Abstract
The number of available clinical practice guidelines has grown enormously in the recent years, therefore requiring a correct approach and use of them. We present a revision of what guidelines are and serve, how to correctly develop and find them, and how to develop and evaluate them through rigorous scientific methods. Limits and benefits of guidelines are also discussed. An overview about the use of paediatrics' guidelines is finally reported.
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References
AGREE Collaboration (2003) Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual Saf Health Care 12(1):18–23
Boluyt N, Lincke CR, Offringa M (2005) Quality of evidence-based pediatric guidelines. Pediatrics 115:1378–1391
Chassin MR, Brook RH et al (1986) Variations in the use of medical and surgical services by the Medicare population. N Engl J Med 314:285–290
Christakis DA, Rivara FP (1998) Pediatricians' awareness of and attitudes about four clinical practice guidelines. Pediatrics 101(5):825–830
Cockeram AW (1999) Clinical practice guidelines: help or hindrance? JPGN 28:362–363
Cook DJ, Greengold NL, Ellrodt AG et al (1997) The relation between systematic reviews and practice guidelines. Ann Intern Med 127:210–216
Counsell C (1997) Formulating questions and locating primary studies for inclusion in systematic reviews. Ann Intern Med 127:380–387
Denig P, Haaijer-Ruskamp FM (1994) Thinking aloud as a method of analysing the treatment decisions of physicians. Eur J Pub Health 4:55–59
Dickersin K, Scherer R, Lefebvre C (1994) Identyfing relevant studies for systematic reviews. BMJ 309:1286
Field MJ, Lohr KN (1990) Clinical practice guidelines: directions a new program. National Academy Press, Washington, DC
Flores G, Lee M, Bauchner H et al (2000) Pediatricians' attitudes, beliefs, and practices regarding clinical practice guidelines: a national survey. Pediatrics 105(3 Pt 1):496–501
Grilli R, Magrini N, Penna A et al (2000) Practice guidelines developed by specialty societies: the need for a critical appraisal. Lancet 355(9215):1646–1647
Jackson R, Feder G (1998) Guidelines for clinical guidelines. BMJ 317:427–428
Leape L, Park R, Kahan J et al (1992) Group judgement of appropriateness: the effect of panel composition. Qual Assur Health Care 4:151–159
Meade MO, Richardson SW (1997) Appraising studies for a systematic review. Ann Intern Med 127:531–537
National Institute for Health and Clinical Excellence (2009) The guidelines manual. Available at: http.//nice.org.uk
Sackett DL, Rosenberg WMC, Gray JAM et al (1996) Evidence-based medicine: what it is and what it isn't. BMJ 312:71–72
Shaneyfelt TM, Mayo-Smith MF, Rothwangl J (1999) Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA 281(20):1950–1951
Shekelle PG, Woolf SH, Eccles M et al (1999) Developing clinical guidelines. West J Med 170(6):348–351
Vlayen J, Aertgeerts B, Hannes K et al (2005) A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care 17(3):235–242
Woolf SH, Grol R, Hutchinson A et al (1999) Potential benefits, limitations, and harms of clinical guidelines. BMJ 318:527–530
Woolf SH (1993) Practice guidelines: a new reality in medicine III. Impact on patient care. Arch Intern Med 153(23):2646–2655
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Cecamore, C., Savino, A., Salvatore, R. et al. Clinical practice guidelines: what they are, why we need them and how they should be developed through rigorous evaluation. Eur J Pediatr 170, 831–836 (2011). https://doi.org/10.1007/s00431-010-1344-y
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DOI: https://doi.org/10.1007/s00431-010-1344-y