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DMP for coronary heart disease: Current guidelines indicate some need for revision
Date:2/16/2011

This release is available in German.

On 7 February 2011, the German Institute for Quality and Efficiency in Health Care (IQWiG) published the results of a search update for evidence-based clinical practice guidelines on coronary heart disease (CHD). The aim of the report is to identify those recommendations from current guidelines of high methodological quality that may be relevant for the planned revision of the corresponding disease management programme (DMP). According to the results of the report, there is no compelling need for revision of any part of the DMP. However, IQWiG identified various aspects that could be supplemented and specified. This particularly applies to general measures, drug therapy, as well as the medical indication for undergoing heart catheterization.

Evidence was documented in detail

One of IQWiG's responsibilities specified by law (Social Code Book V) is to develop and issue recommendations for DMPs. In the commission now completed, which was awarded by the Federal Joint Committee (G-BA), IQWiG systematically searched for new guidelines, assessed their methodological quality, and extracted relevant recommendations on the diagnosis, treatment and rehabilitation of patients with CHD. In addition, they documented how high the guideline authors graded the robustness of the recommendations. However, the sources of the recommendations were not examined again; this is where the Institute's guideline appraisals and benefit assessments differ.

In March 2008, IQWiG had already completed the original commission awarded by the Federal Joint Committee, which the Committee had used for an update of the DMP-CHD ( ). For the original report IQWiG had searched for guidelines published between 2002 and June 2007. In the follow-up project, the results of which are now available, the search could therefore be limit
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Contact: Anna-Sabine Ernst
info@iqwig.de
49-022-135-6850
Institute for Quality and Efficiency in Health Care
Source:Eurekalert

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