging from the function of cannabinoids in relation to the proliferation, metastasis, angio-genesis, and apoptosis of cancer cells (all terms which will be explained in depth), to the how cannabinoids affect specific cancers, to various methods of consumption and how they might be useful to an individual struggling against cancer. Backed by a multitude of studies and research, you can begin your journey into the world of cannabis with an informed perspective. You Will Learn The Following: What Is CBD Oil? What Are Cannabinoids? History And Misconceptions About CBD Oil How Oils Are Made How CBD Oils Interact With The Body The Four Processes Of Cancer And How Cannabinoids Can Interrupt Them The Effect Of THC, CBD, And Other Cannabinoids On Various Types Of Cancer And much more! So don't delay it any longer. Take this opportunity and invest in this guide now. You will be amazed by how your life can change for the better in just this short read! Your fight against cancer is not over yet! A long, fulfilling life after cancer awaits you! Download This Guide Now! See you inside!

Clinical Practice Guidelines We Can Trust

Author : Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines
Publisher : National Academies Press
Page : 217 pages
File Size : 50,9 Mb
Release : 2011-06-16
Category : Medical
ISBN : 9780309216463

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Clinical Practice Guidelines We Can Trust by Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines Pdf

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.