The updating of clinical practice guidelines: insights from an international survey

BACKGROUND: Clinical practice guidelines (CPGs) have become increasingly popular, and the methodology to develop guidelines has evolved enormously. However, little attention has been given to the updating process, in contrast to the appraisal of the available literature. We conducted an internationa...

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Autores: Alonso-Coello, P. (Pablo)|||/items/3488583a-ba41-4b24-884a-8bf22e2dac80, Martínez-García, L. (Laura)|||/items/66dac3ee-1f74-4232-b190-9cbe84cc9a6e, Carrasco-Gimeno, J.M. (José Miguel)|||/items/eb8e935b-c718-4694-8d8c-5ff60a078b20, Solà, I. (Iván)|||/items/79081bed-41c9-4be5-9329-3f4f226b728d, Qureshi, S. (Safia)|||/items/8bb3a52f-d032-4c60-946e-f58f9fb9a528, Burgers, J.S. (Jako S.)|||/items/66efa4ad-c9d2-4442-9676-d55a1fae1234
Tipo de recurso: artículo
Fecha de publicación:2011
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/50958
Acceso en línea:https://hdl.handle.net/10171/50958
Access Level:acceso abierto
Palabra clave:Clinical practice guidelines
Guideline updating
Survey
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spelling The updating of clinical practice guidelines: insights from an international surveyAlonso-Coello, P. (Pablo)|||/items/3488583a-ba41-4b24-884a-8bf22e2dac80Martínez-García, L. (Laura)|||/items/66dac3ee-1f74-4232-b190-9cbe84cc9a6eCarrasco-Gimeno, J.M. (José Miguel)|||/items/eb8e935b-c718-4694-8d8c-5ff60a078b20Solà, I. (Iván)|||/items/79081bed-41c9-4be5-9329-3f4f226b728dQureshi, S. (Safia)|||/items/8bb3a52f-d032-4c60-946e-f58f9fb9a528Burgers, J.S. (Jako S.)|||/items/66efa4ad-c9d2-4442-9676-d55a1fae1234Clinical practice guidelinesGuideline updatingSurveyBACKGROUND: Clinical practice guidelines (CPGs) have become increasingly popular, and the methodology to develop guidelines has evolved enormously. However, little attention has been given to the updating process, in contrast to the appraisal of the available literature. We conducted an international survey to identify current practices in CPG updating and explored the need to standardize and improve the methods. METHODS: We developed a questionnaire (28 items) based on a review of the existing literature about guideline updating and expert comments. We carried out the survey between March and July 2009, and it was sent by email to 106 institutions: 69 members of the Guidelines International Network who declared that they developed CPGs; 30 institutions included in the U.S. National Guideline Clearinghouse database that published more than 20 CPGs; and 7 institutions selected by an expert committee. RESULTS: Forty-four institutions answered the questionnaire (42% response rate). In the final analysis, 39 completed questionnaires were included. Thirty-six institutions (92%) reported that they update their guidelines. Thirty-one institutions (86%) have a formal procedure for updating their guidelines, and 19 (53%) have a formal procedure for deciding when a guideline becomes out of date. Institutions describe the process as moderately rigorous (36%) or acknowledge that it could certainly be more rigorous (36%). Twenty-two institutions (61%) alert guideline users on their website when a guideline is older than three to five years or when there is a risk of being outdated. Twenty-five institutions (64%) support the concept of "living guidelines," which are continuously monitored and updated. Eighteen institutions (46%) have plans to design a protocol to improve their guideline-updating process, and 21 (54%) are willing to share resources with other organizations. CONCLUSIONS: Our study is the first to describe the process of updating CPGs among prominent guideline institutions across the world, providing a comprehensive picture of guideline updating. There is an urgent need to develop rigorous international standards for this process and to minimize duplication of effort internationally.BioMed CentralDadun. Depósito Académico Digital Universidad de Navarra20182018-04-1020112011-01-0120112011-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/50958reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/509582026-06-21T12:47:57Z
dc.title.none.fl_str_mv The updating of clinical practice guidelines: insights from an international survey
title The updating of clinical practice guidelines: insights from an international survey
spellingShingle The updating of clinical practice guidelines: insights from an international survey
Alonso-Coello, P. (Pablo)|||/items/3488583a-ba41-4b24-884a-8bf22e2dac80
Clinical practice guidelines
Guideline updating
Survey
