Search Database

KT Strategies - Search Results

You searched for records matching:

1. Citation: Vernooij, R. WM., Sanabria, A. J., Sola, I., Alonso-Coello, P., & Garcia, L. M. (2014). Guidance for updating clinical practice guidelines: A systematic review of methodological handbooks. Implementation Science, 9 (3). doi: 10.1186/1748-5908-9-3
Title: Guidance for updating clinical practice guidelines: A systematic review of methodological handbooks
Author(s): Vernooij, R. WM.
Sanabria, A. J.
Sola, I.
Alonso-Coello, P.
Garcia, L. M.
Year: 2014
Journal/Publication: Implementation Science
Abstract:

Background

Updating clinical practice guidelines (CPGs) is a crucial process for maintaining the validity of recommendations. Methodological handbooks should provide guidance on both developing and updating CPGs. However, little is known about the updating guidance provided by these handbooks.

Methods

We conducted a systematic review to identify and describe the updating guidance provided by CPG methodological handbooks and included handbooks that provide updating guidance for CPGs. We searched in the Guidelines International Network library, US National Guidelines Clearinghouse and MEDLINE (PubMed) from 1966 to September 2013. Two authors independently selected the handbooks and extracted the data. We used descriptive statistics to analyze the extracted data and conducted a narrative synthesis.

Results

We included 35 handbooks. Most handbooks (97.1%) focus mainly on developing CPGs, including variable degrees of information about updating. Guidance on identifying new evidence and the methodology of assessing the need for an update is described in 11 (31.4%) and eight handbooks (22.8%), respectively. The period of time between two updates is described in 25 handbooks (71.4%), two to three years being the most frequent (40.0%). The majority of handbooks do not provide guidance for the literature search, evidence selection, assessment, synthesis, and external review of the updating process.

Conclusions

Guidance for updating CPGs is poorly described in methodological handbooks. This guidance should be more rigorous and explicit. This could lead to a more optimal updating process, and, ultimately to valid trustworthy guidelines.

Keywords:
Clinical practice guidelines; Evidence-based medicine; Handbooks; Methodology; Systematic review

Copyright © (2014) Vernooij, R. WM. et al. Abstract reprinted by AIR in compliance with the BioMed Central Open Access Charter at http://www.biomedcentral.com/about/policies/license-agreement.

WEB URI:

http://www.implementationscience.com/content/9/1/3

Type of Item: Systematic Review/Meta-Analysis
Type of KT Strategy: Handbooks
Target Group: Decision Maker
Research Funders
Researchers
Evidence Level: 5
Record Updated:2014-02-03
 

Home or Search again

American Institutes for Research (AIR) logo
About AIR | AIR Topics | Contact AIR
Center on Knowledge Translation for Disability and Rehabilitation Research (KTDRR)
© 2019 American Institutes for Research (AIR).

The contents of this site were developed under grant number 90DPKT0001 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this website do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.


the National Institute on Disability Independent Living and Rehabilitation Research logo