Strong Recommendations Are Inappropriate in Person-Centred Care: The Case of Anti-Platelet Therapy.

Abstract

A 'Rapid Recommendation' has been produced by the GRADE group, in collaboration with MAGIC and BMJ, in response to an RCT showing Dual Anti-Platelet Therapy (DAPT) is superior to Aspirin alone for patients who had suffered acute high risk transient ischaemic attack or minor ischaemic stroke. The interactive MAGIC decision aid that accompanies each Rapid Recommendation is the main route to their clinical implementation. It can facilitate preference-sensitive person-centred care, but only if a Multi-Criteria Decision Analysis-based decision support tool is added. A demonstration version of such an add-on to the MAGIC aid, divested of recommendations, is available online. Exploring the results of different preference inputs into the tool raises questions about the strong recommendation for DAPT.

• Authors: Jack Dowie, Mette Kjer Kaltoft
• Journal: Studies in health technology and informatics (Stud Health Technol Inform) Vol. 262 Pg. 110-113 (Jul 04 2019) ISSN: 1879-8365 [Electronic] Netherlands
• PMID: 31349278 (Publication Type: Journal Article)

Chemical References

• Platelet Aggregation Inhibitors
• Clopidogrel

Topics

• Brain Ischemia (drug therapy)
• Clopidogrel
• Humans
• Ischemic Attack, Transient (drug therapy)
• Patient-Centered Care
• Platelet Aggregation Inhibitors (therapeutic use)
• Stroke (drug therapy)