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An implication is therefore that guideline developers should always explicitly decide whether chronic kidney disease is common enough in the real world population with the disease under consideration to require comment or modification of recommendations.
Calls for cultural sensitivity in regard to communication in EoL care in Europe should therefore be interpreted as a need for a sensitive understanding and flexible inclusion of all preferences rather than the modification of recommendations and policy for different European countries [ 38].
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The task that remains is to, whenever possible, conduct research to determine which concerns are shown to be valid when the recommendations are implemented, and when modifications of the recommendations are needed.
Of the 80 pieces, 19 contributed to modifications of clinical recommendations in six practice guidelines, whereas the remaining evidence supported the original recommendations.
The diuresis renography protocol was a two-stage acquisition based on a minor modification of the consensus recommendations [22].
Management includes modification of diet, and recommendations for sleep, exercise, and stress reduction through bio-behavioral interventions as well as the use of a range of medications for prevention and acute treatment of migraine.
We used a modification of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system 21 and our quality assessment tool to assign a final rating of high, moderate, low, or very low to each article.
After modification of the guideline recommendation 95%% of the orchidopexies were performed after the first year of life.
Lynch's promise to accept without modification the recommendations of the F.B.I. has removed a potentially sympathetic voice from the process.
Given the factors that influence the formulation of recommendations, the modification of individual recommendations confirms that an adaptation process was required.
The Institute of Medicine (IOM) has recommended that clinical practice guidelines should be updated when new evidence suggests the need for modification of such clinically important recommendations [ 26].
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