Evidence map›Paper›PMID 31157146›Full record

ArticleGlobal spine journal2019

Development and Implementation of Clinical Practice Guidelines: An Update and Synthesis of the Literature With a Focus in Application to Spinal Conditions.

Lindsay Tetreault, Anick Nater, Philip Garwood, Jetan H Badhiwala, Jefferson R Wilson, Michael G Fehlings

Abstract read
In one paragraph

Article in Global spine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lindsay TetreaultKrembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada.
Anick NaterKrembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada.
Philip GarwoodUniversity College Cork, Cork, Ireland.
Jetan H BadhiwalaKrembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada.
Jefferson R WilsonSt Michael's Hospital, Toronto, Ontario, Canada.
Michael G FehlingsKrembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-5722-6364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designReview.

objectivesThe objectives of this review are to (

methodsA review of the literature was conducted to summarize current standards in CPG development and implementation.

resultsCPGs 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.

conclusionCPGs 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.

Indexed as

clinical practice guidelinesdevelopment guidelinesguidelines developmentknowledge translation

Identifiers

PMID31157146
PMCPMC6512193

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.