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  • Publicado : 31 de marzo de 2011
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Introduction

T

he American Diabetes Association (ADA) has been actively involved in the development and dissemination of diabetes care standards, guidelines, and related documents for many years. These statements are published in one or more of the Association’s professional journals. This supplement contains the latest update of ADA’s major position statement, “Standards of Medical Care inDiabetes,” which contains all of the Association’s key recommendations. In addition, contained herein are selected position statements on certain topics not adequately covered in the “Standards.” ADA hopes that this is a convenient and important resource for all health care professionals who care for people with diabetes. ADA Clinical Practice Recommendations consist of position statements thatrepresent official ADA opinion as denoted by formal review and approval by the Professional Practice Committee and the Executive Committee of the Board of Directors. Consensus reports and systematic reviews are not official ADA recommendations; however, they are produced under the auspices of the Association by invited experts. These publications may be used by the Professional Practice Committee assource documents to update the “Standards.” ADA has adopted the following definitions for its clinically related reports. ADA position statement. An official point of view or belief of the ADA. Position statements are issued on scientific or medical issues related to diabetes. They may be authored or unauthored and are published in ADA journals and other scientific/medical publications as appropriate.Position statements must be reviewed and approved by the Professional Practice Committee and, subsequently, by the Executive Committee of the Board of Directors. ADA position statements are typically based on a systematic review or other review of published literature.

They are reviewed on an annual basis and updated as needed. A list of recent position statements is included on p. S100 ofthis supplement. Systematic review. A balanced review and analysis of the literature on a scientific or medical topic related to diabetes. Effective January 2010, technical reviews are replaced with systematic reviews, for which a priori search and inclusion/ exclusion criteria are developed and published. The systematic review provides a scientific rationale for a position statement and undergoescritical peer review before submission to the Professional Practice Committee for approval. A list of past technical reviews is included on page S99 of this supplement. Consensus report. A comprehensive examination by a panel of experts (i.e., consensus panel) of a scientific or medical issue related to diabetes. Effective January 2010, consensus statements were renamed consensus reports. The categorynow also includes task force, workgroup, and expert committee reports. Consensus reports do not have the Association’s name included in the title or subtitle and include a disclaimer in the introduction stating that any recommendations are not ADA position. A consensus report is typically developed immediately following a consensus conference at which presentations are made on the issue underreview. The statement represents the panel’s collective analysis, evaluation, and opinion at that point in time based in part on the conference proceedings. The need for a consensus report arises when clinicians or scientists desire guidance on a subject for which the evidence is contradictory or incomplete. Once written by the panel, a consensus report is not subject to subsequent review or approvaland does not represent official Association opinion. A list of recent consensus reports is included on p. S102 of this supplement.

Professional Practice Committee. The Association’s Professional Practice Committee is responsible for reviewing ADA systematic reviews and position statements, as well as for overseeing revisions of the latter as needed. Appointment to the Professional Practice...
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