Publications by authors named "L M Helsingen"

Background: The Norwegian Directorate of Health produces national clinical guidelines for the health service, and the development of guidelines must follow international standards for trustworthy clinical practice. We investigated whether the standards are being adhered to.

Material And Method: We used the National Guideline Clearinghouse Extent Adherence to Trustworthy Standards Instrument (NEATS) as the scoring tool and assessed a randomly selected chapter from national clinical guidelines that were published or updated during the period 2013 to January 2022.

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Article Synopsis
  • A study was conducted to examine whether cancer screening tests actually improve longevity, focusing on life-years gained from such screenings compared to no screening.
  • The analysis reviewed data from randomized clinical trials that included over 2 million participants and compared various common screening methods for cancers like breast, colorectal, lung, and prostate.
  • Results showed varied follow-up durations across tests, but the key takeaway was that the real benefit in terms of added lifetime from these screenings remains unclear.
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Objectives: To explore guideline panelists' understanding of panel surveys for eliciting panels' inferences regarding patient values and preferences, and the influence of the surveys on making recommendations.

Study Design And Setting: We performed sampling and data collection from all four guideline panels that had conducted the surveys through October 2020. We collected the records of all panel meetings and interviewed some panelists in different roles.

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Objective: Universally acknowledged standards for trustworthy guidelines include the necessity to ground recommendations in patient values and preferences. When information is limited-which is typically the case-guideline panels often find it difficult to explicitly integrate patient values and preferences into their recommendations. Our objective was to develop and evaluate a framework for systematically navigating guideline panels in incorporating patient values and preferences in making recommendations.

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