Guidelines


GUIDELINES

As part of our mission, ISHLT engages in the regular development of guidelines, consensus documents, standards statements, and policy statements related to end-stage heart and lung disease therapies.  A complete list of these documents that ISHLT has published, co-authored, and/or endorsed is listed below, organized by date of publication. Free access to the full text of most of the below documents is available by clicking on the titles.

Topics chosen for ISHLT Standards Statements, Guidelines, Consensus Documents, and Consensus Conferences are usually broad medical and clinical issues within our discipline and our core competencies, related to the topics where there is a clear need for guidance to assist physicians/clinicians in diagnosis and/or clinical management.  They can encompass public health issues, epidemiology, prevention, management strategies, health policies, etc.

The ISHLT Standards and Guidelines (S&G) Committee will seek the advice of the appropriate Committees and Councils of the ISHLT for the choice of new Standards Statements, Guidelines, Consensus Documents, and Consensus Conference topics. Importantly, ideas and proposals for Standards Statements, Guidelines, Consensus Documents, and Consensus Conferences may be initiated from within one of the ISHLT Councils and submitted to the S&G Committee. The S&G Committee may also ask for advice and input from other bodies within ISHLT.  Suggested topics will be reviewed and prioritized by internal decision within the S&G Committee.

Duplication of good quality, previously existing guidelines issued by other societies is discouraged unless new data exists which make previous guidelines out of date. Updates of previously published guidelines have high priority when new data have emerged in the relevant field.

Please click on the links below to access the protocols, policies, and application forms for new standards and guidelines documents.

Activities and documents under S&G Committee purview:

C. ISHLT Standards Statements
D. ISHLT Policy Statements
E. Guidelines, Consensus Documents, and Standards Statements developed jointly with Other Organizations
F. Consensus Conferences (including joint consensus conferences with Other Organizations)
G. ISHLT Endorsement of Guidelines/Consensus Statements developed by Other Organizations
H. Endorsement by Other Organizations of ISHLT Guidelines/Consensus Statements

Guidelines:  documents that include strategies, information, and specific recommendations that assist physicians and other healthcare practitioners in making decisions about appropriate measures of care for specific clinical circumstances.  Guidelines must include the following components:
  • A development process that includes multi-disciplinary and broad geographic representation within ISHLT.
  • A comprehensive literature search and expert opinion which provide the evidence for recommendations
  • Specific recommendations which include a formal grading based on the quality of available evidence
  • Each recommendation formally graded by an evaluation of benefits, harms, burdens, and costs
Consensus Documents: documents which summarize available information, supply general recommendations on complex or controversial areas of patient care, and include the following components:
  • A development process that includes multi-disciplinary and broad geographic representation within ISHLT.
  • A comprehensive literature search and expert opinion which provide the evidence for recommendations
  • Consensus statement documents do NOT include individual recommendations that are quantified by level of evidence and strength of recommendation
Standards Statements: documents which describe standards for training, competency, or nomenclature and incorporate a development process that include multi-disciplinary and broad geographic representation within ISHLT.

Policy Statements: documents which present ISHLT positions on ethics and public health policy issues

  • ISHLT Statement on Transplant Ethics (PDF) (updated 19 Oct, 2014)
  • ISHLT Position on the Trafficking of Donor Organs:
    Tales from the Organ Trade and similar documentaries are reminders that organ trafficking remains an important international problem. In line with the above ISHLT Statement on Transplant Ethics and in concert with other national and international transplantation societies, the ISHLT strongly and emphatically endorses the Declaration of Istanbul which seeks to abolish the illegal and immoral trade in donor organs which is supported in part by so called “transplant tourism”. As a corollary of which,  the Society values and supports every effort to improve the availability of donor organs by legitimate process thereby providing community access to these life sustaining therapies.
Consensus Conferences: A conference of experts designed to review information related to a specific area and come to consensus on recommendations regarding the area and/or gaps in information that require further study.  The conference should be multidisciplinary, begin with a presentation of the state of the art concerning the topic based upon a literature review, and include group discussion of background information and recommendations.  A consensus document or guideline should result from most Consensus Conferences. A Consensus Conference is not a necessary precursor to the development of a Consensus Document. A Consensus Conference should only be undertaken when adequate consensus and plans for moving the field forward cannot be accomplished through the usual Consensus Document development process.

ISHLT Standards and Guidelines Development Protocol (PDF)  This is the document which all ISHLT-developed standards and guidelines are required to follow.

ISHLT Policies Regarding the Development of Guidelines Jointly with Other Organizations (PDF)

Visit the Standards & Guidelines Committee webpage for more information on the ISHLT standards & guidelines leadership.



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