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Clinical Practice Guidelines, Evidence-Based Medicine, and Diabetes

  • Joel Rodriguez-Saldana
Chapter

Abstract

Clinical practice guidelines (CPG) are systematic statements designed to help physicians and patients in taking decisions about appropriate care for specific clinical circumstances. The goals of CPG include reducing the unjustified variation in medical practice, improve the quality of health care, and accelerate adoption of effective interventions. The design of diabetes guidelines has nurtured from the principles of evidence-based medicine and from the results of randomized clinical trials in the pursuit of improvement in clinical outcomes, with a shift from universal recommendations to all patients to a patient-centered approach. Recognition of the impact of unjustified variations of medical practice on clinical outcomes, health-care costs, and patient’s priorities is becoming increasingly relevant in the design of diabetes clinical guidelines. Strategies to reinforce implementation include audit, feedback, and reminders, but challenges of awareness, acceptance, and measurement are still formidable.

Keywords

Clinical guidelines Type 2 diabetes Evidence-based medicine Patient-centered care Unwarranted variation AGREE II 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Joel Rodriguez-Saldana
    • 1
  1. 1.Multidisciplinary Centre of DiabetesMexico CityMexico

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