Medical consensus
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Medical consensus is a public statement on a particular aspect of
medical Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practic ...
knowledge at the time the statement is made that a representative group of experts agree to be
evidence-based Evidence-based practice (EBP) is the idea that occupational practices ought to be based on scientific evidence. While seemingly obviously desirable, the proposal has been controversial, with some arguing that results may not specialize to indiv ...
and
state-of-the-art The state of the art (sometimes cutting edge or leading edge) refers to the highest level of general development, as of a device, technique, or scientific field achieved at a particular time. However, in some contexts it can also refer to a level ...
(state-of-the-science) knowledge. Its main objective is to counsel
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
s on the best possible and acceptable way to diagnose and treat certain
disease A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that a ...
s or how to address a particular
decision-making In psychology, decision-making (also spelled decision making and decisionmaking) is regarded as the Cognition, cognitive process resulting in the selection of a belief or a course of action among several possible alternative options. It could be ...
area. It is usually, therefore, considered an authoritative, community-based expression of a
consensus decision-making Consensus decision-making or consensus process (often abbreviated to ''consensus'') are group decision-making processes in which participants develop and decide on proposals with the aim, or requirement, of acceptance by all. The focus on es ...
and publication process.


Methods

There are many ways of producing medical consensus, but the most usual way is to convene an independent panel of experts, either by a medical association or by a governmental authority. Since consensus statements provide a "snapshot in time" of the state of knowledge in a particular topic, they must periodically be re-evaluated and published again, replacing the previous consensus statement. Consensus statements differ from
medical guideline Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practi ...
s, another form of state-of-the-science public statements. According to the NIH, "Consensus statements synthesize new information, largely from recent or ongoing
medical research Medical research (or biomedical research), also known as experimental medicine, encompasses a wide array of research, extending from "basic research" (also called ''bench science'' or ''bench research''), – involving fundamental scientif ...
, that has implications for reevaluation of routine medical practices. They do not give specific
algorithm In mathematics and computer science, an algorithm () is a finite sequence of rigorous instructions, typically used to solve a class of specific Computational problem, problems or to perform a computation. Algorithms are used as specificat ...
s or guidelines for practice."


History

From 1977 to 2013, the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...
(United States) promoted about five to six consensus panels per year, and organized this knowledge by means of a special Consensus Development Program, managed by the NIH's Office of Disease Prevention (ODP). It was retired in 2013 in deference to other agencies and organizations that had picked up the lead, such as the
U.S. Preventive Services Task Force The United States Preventive Services Task Force (USPSTF) is "an independent panel of experts in primary care and prevention that systematically reviews the evidence of effectiveness and develops recommendations for clinical preventive services". ...
, th
Community Preventive Services Task ForceInstitute of Medicine
and Cochrane. Its archive is available in printed form as well as for downloading from the Interne


See also

* Decision-making, Medical decision making *
Evidence-based medicine Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients". The aim of EBM is to integrate the experience of the clinician, the values of t ...
*
Medical literature Medical literature is the scientific literature of medicine: articles in journals and texts in books devoted to the field of medicine. Many references to the medical literature include the health care literature generally, including that of denti ...
*
Medical research Medical research (or biomedical research), also known as experimental medicine, encompasses a wide array of research, extending from "basic research" (also called ''bench science'' or ''bench research''), – involving fundamental scientif ...
*
Guideline (medical) A guideline is a statement by which to determine a course of action. A guideline aims to streamline particular processes according to a set routine or sound practice. Guidelines may be issued by and used by any organization (governmental or pri ...
*
Journal Club A journal club is a group of individuals who meet regularly to critically evaluate recent articles in the academic literature, such as the scientific literature, medical literature, or philosophy literature. Journal clubs are usually organized aro ...
* Algorithm (medical) *
Scientific consensus Scientific consensus is the generally held judgment, position, and opinion of the majority or the supermajority of scientists in a particular field of study at any particular time. Consensus is achieved through scholarly communication at confe ...


References


External links


U.S. Preventive Services Task Force



Institute of Medicine

Cochrane


(through the end of the program in 2013) {{Health care quality Medical terminology Health care quality Consensus