Better guidelines for better care: accounting for multimorbidity in clinical guidelines structured examination of exemplar guidelines and health economic modelling

Guthrie B, Thompson A, Dumbreck S, Flynn A, Alderson P, Nairn M, Treweek S & Payne K
Record ID 32017000396
English
Authors' objectives: To test the feasibility of new approaches to developing single-disease guidelines to better account for multimorbidity.
Authors' recommendations: Guideline developers could feasibly (1) use epidemiological data characterising the guideline population to inform consideration of applicability and interactions; (2) systematically compare the absolute benefit of long-term preventative treatments to inform decision-making in people with multimorbidity and high treatment burden; and (3) modify the output from economic models used in guideline development to examine time to benefit in terms of the pay-off time and varying competing risk of death from other conditions.
Details
Project Status: Completed
Year Published: 2017
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Comorbidity
  • Economics, Medical
  • Humans
  • Primary Health Care
Contact
Organisation Name: NIHR Health Services and Delivery Research programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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