并发障碍是指同时需要治疗的物质使用障碍和精神障碍的不同组合。并发疾病未被诊断,治疗不足,管理起来更复杂,实践最好的建议可以支持更好的结果。这项工作的目的是系统地评估当前并发疾病临床推荐管理指南的质量。文献检索由两个独立的作者在电子数据库中进行,Web,灰色文学纳入标准是2000年至2020年成人并发疾病的英语临床管理指南。最初的搜索结果是8841次点击。总共确定了24条准则,并使用标准化准则评估工具进行了评估:AGREEII(评估研究和评估准则)。大多数准则都有可接受的标准,然而,只有NICE指南包含所有AGREEII域的所有详细信息。指南通常支持对单个疾病的治疗组合,但对并发疾病的证据基础非常小。他们很少为该领域的进一步结构提供建议,例如复杂程度或分期,或评估不同的治疗整合模式。
Concurrent disorder refers to a diverse set of combinations of substance use disorders and mental disorders simultaneously in need of treatment. Concurrent disorders are underdiagnosed, undertreated, and more complex to manage, practicing the best recommendations can support better outcomes. The purpose of this work is to systematically assess the quality of the current concurrent disorders\' clinical recommendation management guidelines. Literature searches were performed by two independent authors in electronic databases, web, and gray literature. The inclusion criteria were English language clinical management
guidelines for adult concurrent disorders between 2000 and 2020. The initial search resulted in 8841 hits. A total of 24
guidelines were identified and assessed with the standardized
guidelines assessment tool: AGREE II (Appraisal of
Guidelines for Research and Evaluation). Most
guidelines had acceptable standards, however, only the NICE
guidelines had all detailed information on all AGREE II Domains.
Guidelines generally supported combinations of treatments for individual disorders with a very small evidence base for concurrent disorders, and they provided little recommendation for further structuring of the field, such as level of complexity or staging, or evaluating different models of treatment integration.