{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,6]],"date-time":"2022-04-06T00:15:44Z","timestamp":1649204144725},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"51","license":[{"start":{"date-parts":[[2020,12,20]],"date-time":"2020-12-20T00:00:00Z","timestamp":1608422400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,12,20]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold> A tudom\u00e1ny jelenlegi \u00e1ll\u00e1sa szerint \u2013 csoportok\n \u00f6sszehasonl\u00edt\u00e1s\u00e1ra \u00e9p\u00fcl\u0151 matematikai-statisztikai eszk\u00f6z\u00f6kkel \u2013 a legink\u00e1bb\n hat\u00e9konynak \u00e9s hat\u00e1sosnak v\u00e9lt kezel\u00e9si m\u00f3dszerek szisztematikus elemz\u00e9se\n ment\u00e9n, a bizony\u00edt\u00e9kokon alapul\u00f3 ir\u00e1nyelveken nyugv\u00f3 gy\u00f3gy\u00edt\u00f3 munk\u00e1t tekintj\u00fck\n k\u00f6vetend\u0151nek. A nyaki ver\u0151\u00e9rsz\u0171k\u00fclet ell\u00e1t\u00e1sa eset\u00e9n az ut\u00f3bbi \u00e9vekben elk\u00e9sz\u00fclt\n mind a hazai, mind az eur\u00f3pai ir\u00e1nyelv, mindemellett a t\u00e1rsszakm\u00e1k ir\u00e1nyelveiben\n is megjelentek kezel\u00e9si javaslatok. K\u00f6zlem\u00e9ny\u00fcnkben \u00f6sszehasonl\u00edtottuk a t\u00e9m\u00e1ban\n publik\u00e1lt magyar, angol, n\u00e9met \u00e9s olasz nyelv\u0171, valamint az eur\u00f3pai t\u00e1rsas\u00e1gok\n \u00e1ltal kiadott ir\u00e1nyelveket. Az ir\u00e1nyelvek alapelveikben hasonl\u00f3ak, formailag \u00e9s\n tartalmilag azonban jelent\u0151s (id\u0151nk\u00e9nt egym\u00e1snak ellentmondani l\u00e1tsz\u00f3)\n k\u00fcl\u00f6nbs\u00e9geket tal\u00e1lhatunk. Az ellentmond\u00e1sok h\u00e1rom leggyakoribb oka: 1) az egyes\n ir\u00e1nyelvek \u00e1ltal kit\u0171z\u00f6tt c\u00e9lok k\u00fcl\u00f6nb\u00f6z\u0151s\u00e9ge, 2) az aszimptomatikus \u00e9s\n szimptomatikus betegcsoport defin\u00edci\u00f3i, valamint 3) az elt\u00e9r\u0151 evidenciaszintek.\n Az ir\u00e1nyelvek \u00f6sszevet\u00e9se alapj\u00e1n a t\u00fcnetes, szignifik\u00e1ns nyaki ver\u0151\u00e9rsz\u0171k\u00fcletek\n seb\u00e9szi ell\u00e1t\u00e1sa evidenci\u00e1nak tekinthet\u0151. A szimptomatikus nyaki ver\u0151\u00e9rsz\u0171k\u00fclet\n a defin\u00edci\u00f3 szerint ellenoldali cerebralis ischaemia okozta, tranziens vagy\n definit\u00edv plegia, paresis, aphasia \u00e9s az azonos oldali arteria centralis retinae\n embolisati\u00f3ja miatti amaurosis fugax. A t\u00fcnetmentes nyaki ver\u0151\u00e9rsz\u0171k\u00fcletek\n ell\u00e1t\u00e1sa tekintet\u00e9ben az eur\u00f3pai \u00e9s a nemzeti ir\u00e1nyelvek nem azonosak, ezen\n esetek ter\u00e1pi\u00e1s d\u00f6nt\u00e9se egy\u00e9ni m\u00e9rlegel\u00e9st ig\u00e9nyel. T\u00fcnetmentes, 70%-os stenosis\n eset\u00e9n vascularteam-konz\u00edlium javasolt. Orv Hetil. 2020; 161(51): 2139\u20132145.<\/jats:p>\n Summary.<\/jats:bold> The correct practice is the one that is proven to be the\n most effective based on systematic statistical analyses of different treatment\n methods, and is applied according to evidence-based principles. In recent years,\n not only has the European Society of Vascular Surgery created a guideline about\n the management of supra-aortic steno-occlusive disease, but some nations\u2019\n vascular surgical societies and related disciplines have also developed their\n own guidance. In this paper, the guidelines by the European societies on the\n clinical care of patients with carotid artery luminal narrowing is compared to\n national guidelines published in Hungarian, English, German, and Italian.