Further disquiet on the guidelines front.
Year: 2001
Type: article
Abstract: More discouraging news about clinical practiceguidelines (CPGs). In this issue (page 157) IanGraham and colleagues review the quality of drug therapy CPGs developed or endorsed by Canadian organizations from 1994 to 1998.1 Only 14.7 % of the 217 guidelines reviewed met half or more of the 20 criteria defining the rigour of the development process, and inde-pendent reviewers recommended only 9.2 % as being sound without modification. The drug therapy CPGs, it would seem, often retail opinion based on incomplete or haphaz-ardly compiled scientific evidence. For much of the past decade, proponents of evidence-based medicine have de-cried the lack of uptake of CPGs. Given their quality, as re-ported by Graham and colleagues, perhaps we should in-stead applaud. Or perhaps not. The authors assessed the guidelines us-ing the Appraisal Instrument for Clinical Guidelines, in
Source: Europe PMC (PubMed Central)
Author: S J Lewis
Institution: University of Calgary
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2149988438