The Internet can be successfully used as medium for providing self-management and rehabilitation interventions for knee OA [ 22], with individuals receiving individualized and interactive guidelines reporting improved pain, stiffness and physical function, as well as being satisfied with this approach [ 23- 25].
While recent diabetes guidelines suggest individualized targets for patients with specific chronic conditions, the guidelines still have diabetes as the central condition and discuss diabetes care goals, without incorporating the non-diabetes care goals of most comorbidities, especially discordant comorbidities.
Current guidelines recommend individualized treatment plans which allow for provider choice and diversity of pharmacotherapeutic regimens.
Protocol criteria usually exclude women with advanced cancers or complicated co-morbid conditions, since such patients may need individualized care outside standard guidelines.
Re-evaluating the biological features of disease using metastatic lesions has been largely individualized, although recent practice guidelines of the National Comprehensive Cancer Network recommend biopsy of metastatic sites, especially when they represent the first recurrence of disease and/or ER/PgR/HER2 status is unknown or was originally negative.
Because the frequency and risk of hypoglycemia may be a concern (6), multiple guidelines recommend that glycemic control targets should be individualized for such individuals, especially in the presence of comorbid medical and mental health conditions (7).
There is increasing discussion whether colorectal cancer (CRC) screening guidelines should be individualized by sex and race.
While governments can support guideline development and dissemination and public health campaigns, and most European countries have national dietary guidelines, they cannot dictate individualized behaviours such as total calorie intake, dietary composition, salt addition (within reason), physical activity, or any of a range of associated risk behaviours.
I fear the day when individualized clinical judgment is replaced by medical guidelines of any kind.
Ideal individualized risk factor targets were based on national guidelines, reports and validated assessment tools.
