{"id":1608,"date":"2022-03-11T15:44:12","date_gmt":"2022-03-11T14:44:12","guid":{"rendered":"https:\/\/ern-ithaca.eu\/?page_id=1608"},"modified":"2026-02-02T09:09:53","modified_gmt":"2026-02-02T08:09:53","slug":"guidelines-consensus","status":"publish","type":"page","link":"https:\/\/ern-ithaca.eu\/it\/our-workgroups\/guidelines-consensus\/","title":{"rendered":"Linee guida e consenso (WG11)"},"content":{"rendered":"<h2 class=\"wp-block-heading\" id=\"taskforce-leads\">Presidente e copresidente del gruppo di lavoro <\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"287\" height=\"431\" src=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2023\/05\/Agnies_van_Eeghen_Photo.png\" alt=\"\" class=\"wp-image-2882\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\">\n<p class=\"wp-block-paragraph\"><strong>Dr Agnies van Eeghen<\/strong><br>(Amsterdam)<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"600\" src=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2023\/05\/Szakszon-photo2022-400x600-1.jpg\" alt=\"\" class=\"wp-image-2883\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:35%\">\n<p class=\"wp-block-paragraph\"><strong><strong><strong>Dr. Katalin<\/strong><\/strong>&nbsp;<strong><strong>Szakszon<\/strong><\/strong><\/strong><br>(Debrecen)<\/p>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Linee guida per la pratica clinica <\/strong>Le linee guida cliniche (CPG), o semplicemente \u201clinee guida\u201d, sono raccomandazioni su come diagnosticare e trattare una patologia. Sono redatte da esperti del settore medico con il supporto dei rappresentanti dei pazienti e sono rivolte ai medici, ma anche agli infermieri e a qualsiasi altro operatore sanitario. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Una linea guida riassume le attuali conoscenze mediche su una determinata malattia, valuta i benefici e i rischi delle procedure diagnostiche e dei trattamenti e fornisce raccomandazioni specifiche sulla base di tali informazioni.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As knowlege on rare diseases is by definition scarce and scattered, which results in late diagnosis for patients and difficulty in determining appropriate care solutions,&nbsp;<strong>the production of guidelines on low prevalence conditions is at the core of an ERN activity.&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This Worksgroup is committed to both reviewing existing guidelines on rare congenital malformations and writing new ones from scratch. It also works on developping a guideline methodology specific to rare diseases in the scope of ITHACA, and on making easy-to-understand guidelines available for patients.&nbsp;<\/p>\n\n\n\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Production of new Clinical Practice Guidelines&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Each guideline is written by a group of multidisciplinary experts, with the support of patient\u2019s representatives. So far, the Workgroup has convened 13 expert groups to write guidelines for rare congenital malformations.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>6 guidelines for rare conditions have already been published:&nbsp;<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/ern-ithaca.eu\/it\/guidelines\/ern-ithaca-guidelines\/beckwith-wiedemann-guideline\/\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Beckwith-Wiedemann<br>syndrome<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">April 2018<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/ern-ithaca.eu\/it\/guidelines\/ern-ithaca-guidelines\/valproate-embryopathy-guideline\/\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Valproate <br>embryopathy<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">October 2018<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/ern-ithaca.eu\/it\/guidelines\/ern-ithaca-guidelines\/cornelia-de-lange-guideline\/\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Cornelia de Lange<br>syndrome<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">July 2019<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/ern-ithaca.eu\/it\/documentation\/phelan-mcdermid-guideline\/\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Phelan-McDermid<br>syndrome<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">May 2023<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38471765\/\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Rubinstein-Taybi <br>syndrome<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">May 2024<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2025\/02\/Joint-Guidelines-on-spinal-dysraphism-final.pdf\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Spinal dysraphisms in children &amp; adolescents<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">February 2025<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jir.70049\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Transition<br>of care<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">November 2025<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-ernithaca-block-links wp-block-ernithaca-block-links-wrapper\"><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1098360026003886\" class=\"wp-block-ernithaca-block-links-content\"><div class=\"wp-block-ernithaca-block-links-infos\"><div class=\"wp-block-ernithaca-block-links-title\">Kleefstra Syndrome<\/div><div class=\"wp-block-ernithaca-block-links-text text-primary\">January 2026<\/div><\/div><span class=\"icon-ernithaca-more\"><\/span><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n\n\n\n<div style=\"height:8px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>6 more are currently under work: \u00a0<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pitt Hopkins syndrome&nbsp;<\/li>\n\n\n\n<li>RASophaties&nbsp;<\/li>\n\n\n\n<li>Williams-Beuren syndrome\u00a0<\/li>\n\n\n\n<li>SATB2 syndrome<\/li>\n\n\n\n<li>PIMD\/Polyhandicap &#8211; Profound Intellectual and Multiple Disabilities<\/li>\n\n\n\n<li>Challenging Behaviour<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to writing these guidelines, these taskforces also work on keeping them <strong>up-to-date,<\/strong> to make sure sure they provide relevant recommendations for health care providers.