Позвольте мне привести обзац из рекомендаций IAP чтобы проиллюстрировать, каким образом рекомендации появляются на свет, какой труд стоит за их созданием:
"These guidelines describe the highest standards of the surgical management
of acute pancreatitis based on currently published studies.
Methods of Formulation of the Guidelines
The Process
A preliminary manuscript that was based on an extended literature search (Medline and Cochrane Library) of published reports was prepared and key recommendations proposed. The evidence and key recommendations were discussed at a special symposium of the IAP (Acute Pancreatitis: Indications for Surgery – IAP Guidelines Development) held on June 22, 2002 during the joint meeting of the International Association of Pancreatology and European Pancreatic Club (June 19–22, 2002) in Heidelberg, Germany. During the symposium key note lectures were given followed by intense discussions on the following topics: natural history of necrotizing pancreatitis; when to be concerned about severe acute pancreatitis; the natural course of organ failure in acute pancreatitis; radiological and clinical indications for surgical intervention; the role of markers for monitoring disease progression; outcome of open necrosectomy; and the results of minimally invasive necrosectomy. Manuscripts representing the groups of invited speakers for the aforementioned presentations were submitted to Pancreatology for peer-review prior to publication and should be read in conjunction with the IAP Guidelines. Each of the proposed recommendations was discussed and an initial consensus was reached. The process involved excluding proposed or introducing new recommendations and agreeing on the precise wording of each of the recommendations. The draft manuscript was amended accordingly. The guidelines were then distributed to the key clinicians for approval or for further modifications, with all agreeing on the final version. These guidelines were then sent to all members of the IAP Council (2002) for approval and/or modifications. All parties concerned approved the final guidelines. The list of clinicians who were directly responsible for these guidelines together with those who were consulted at a later stage of their production is given at the end. Finally the IAP Guidelines were submitted to Pancreatology for peer-review prior to publication.
Участники консенсуса:
Waldemar Uhl(a), Andrew Warshaw(b), Clement Imrie(c), Claudio Bassi(d),
Colin J. McKay(c), Paul G. Lankisch(e), Ross Carter(c), Eugene Di Magno(f),
Peter A. Banks(g), David C. Whitcomb(h), Christos Dervenis(i), Charles D. Ulrich(j), Kat Satake(k), Paula Ghaneh(l), Werner Hartwig(a), Jens Werner(a),
Gerry McEntee(m), John P. Neoptolemos(l), MarkusW. Büchler(a)
a)Department of General Surgery, University of Heidelberg, Germany;
b)Department of Surgery, Massachusetts General Hospital, Boston, Mass., USA;
c) Lister Department of Surgery, Glasgow Royal Infirmary, Glasgow, UK;
d)Endocrinochirurgia, University of Verona, Policlinico B. Roma, Verona, Italy;
e)Medizinische Klinik, Städtisches Klinikum Lüneburg, Germany;
f)Department of Gastroenterology, Mayo Clinic, Rochester, Minn., USA;
g)Department of Gastroenterology, Brigham and Women’s Hospital, Boston, Mass., USA;
h)Department of Medicine, University of Pittsburgh, Pa., USA;
i)Department of Surgery, Agia Olga Hospital, Athens, Greece;
j)Department of Medicine, University of Cincinnati, Ohio, USA;
k)First Department of Surgery, Osaka City University Medical School, Osaka, Japan;
l)Department of Surgery, University of Liverpool, UK, and
m)Department of Surgery, Mater Misericordiae Hospital, Dublin, Ireland