[中国肌少症诊疗指南(2024年版)]。

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引用次数: 0

摘要

肌肉减少症是一种与衰老相关的老年综合征,其特征是肌肉质量减少、肌肉力量下降和/或身体功能障碍。它与跌倒、虚弱、残疾甚至死亡的风险显著增加有关,给个人和社会带来沉重负担。骨骼肌减少症的规范化诊断和治疗对于临床实践和中国健康老龄化的发展至关重要。然而,到目前为止,中国缺乏循证的肌少症诊断和治疗的临床实践指南。为此,经中华医学会老年医学分会批准,国家老年病临床研究中心(湘雅医院)牵头制定了《肌少症指南》。本指南的制定遵循《中国临床实践指南制定/修订指导原则(2022年版)》和《医疗卫生实践指南报告项目》(右)。采用建议分级评估、发展和评价(GRADE)系统评估证据的强度。采用德尔菲法确定推荐的强度。最后,针对肌少症患者最关注的12个重要临床问题,提出了18条循证诊断和治疗建议。本指南旨在加强中国骨骼肌减少症诊疗的科学方法,促进骨骼肌减少症研究的深入开展,最终提高以患者为中心的医疗服务质量。
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[Guideline for diagnosis and treatment of sarcopenia in China (2024 edition)].

Sarcopenia, an aging-related geriatric syndrome, is characterized by decreased muscle mass, declined muscle strength, and/or physical dysfunction. It is associated with significantly increased risks of falls, frailty, disability, and even death, placing a heavy burden on individuals and society. Standardized diagnosis and treatment of sarcopenia are of paramount importance for clinical practice and the development of healthy aging in China. However, to date, there is a lack of evidence-based clinical practice guideline for the diagnosis and treatment therapy of sarcopenia in China. Therefore, the National Clinical Research Center for Geriatric Diseases (Xiangya Hospital) has initiated the development of this guideline for sarcopenia, with the approval of Geriatrics Branch of the Chinese Medical Association. Development of this guideline adhered to the Guiding principles for development/revision of clinical practice guidelines in China (2022 version) and the Reporting Items for Practice Guidelines in Healthcare (RIGHT). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system was used to assess the strength of evidence. The Delphi technique was used to determine the strength of recommendations. Finally, a total of 18 evidence-based recommendations for the diagnosis and treatment of sarcopenia were formulated in response to 12 most concerned important clinical questions about sarcopenia. This guideline aims to enhance the scientific approach to sarcopenia diagnosis and treatment in China, promote the in-depth development of sarcopenia research, and ultimately improve the quality of patient-centered healthcare services.

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来源期刊
Zhonghua yi xue za zhi
Zhonghua yi xue za zhi Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
400
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