Development and implementation of clinical practice guidelines: An update and synthesis of the literature with a focus in application to spinal conditions

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dc.contributor.author Tetreault, Lindsay
dc.contributor.author Nater, Anick
dc.contributor.author Garwood, Philip
dc.contributor.author Badhiwala, Jetan H.
dc.contributor.author Wilson, Jefferson R.
dc.contributor.author Fehlings, Michael G.
dc.date.accessioned 2019-11-20T05:21:01Z
dc.date.available 2019-11-20T05:21:01Z
dc.date.issued 2019-05-08
dc.identifier.citation Tetreault, L., Nater, A., Garwood, P., Badhiwala, J.H., Wilson, J.R. and Fehlings, M.G. (2019) 'Development and Implementation of Clinical Practice Guidelines: An Update and Synthesis of the Literature With a Focus in Application to Spinal Conditions'. Global spine journal, 9(1S), pp. 53S-64S. doi:10.1177/2192568219831689 en
dc.identifier.volume 9 en
dc.identifier.issued IS en
dc.identifier.startpage 53S en
dc.identifier.endpage 64S en
dc.identifier.issn 2192-5682
dc.identifier.uri http://hdl.handle.net/10468/9114
dc.identifier.doi 10.1177/2192568219831689 en
dc.description.abstract Study Design:Review.Objectives:The objectives of this review are to (a) summarize the role of clinical practice guidelines (CPGs), (b) outline the methodology involved in formulating CPGs, (c) provide an illustration of these principles using a CPG developed for degenerative cervical myelopathy, and (d) highlight the importance of knowledge translation.Methods:A review of the literature was conducted to summarize current standards in CPG development and implementation.Results:CPGs are systematically developed statements intended to affect decisions made by health care providers, policy makers, and patients. The main objectives of CPGs are to synthesize and translate evidence into recommendations, optimize patient outcomes, standardize care, and facilitate shared decision making among physicians, patients, and their caregivers. The main steps involved in the development of CPGs include defining the clinical problem, assembling a multidisciplinary guideline development group and systematic review team, conducting a systematic review of the literature, translating the evidence to recommendations, critically appraising the CPG and updating the document when new studies arise. The final step in developing a CPG is to implement it into clinical practice; this step requires an assessment of the barriers to implementation and the formulation of effective dissemination strategies.Conclusion:CPGs are an important component in the teaching and practice of medicine and are available for a wide spectrum of diseases. CPGs, however, can only be used to influence clinical practice if the recommendations are informed by a systematic review of the literature and developed using rigorous methodology. The opportunity to transform clinical management of spinal conditions is an attractive outcome of the application of high-quality CPGs. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher SAGE Publications Inc. en
dc.relation.uri https://journals.sagepub.com/doi/10.1177/2192568219831689
dc.rights © The Author(s) 2019. Creative Commons Non Commercial No Derivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage) en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Clinical practice guidelines en
dc.subject Guidelines development en
dc.subject Knowledge translation en
dc.subject Development guidelines en
dc.title Development and implementation of clinical practice guidelines: An update and synthesis of the literature with a focus in application to spinal conditions en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Lindsay Tetreault, College of Medicine and Heath, University College Cork, Cork, Ireland. +353-21-490-3000 en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder AOSpine en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Global Spine Journal en
dc.identifier.eissn 2192-5690


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© The Author(s) 2019. Creative Commons Non Commercial No Derivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage) Except where otherwise noted, this item's license is described as © The Author(s) 2019. Creative Commons Non Commercial No Derivs CC BY-NC-ND: This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage)
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