title_short The updating of clinical practice guidelines: insights from an international survey
title_full The updating of clinical practice guidelines: insights from an international survey
title_fullStr The updating of clinical practice guidelines: insights from an international survey
title_full_unstemmed The updating of clinical practice guidelines: insights from an international survey
title_sort The updating of clinical practice guidelines: insights from an international survey
dc.creator.none.fl_str_mv Alonso-Coello, P. (Pablo)|||/items/3488583a-ba41-4b24-884a-8bf22e2dac80
Martínez-García, L. (Laura)|||/items/66dac3ee-1f74-4232-b190-9cbe84cc9a6e
Carrasco-Gimeno, J.M. (José Miguel)|||/items/eb8e935b-c718-4694-8d8c-5ff60a078b20
Solà, I. (Iván)|||/items/79081bed-41c9-4be5-9329-3f4f226b728d
Qureshi, S. (Safia)|||/items/8bb3a52f-d032-4c60-946e-f58f9fb9a528
Burgers, J.S. (Jako S.)|||/items/66efa4ad-c9d2-4442-9676-d55a1fae1234
author Alonso-Coello, P. (Pablo)|||/items/3488583a-ba41-4b24-884a-8bf22e2dac80
author_facet Alonso-Coello, P. (Pablo)|||/items/3488583a-ba41-4b24-884a-8bf22e2dac80
Martínez-García, L. (Laura)|||/items/66dac3ee-1f74-4232-b190-9cbe84cc9a6e
Carrasco-Gimeno, J.M. (José Miguel)|||/items/eb8e935b-c718-4694-8d8c-5ff60a078b20
Solà, I. (Iván)|||/items/79081bed-41c9-4be5-9329-3f4f226b728d
Qureshi, S. (Safia)|||/items/8bb3a52f-d032-4c60-946e-f58f9fb9a528
Burgers, J.S. (Jako S.)|||/items/66efa4ad-c9d2-4442-9676-d55a1fae1234
author_role author
author2 Martínez-García, L. (Laura)|||/items/66dac3ee-1f74-4232-b190-9cbe84cc9a6e
Carrasco-Gimeno, J.M. (José Miguel)|||/items/eb8e935b-c718-4694-8d8c-5ff60a078b20
Solà, I. (Iván)|||/items/79081bed-41c9-4be5-9329-3f4f226b728d
Qureshi, S. (Safia)|||/items/8bb3a52f-d032-4c60-946e-f58f9fb9a528
Burgers, J.S. (Jako S.)|||/items/66efa4ad-c9d2-4442-9676-d55a1fae1234
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv Clinical practice guidelines
Guideline updating
Survey
topic Clinical practice guidelines
Guideline updating
Survey
description BACKGROUND: Clinical practice guidelines (CPGs) have become increasingly popular, and the methodology to develop guidelines has evolved enormously. However, little attention has been given to the updating process, in contrast to the appraisal of the available literature. We conducted an international survey to identify current practices in CPG updating and explored the need to standardize and improve the methods. METHODS: We developed a questionnaire (28 items) based on a review of the existing literature about guideline updating and expert comments. We carried out the survey between March and July 2009, and it was sent by email to 106 institutions: 69 members of the Guidelines International Network who declared that they developed CPGs; 30 institutions included in the U.S. National Guideline Clearinghouse database that published more than 20 CPGs; and 7 institutions selected by an expert committee. RESULTS: Forty-four institutions answered the questionnaire (42% response rate). In the final analysis, 39 completed questionnaires were included. Thirty-six institutions (92%) reported that they update their guidelines. Thirty-one institutions (86%) have a formal procedure for updating their guidelines, and 19 (53%) have a formal procedure for deciding when a guideline becomes out of date. Institutions describe the process as moderately rigorous (36%) or acknowledge that it could certainly be more rigorous (36%). Twenty-two institutions (61%) alert guideline users on their website when a guideline is older than three to five years or when there is a risk of being outdated. Twenty-five institutions (64%) support the concept of "living guidelines," which are continuously monitored and updated. Eighteen institutions (46%) have plans to design a protocol to improve their guideline-updating process, and 21 (54%) are willing to share resources with other organizations. CONCLUSIONS: Our study is the first to describe the process of updating CPGs among prominent guideline institutions across the world, providing a comprehensive picture of guideline updating. There is an urgent need to develop rigorous international standards for this process and to minimize duplication of effort internationally.
publishDate 2011
dc.date.none.fl_str_mv 2011
2011-01-01
2011
2011-01-01
2018
2018-04-10
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10171/50958
url https://hdl.handle.net/10171/50958
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra
instname:Universidad de Navarra
instname_str Universidad de Navarra
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
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