\n Although the fundamental points of the guidelines are similar, there are some\n important differences among them both in presentation and in content; as a\n result, they sometimes appear to be contradictory. The three main sources of\n inconsistency are the various goals, the discrepancy in the definition of\n symptomatic and asymptomatic carotid artery stenosis, and the bias arising from\n the use of distinct evidence levels. A comparison of guidelines suggests that\n the treatment of symptomatic significant carotid artery stenosis with surgery\n can be considered evidence. Symptomatic carotid artery stenosis is defined as\n transient or definite plegia, paresis, aphasia due to cerebral ischemia, and\n monocular blindness caused by embolism in the central retinal artery. However,\n in the case of asymptomatic 70% or greater carotid artery stenosis, the\n guidelines are quite heterogeneous, and these patients require individual\n consideration and a vascular team decision is recommended. Orv Hetil. 2020;\n 161(51): 2139\u20132145.<\/jats:p>","DOI":"10.1556\/650.2020.31914","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T01:05:07Z","timestamp":1608685507000},"page":"2139-2145","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["A nyaki ver\u0151\u00e9r-sz\u0171k\u00fcletes betegek ell\u00e1t\u00e1si ir\u00e1nyelveinek k\u00fcl\u00f6nbs\u00e9gei Eur\u00f3pa k\u00fcl\u00f6nb\u00f6z\u0151 orsz\u00e1gaiban"],"prefix":"10.1556","volume":"161","author":[{"given":"Zsuzsanna","family":"Mih\u00e1ly","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle Mariastefano","family":"Fontanini","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1gnes D\u00f3ra","family":"S\u00e1ndor","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edit","family":"D\u00f3sa","sequence":"additional","affiliation":[{"name":"3 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, Intervenci\u00f3s Radiol\u00f3gia Tansz\u00e9k, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Lovas","sequence":"additional","affiliation":[{"name":"4 Jahn Ferenc D\u00e9l-pesti K\u00f3rh\u00e1z \u00e9s Rendel\u0151int\u00e9zet, Neurol\u00f3giai Oszt\u00e1ly, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Endre","family":"Kolossv\u00e1ry","sequence":"additional","affiliation":[{"name":"5 Szent Imre Egyetemi Oktat\u00f3 K\u00f3rh\u00e1z, Angiol\u00f3gia, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ill\u00e9s","family":"Kov\u00e1cs","sequence":"additional","affiliation":[{"name":"6 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilla","family":"Istv\u00e1n","sequence":"additional","affiliation":[{"name":"6 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Szem\u00e9szeti Klinika, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Entz","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"S\u00f3tonyi jr.","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, \u00c9rseb\u00e9szeti \u00e9s Endovaszkul\u00e1ris Tansz\u00e9k, Budapest, V\u00e1rosmajor u. 68., 1122"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/51\/article-p2139.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/51\/article-p2139.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:22Z","timestamp":1633914742000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/51\/article-p2139.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,20]]},"references-count":0,"journal-issue":{"issue":"51"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31914","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,20]]}}}