Journal Article

Developing Clinical Guidelines: 99% Faster Is Not Enough

Krishnan, Jerry A.

2017

Overview

Systematic reviews consist of a set of activities for each PICO question, including prospectively defining study eligibility criteria and literature search strategies; a process by which study titles, abstracts, and full-text articles are reviewed; assessments of the quality of each included study; a structured presentation of the study designs and results of studies relevant to each PICO question; an evaluation for the potential of publication bias; and qualitative or quantitative (metaanalyses) synthesis of results across studies for each outcome within each PICO question. What is clear is that the strength of recommendations and associated quality of evidence are critical aspects of guidelines which can influence policies affecting clinical practice (e.g., performance measures and reimbursement by payers) (i2, i3). [...]while Schoenberg and colleagues deserve praise for evaluating an alternate approach to developing ATS-sponsored guidelines, further studies using CORE are needed. Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America clinical practice guidelines: treatment of drugsusceptible tuberculosis. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention clinical practice guidelines: diagnosis of tuberculosis in adults and children.

• Publisher: Oxford University Press
• Subject: Agreements / Clinical medicine / Clinical practice guidelines / Critical care / Disease control / Infectious diseases / Medicine / Physicians / Quality / Tuberculosis / Ventilators