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

Simple item page
dc.contributor.authorTetreault, Lindsay
dc.contributor.authorNater, Anick
dc.contributor.authorGarwood, Philip
dc.contributor.authorBadhiwala, Jetan H.
dc.contributor.authorWilson, Jefferson R.
dc.contributor.authorFehlings, Michael G.
dc.contributor.funderAOSpineen
dc.date.accessioned2019-11-20T05:21:01Z
dc.date.available2019-11-20T05:21:01Z
dc.date.issued2019-05-08
dc.description.abstractStudy 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationTetreault, 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:10.1177/2192568219831689en
dc.identifier.doi10.1177/2192568219831689en
dc.identifier.eissn2192-5690
dc.identifier.endpage64Sen
dc.identifier.issn2192-5682
dc.identifier.issuedISen
dc.identifier.journaltitleGlobal Spine Journalen
dc.identifier.startpage53Sen
dc.identifier.urihttps://hdl.handle.net/10468/9114
dc.identifier.volume9en
dc.language.isoenen
dc.publisherSAGE Publications Inc.en
dc.relation.urihttps://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.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectClinical practice guidelinesen
dc.subjectGuidelines developmenten
dc.subjectKnowledge translationen
dc.subjectDevelopment guidelinesen
dc.titleDevelopment and implementation of clinical practice guidelines: An update and synthesis of the literature with a focus in application to spinal conditionsen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
2192568219831689.pdf
Size:
537.08 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medicine - Journal Articles