clinical practice guideline (CPG)
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Introduction
Many 'accepted guidelines' are not evidence-based.
- only 68% of cardiovascular recommendations in major guidelines are from randomized controlled trials, & only 45% of these fit 'high-quality' criteria.[1]
- only 14% of guidelines published by the Infectious Disease Society of America are based on randomized controlled trials[2]
- guidelines especially valuable when clinical presentation is heterogeneous &/or crosses various sub-specialities[6]
- best guidelines provide references to evidence-base
More specific terms
- ICD driving guidelines
- National Guideline Clearingouse (NGC) clinical practice guideline (deprecated)
- World Health Organization (WHO) pain ladder
Additional terms
References
- ↑ 1.0 1.1 Clinical Guidelines: Selection, Use & Implications for Healthcare, Prescriber's letter Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=240301&pb=PRL (subscription needed) http://www.prescribersletter.com
- ↑ 2.0 2.1 Lee DH and Vielemeyer O Analysis of Overall Level of Evidence Behind Infectious Diseases Society of America Practice Guidelines Arch Intern Med. 2011;171(1):18-22 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/20727208 <Internet> http://archinte.ama-assn.org/cgi/content/short/171/1/18
- ↑ Brito JP et al. The Endocrine Society guidelines: When the confidence cart goes before the evidence horse. J Clin Endocrinol Metab 2013 Aug; 98:3246. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23783104 <Internet> http://jcem.endojournals.org/content/98/8/3246
Reames BN et al. Critical evaluation of oncology clinical practice guidelines. J Clin Oncol 2013 Jul 10; 31:2563. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/2375210 <Internet> http://jco.ascopubs.org/content/31/20/2563 - ↑ Wyatt KD, Stuart LM, Brito JP et al Out of Context: Clinical Practice Guidelines and Patients With Multiple Chronic Conditions: A Systematic Review. Med Care. 2013 Aug 21. [Epub ahead of print] PMID: https://www.ncbi.nlm.nih.gov/pubmed/23969592
- ↑ Young K Future Clinical Guidelines to Look Closer at Healthcare Costs. Physician's First Watch, April 22, 2014 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org
Pollack A Cost of Treatment May Influence Doctors. New York Times. April 17, 2014 http://www.nytimes.com/2014/04/18/business/treatment-cost-could-influence-doctors-advice.html - ↑ 6.0 6.1 Gershlick AH The Value of Guidelines in Everyday Clinical Practice Medscape. May 24, 2018 https://www.medscape.com/viewarticle/894982 Eur Heart J. 2018;39(13):1046-1048. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29618034
- ↑ VA QUERI informatics paper: information technology for clinical guideline implementation: perceptions of multidisciplinary stakeholders. J Am Med Inform Assoc. 2005 Jan-Feb;12(1):64-71. http://www.jamia.org/cgi/content/abstract/12/1/64
Implementation of the ACC/AHA guidelines for preoperative cardiac risk assessment in a general medicine preoperative clinic: improving efficiency and preserving outcomes Cardiology. 2005;103(1):24-9. http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file=CRD2005103001024
Bartell J, Smith M. US physicians' perceptions of the effect of practice guidelines and ability to provide high-quality care. J Health Serv Res Policy. 2005 Apr;10(2):69-76. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/15831189 <Internet> http://www.ingentaconnect.com/content/rsm/jhsrp/2005/00000010/00000002/art00003
Clark E, Donovan EF, Schoettker P. From outdated to updated, keeping clinical guidelines valid Int J Qual Health Care 2006; 18:165-166. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/16613986 <Internet> http://intqhc.oxfordjournals.org/cgi/content/extract/18/3/165
Fervers B, Burgers JS, Haugh HC, et al. Adaptation of clinical guidelines: literature review and proposition for a framework and procedure Int J Qual Health Care 2006; 18:167-176 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/16766601 <Internet> http://intqhc.oxfordjournals.org/cgi/content/abstract/18/3/167