In cooperation with local medical guideline developers, a special edition of the Ministry of Health Bulletin was introduced. Among other things, it presents the methodology for developing and updating clinical practice guidelines and operational recommendations in healthcare. The document offers readers a comprehensible overview of how such guidelines are created, what types exist, and at what intervals they need to be updated to reflect the latest scientific knowledge. The Cochrane methodology served as a model for our own methodology, which is adapted to the Czech context while maintaining international standards.
This edition also includes a section on the Central Registry, which describes in detail the process of registering and publishing individual guidelines. The transparency and systematic nature of the entire process aim to ensure higher quality of care and easier access to validated information for healthcare professionals and guideline developers alike.
Furthermore, the special edition includes peer reviews by internationally recognized experts in guideline development. Specifically, the publication was reviewed by Zachary Munn from the University of Adelaide in Australia, Holger Schünemann, Director of Cochrane Canada, and Marge Reinap from Estonia. These reviewers particularly appreciated the emphasis on transparency and systematic methodology, as well as its accessibility to the broader professional community.
A significant part of the publication also consists of concise summaries of 15 operational recommendations prepared in collaboration with leading Czech experts from various medical fields. The guarantors of each recommendation are respected authorities in their fields:
Vladimír Černý
- The effectiveness of high-flow nasal oxygen therapy compared to non-invasive mechanical ventilation
- The effectiveness of high-flow nasal oxygen therapy compared to standard oxygen therapy
- The effectiveness of high-flow nasal oxygen therapy compared to standard oxygen therapy after surgery and extubation
Petr Štourač
- Diagnostic algorithm for malignant hyperthermia
Marek Babjuk
- Early detection of prostate cancer in men without risk factors in the Czech Republic
- Early detection of prostate cancer in men with risk factors in the Czech Republic
- Procedure for early detection of prostate cancer with elevated PSA >3 or ≤3 in asymptomatic men
- Screening of prostate cancer in men with lower urinary tract symptoms (LUTS) in the Czech Republic
- Age limit after ending prostate cancer screening in the Czech Republic
Lumír Kantor
- Nationwide newborn screening using pulse oximetry in the Czech Republic
Richard Pikner
- Effectiveness and cost-effectiveness of the Fracture Liaison Service (FLS) program in improving osteoporosis diagnosis and treatment
- The impact of the FLS program on mortality in patients after osteoporotic low-energy fractures
- The impact of the FLS program on reducing the risk of subsequent fractures across different timeframes
- Cost-effectiveness of the FLS program in the Czech healthcare system
Miloš Táborský
- Telemedicine in worsening heart failure
This edition of the Bulletin thus provides a comprehensive and practically applicable resource that will contribute to improving the quality of care and supporting effective decision-making in healthcare.
The full Bulletin is available here: https://lnkd.in/e7m_wN3h.