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논문KCI 등재

Korean Clinical Practice Guideline for the Diagnosis and Treatment of Insomnia in Adults

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초록

Objective We aim to present a clinical guideline for the diagnosis and treatment of insomnia in adults by reviewing and integrating existing clinical guidelines. The purpose of this guideline is to assist clinicians who perform evidence-based insomnia treatment.Methods We selected literature that may be appropriate for use in guideline development from evidence-based practice guidelines that have been issued by an academic or governmental institution within the last five years. The core question of this guideline was made in sentence form including Patient/Problem, Intervention, Comparison, Outcome (PICO) elements. After searching PubMed, EMBASE, and medical guideline issuing agencies, three guidelines were judged to be the most appropriately reviewed, up-to-date, and from trusted sources.Results The Appraisal of Guidelines for Research and Evaluation (AGREE) II tool was used to evaluate the quality of the three clinical guidelines. The final outcome of the guideline development process is a total of 15 recommendations that report the strength of the recommendation, the quality of evidence, a summary of content, and considerations in applying the recommendation.Conclusion It is vital for clinical guidelines for insomnia to be developed and continually updated in order to provide more accurate evidence-based treatments to patients.

Abstract

Objective We aim to present a clinical guideline for the diagnosis and treatment of insomnia in adults by reviewing and integrating existing clinical guidelines. The purpose of this guideline is to assist clinicians who perform evidence-based insomnia treatment.Methods We selected literature that may be appropriate for use in guideline development from evidence-based practice guidelines that have been issued by an academic or governmental institution within the last five years. The core question of this guideline was made in sentence form including Patient/Problem, Intervention, Comparison, Outcome (PICO) elements. After searching PubMed, EMBASE, and medical guideline issuing agencies, three guidelines were judged to be the most appropriately reviewed, up-to-date, and from trusted sources.Results The Appraisal of Guidelines for Research and Evaluation (AGREE) II tool was used to evaluate the quality of the three clinical guidelines. The final outcome of the guideline development process is a total of 15 recommendations that report the strength of the recommendation, the quality of evidence, a summary of content, and considerations in applying the recommendation.Conclusion It is vital for clinical guidelines for insomnia to be developed and continually updated in order to provide more accurate evidence-based treatments to patients.

참고문헌 (13)

  1. "Guidance on the use of zaleplon, zolpidem and zopiclone for the short-term management of insomnia"[URL]
  2. Morgenthaler T, "Practice parameters for the psychological and behavioral treatment of insomnia : an update. An american academy of sleep medicine report", Sleep, 29, pp.1415~1419 (2006)
  3. Schutte-Rodin S, "Clinical guideline for the evaluation and management of chronic insomnia in adults", J Clin Sleep Med, 4, pp.487~504 (2008)
  4. Yamadera W, "The guidelines for the evaluation and management of insomnias in Japanese primary care", Jpn J Clin Med, 67, pp.1469~1474 (2009)
  5. "New guideline for diagnosis and treatment of insomnia"[URL]
  6. "Clinical guideline for the treatment of primary insomnia in middle aged and older adults"[URL]
  7. "Hypnotics"[URL]
  8. "Assessment to management of adult insomnia"[URL]
  9. Qaseem A, "Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of physicians", Ann Intern Med, 165, pp.125~133 (2016)
  10. Sateia MJ, "Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults : an American academy of sleep medicine clinical practice guideline", J Clin Sleep Med, 13, pp.307~349 (2017)
  11. Riemann D, "European guideline for the diagnosis and treatment of insomnia", J Sleep Res, 26, pp.675~700 (2017)
  12. "Adaptation Process for Developing Korean Clinical Practice Guidelines"[URL]

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