ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1999
The quantity and quality of clinical practice guidelines for the management of depression in primary care in the UK.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Neck pain clinical practice guidelines: a systematic review of the quality and quantity of complementary and alternative medicine recommendations.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Pooled it
- Complementary and alternative medicine recommendations for depression: a systematic review and assessment of clinical practice guidelines.BMC complementary medicine and therapies · 2020Pooled it
- Assessing Physiotherapists' Adherence to Clinical Practice Guidelines for Ankle Sprain Management in Saudi Arabia: A Cross-Sectional Study with National Online Survey.Journal of clinical medicine · 2025Article
- Global, regional, and national time trends in incidence for depressive disorders, from 1990 to 2019: an age-period-cohort analysis for the GBD 2019.Annals of general psychiatry · 2024Article
- Development and Validation of a Tool to Assess the Quality of Clinical Practice Guideline Recommendations.JAMA network open · 2020Article
- Evaluation of clinical guidelines in psychiatry.Indian journal of psychological medicine · 2014Article
- Clinical practice guidelines in psychiatry: more confusion than clarity? A critical review and recommendation of a unified guideline.ISRN psychiatry · 2014Review
- What we talk about when we talk about depression: doctor-patient conversations and treatment decision outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Maternal and perinatal guideline development in hospitals in South East Asia: the experience of the SEA-ORCHID project.Health research policy and systems · 2009Article
- How could depression guidelines be made more relevant and applicable to primary care? A quantitative and qualitative review of national guidelines.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Development of evidence-based clinical practice guidelines (CPGs): comparing approaches.Implementation science : IS · 2008Article
- Clinical practice guidelines and industry.Mens sana monographs · 2007Article
- GP treatment decisions for patients with depression: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Article
- Improving the quality of mental health services in Personal Medical Services pilots: a longitudinal qualitative study.Quality & safety in health care · 2004Article
- What is the quality of drug therapy clinical practice guidelines in Canada?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2001Article
- [Quality analysis of clinical practice guidelines on cardiovascular risks in the Basque country and a proposal for their evaluacion].Atencion primaria · 2000Article
- Why can't GPs follow guidelines on depression? We must question the basis of the guidelines themselves.BMJ (Clinical research ed.) · 2000Article
- Differences among international pharyngitis guidelines: not just academic.Annals of family medicineReview
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite research evidence that guidelines can improve patient care, concerns remain over their cost-effectiveness. This is particularly so when there is a proliferation of guidelines for the same condition. Faced with differing recommendations, users will wish to make informed decisions on which guideline to follow. In creating a guideline appraisal instrument we have assessed guidelines developed in the United Kingdom (UK) for the management of a range of disorders including depression in primary care.
aimTo identify the number of UK clinical guidelines for the management of depression in primary care and to describe their quality and clinical content.
methodA survey was undertaken to identify all depression guidelines developed in the UK between January 1991 and January 1996. All guidelines produced by national organizations and a random sample of local guidelines were appraised using a validated instrument by six assessors: a national expert in the disease area, a general practitioner, a public health physician, a hospital consultant, a nurse specializing in the disease area, and a researcher on guideline methodology. The clinical content of each guideline was then assessed by one of the researchers (RB) according to a defined framework.
resultsForty-five depression guidelines were identified. While there was a considerable range in the quality of the six national and three local guidelines appraised, at a group level their performance was similar to guidelines for other diseases. Clinical recommendations tended to reflect the joint consensus statement produced by the Royal College of General Practitioners and Royal College of Psychiatrists in 1992. The most obvious difference was in the style in which the guidelines were written and presented.
conclusionA 'national template' was the starting place for most guidelines. Steps need to be taken to ensure that these templates are based on the best possible research evidence and professional opinion. Local clinicians should concentrate on effective dissemination and implementation strategies, rather than creating new guidelines.
Indexed as
Identifiers
10343424PMC1313373What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.