Accession Number:



Development and Dissemination of Clinical Practice Guidelines and Appropriate Use Criteria for Treatment of Major Extremity Trauma

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[Technical Report, Annual Report]

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A critical next step for METRC is the integration of its results with other relevant research, multidisciplinary clinical expertise and patient values to develop Clinical Practice Guidelines CPGs and criteria for the appropriate use of the guidelines through development of Appropriate Use Criteria AUCs. To this end, six clinical topics were identified 1 Diagnosis and Treatment of Acute Compartment Syndrome 2 Limb Salvage vs. Amputation Following Major Limb Trauma 3 Early Screening for Psychosocial Risk and Protective Factors 4 Use of Multimodal Perioperative Pharmacologic Pain Management 5 Techniques for Performing Transtibial Amputation- Burgess vs. Ertl and 6 Prevention and Treatment of Surgical Site Infection. We have made progress on the first 5 topics, as planned. A complete draft guideline document has been produced for topic 1. For topics 2 and 3, a protocol to interview former METRC OUTLET and TCCS study patients has been approved and interviews to help frame PICO questions will commence in the next project year. For topics 4 and 5, enrollment and follow-up into the METRC PAIN and TAOS studies has continued as planned and as necessary to address these topics. We expect to continue work on topics 1-5 as planned with no anticipated major delays or challenges.

Subject Categories:

  • Anatomy and Physiology
  • Medicine and Medical Research

Distribution Statement:

[A, Approved For Public Release]