<\/p>\n\n\n\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Appraisal of existing guidelines&nbsp;<\/h2>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"394\" height=\"409\" src=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/Capture-decran-2024-10-31-100046.png\" alt=\"\" class=\"wp-image-6328\" style=\"width:169px;height:auto\"\/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Guidelines being a major clinical tool, it is crucial that they are trustworthy. This taskforce is dedicated to <strong>assessing the methodological quality of existing guidelines<\/strong> on rare diseases in the scope of ITHACA. Publications that this taksforce evaluates as methodologically reliable&nbsp;are <strong>endorsed<\/strong> by the ERN-ITHACA.&nbsp;<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Development of an ERN-ITHACA guideline methodology<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Methodologies on the elaboration of guidelines have been elaborated for common disorders on the basis of evidence-based support. This approach is challenging for ultrarare entities. This taskforce, led by an expert in guideline methodology, was created to adapt from these methods <strong>an ERN ITHACA <em>specific <\/em>methodology<\/strong>, that will be of guidance to elaborate new guidelines and to assess old ones. &nbsp;<\/p>\n\n\n\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Writing of easy-to-read guidelines for patients&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Guidelines are directed at health care professionals and are not easily understandable for patients and their families. The Guideline Workgroup thus works on creating <strong>adapted English summary of clinical<\/strong> guidelines, and to translate them into other European languages.&nbsp;These documents are meant to help patients understanding their condition, and to facilitate their involvement into the decision-making around their care.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1003\" height=\"709\" src=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image-pmd.png\" alt=\"\" class=\"wp-image-6138\" style=\"width:450px;height:auto\" srcset=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image-pmd.png 1003w, https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image-pmd-600x424.png 600w, https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image-pmd-768x543.png 768w\" sizes=\"auto, (max-width: 1003px) 100vw, 1003px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Example of one <a href=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/05\/PMS_ENGLISH-1.pdf\">booklet<\/a> for patient adapted from the ITHACA guideline on Phelan-McDermid syndrome<\/em><\/p>\n\n\n\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">* * *<\/p>\n\n\n\n<div style=\"height:38px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image.jpg\" alt=\"\" class=\"wp-image-6135\" style=\"width:663px;height:auto\" srcset=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image.jpg 800w, https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image-600x450.jpg 600w, https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2024\/10\/image-768x576.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Picture of the Workgroup&#8217;s coordination team: Dr Katalin Szackszon (co-chair) Dr Mirthe Klein Haneveld (ITHACA PM), Klea Vyshka (ITHACA PM), Dr Agnies Van Eeghen (chair), Charlotte Gaasterland (ITHACA PM)<\/em>, <em>Anne Hugon (ITHACA PM)<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Workgroup Chair and co-Chair Dr Agnies van Eeghen(Amsterdam) Dr. Katalin&nbsp;Szakszon(Debrecen) Clinical practice guidelines (CPGs), or simply guidelines, are recommendations on how to diagnose and treat a medical condition. They are written by medical experts with the support of patient\u2019s representatives, and are directed to doctors, but also&nbsp;nurses or any other health care professionals. &nbsp; A [&hellip;]<\/p>\n","protected":false},"author":253,"featured_media":0,"parent":6017,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1608","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Guidelines &amp; consensus (WG11) - ERN ITHACA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ern-ithaca.eu\/it\/our-workgroups\/guidelines-consensus\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Guidelines &amp; consensus (WG11) - ERN ITHACA\" \/>\n<meta property=\"og:description\" content=\"Workgroup Chair and co-Chair Dr Agnies van Eeghen(Amsterdam) Dr. Katalin&nbsp;Szakszon(Debrecen) Clinical practice guidelines (CPGs), or simply guidelines, are recommendations on how to diagnose and treat a medical condition. They are written by medical experts with the support of patient\u2019s representatives, and are directed to doctors, but also&nbsp;nurses or any other health care professionals. &nbsp; A [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ern-ithaca.eu\/it\/our-workgroups\/guidelines-consensus\/\" \/>\n<meta property=\"og:site_name\" content=\"ERN ITHACA\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-02T08:09:53+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ern-ithaca.eu\/wp-content\/uploads\/2023\/05\/Agnies_van_Eeghen_Photo.png\" \/>\n\t<meta property=\"og:image:width\" content=\"287\" \/>\n\t<meta property=\"og:image:height\" content=\"431\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@ERNIthaca\" \/>\n<meta name=\"twitter:label1\" content=\"Tempo di lettura stimato\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ern-ithaca.eu\\\/our-workgroups\\\/guidelines-consensus\\\/\",\"url\":\"https:\\\/\\\/ern-ithaca.eu\\\/our-workgroups\\\/guidelines-consensus\\\/\",\"name\":\"Guidelines &amp; 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