Norma terapêutica da diabetes mellitus tipo 2
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10362/147361 |
Resumo: | Clinical guidelines have the potential to increase health gains, but also to cause harm. In this opinion article we state some misgivings about the application of the Portuguese National Health Directorate's guideline type 2 diabetes therapy: metformin in primary care. We seek to highlight guideline wording that may allow for multiple interpretations (alternatives to monotherapy with metformin, hierarchy of drugs to be associated with metformin, and metformin contraindications). Furthermore, we argue that it seems that choosing a glycemic target of 6.5% in a normative document to be applied in the general population may have unforeseen consequences. |
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Norma terapêutica da diabetes mellitus tipo 2GuidelineType 2 diabetes mellitus therapy: Metformin: A critical perspectiveMetformina uma perspectiva críticaMedicine(all)SDG 3 - Good Health and Well-beingClinical guidelines have the potential to increase health gains, but also to cause harm. In this opinion article we state some misgivings about the application of the Portuguese National Health Directorate's guideline type 2 diabetes therapy: metformin in primary care. We seek to highlight guideline wording that may allow for multiple interpretations (alternatives to monotherapy with metformin, hierarchy of drugs to be associated with metformin, and metformin contraindications). Furthermore, we argue that it seems that choosing a glycemic target of 6.5% in a normative document to be applied in the general population may have unforeseen consequences.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNPinto, DanielHeleno, BrunoGallego, RosaSantos, IsabelSantiago, Luiz MiguelMaria, Vasco2023-01-11T22:17:36Z2011-032011-03-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article8application/pdfhttp://hdl.handle.net/10362/147361por1646-0758PURE: 47549307info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:28:26Zoai:run.unl.pt:10362/147361Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:52:53.233852Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Norma terapêutica da diabetes mellitus tipo 2 GuidelineType 2 diabetes mellitus therapy: Metformin: A critical perspective Metformina uma perspectiva crítica |
title |
Norma terapêutica da diabetes mellitus tipo 2 |
spellingShingle |
Norma terapêutica da diabetes mellitus tipo 2 Pinto, Daniel Medicine(all) SDG 3 - Good Health and Well-being |
title_short |
Norma terapêutica da diabetes mellitus tipo 2 |
title_full |
Norma terapêutica da diabetes mellitus tipo 2 |
title_fullStr |
Norma terapêutica da diabetes mellitus tipo 2 |
title_full_unstemmed |
Norma terapêutica da diabetes mellitus tipo 2 |
title_sort |
Norma terapêutica da diabetes mellitus tipo 2 |
author |
Pinto, Daniel |
author_facet |
Pinto, Daniel Heleno, Bruno Gallego, Rosa Santos, Isabel Santiago, Luiz Miguel Maria, Vasco |
author_role |
author |
author2 |
Heleno, Bruno Gallego, Rosa Santos, Isabel Santiago, Luiz Miguel Maria, Vasco |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Pinto, Daniel Heleno, Bruno Gallego, Rosa Santos, Isabel Santiago, Luiz Miguel Maria, Vasco |
dc.subject.por.fl_str_mv |
Medicine(all) SDG 3 - Good Health and Well-being |
topic |
Medicine(all) SDG 3 - Good Health and Well-being |
description |
Clinical guidelines have the potential to increase health gains, but also to cause harm. In this opinion article we state some misgivings about the application of the Portuguese National Health Directorate's guideline type 2 diabetes therapy: metformin in primary care. We seek to highlight guideline wording that may allow for multiple interpretations (alternatives to monotherapy with metformin, hierarchy of drugs to be associated with metformin, and metformin contraindications). Furthermore, we argue that it seems that choosing a glycemic target of 6.5% in a normative document to be applied in the general population may have unforeseen consequences. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-03 2011-03-01T00:00:00Z 2023-01-11T22:17:36Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/147361 |
url |
http://hdl.handle.net/10362/147361 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
1646-0758 PURE: 47549307 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
8 application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799138120080293888 |