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慢性乙型肝炎管理的临床实践指南比较:何时开始,何时改 [复制链接]

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发表于 2020-8-31 16:07 |只看该作者 |倒序浏览 |打印
Comparison of clinical practice guidelines for the management of chronic hepatitis B: When to start, when to change, and when to stop
Hyung Joon Yim  1 , Ji Hoon Kim  1 , Jun Yong Park  2 , Eileen L Yoon  3 , Hana Park  4 , Jung Hyun Kwon  5 , Dong Hyun Sinn  6 , Sae Hwan Lee  7 , Jeong-Hoon Lee  8 , Hyun Woong Lee  2
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    PMID: 32854458 DOI: 10.3350/cmh.2020.0049

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Abstract

Clinical practice guidelines are important for guiding the management of specific diseases by medical practitioners, trainees, and nurses. In some cases, the guidelines are utilized as a reference for health policymakers in controlling diseases with a large public impact. With this in mind, practice guidelines for the management of chronic hepatitis B (CHB) have been developed in the United States, Europe, and Asian-Pacific regions to suggest the best-fit recommendations for each social and medical circumstance. Recently, the Korean Association for the Study of the Liver published a revised version of its clinical practice guidelines for the management of CHB. The guidelines included updated information based on newly available antiviral agents, the most recent opinion on the initiation and cessation of treatment, and updates for the management of drug resistance, partial virological response, and side effects. Additionally, CHB management in specific situations was comprehensively revised. This review compares the similarities and differences among the various practice guidelines to identify unmet needs and improve future recommendations.

Keywords: Clinical practice guidelines; Hepatitis B virus; Hepatitis B, Chronic.

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发表于 2020-8-31 16:07 |只看该作者
慢性乙型肝炎管理的临床实践指南比较:何时开始,何时改变,何时停止
Hyung Joon Yim 1,Ji Hoon Kim 1,Jun Yong Park 2,Eileen L Yoon 3,Hana Park 4,Jung Hyun Kwon 5,Dong Hyun Sinn 6,Sae Hwan Lee 7,Jeong-Hoon Lee 8,Hyun Woong Lee 2
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    PMID:32854458 DOI:10.3350 / cmh.2020.0049

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抽象

临床实践指南对于指导执业医师,实习生和护士对特定疾病的管理很重要。在某些情况下,该指南可作为卫生政策制定者控制具有重大公共影响的疾病的参考。考虑到这一点,美国,欧洲和亚太地区已经制定了慢性乙型肝炎(CHB)管理实践指南,以针对每种社会和医学情况提出最合适的建议。最近,韩国肝病研究协会发布了其CHB管理临床实践指南的修订版。该指南包括基于新获得的抗病毒药物的更新信息,关于治疗开始和停止的最新观点以及对耐药性,部分病毒学应答和副作用的管理更新。此外,全面修订了特定情况下的CHB管理。这篇综述比较了各种实践指南之间的异同,以确定未满足的需求并改进未来的建议。

关键字:临床实践指南;乙型肝炎病毒;慢性乙型肝炎。

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发表于 2020-8-31 16:07 |只看该作者
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