Achieving health gain through clinical guidelines. I: Developing scientifically valid guidelines.

Grimshaw, Jeremy; Russell, Ian

doi:10.1136/qshc.2.4.243

Cited by 237 publications

(142 citation statements)

References 32 publications

Supporting

Mentioning

129

Contrasting

Unclassified

Order By: Relevance

“…They need to be rigorously developed, consistent with the scientific literature, accessible, and implementable in practice (6,7). Given the complexity of and variation in SLE management, clinical practice guidelines may support clinical decision-making, improve care, and optimize outcomes.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis, Monitoring, and Treatment of Systemic Lupus Erythematosus: A Systematic Review of Clinical Practice Guidelines

Tunnicliffe

Singh‐Grewal

Kim

et al. 2015

Arthritis Care & Research

130

View full text Add to dashboard Cite

Objective. Management of systemic lupus erythematosus (SLE) is complex and variability in practices exists. Guidelines have been developed to help improve the management of SLE patients, but there has been no formal evaluation of these guidelines. This study aims to compare the scope, quality, and consistency of clinical practice guidelines on the diagnosis, monitoring, and treatment of patients with SLE. Methods. Electronic databases were searched up to April 2014. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument and textual synthesis was used to appraise and compare recommendations. Results. Nine clinical practice guidelines and 5 consensus statements were identified, which covered 7 topics: diagnosis, monitoring, treatment, neuropsychiatric SLE, lupus nephritis, antiphospholipid syndrome, and other manifestations of lupus. The methodological quality of the guidelines was variable, with the overall mean AGREE II scores ranging from 31% to 75%, out of a maximum 100%. Scores were consistently low for applicability, with only 1 guideline scoring above 50%. There was substantial variability in the treatments recommended for class II and V lupus nephritis, the recommended duration of maintenance therapy for class III/IV lupus nephritis (from 1 to 4 years), and timing of ophthalmologic examination for patients taking corticosteroids. Conclusion. Published guidelines on SLE cover a complex area of clinical care, but the methodological quality, scope, and recommendations varied substantially. Collaborative and multidisciplinary efforts to develop comprehensive, highquality evidence-based guidelines are needed to promote best treatment and health outcomes for patients with SLE.

show abstract

Section: Introductionmentioning

confidence: 99%

Diagnosis, Monitoring, and Treatment of Systemic Lupus Erythematosus: A Systematic Review of Clinical Practice Guidelines

Tunnicliffe

Singh‐Grewal

Kim

et al. 2015

Arthritis Care & Research

130

View full text Add to dashboard Cite

show abstract

“…Involvement of each relevant discipline in the production of a guideline creates a feeling of ownership, which is a key component to ensuring the guideline's subsequent implementation. [63][64][65] It is of little surprise therefore that the provision of CT for stroke has been perceived as suboptimal by clinicians in the UK.…”

Section: Reasons For the Controversy Over Ct Scanningmentioning

confidence: 99%

What is the best imaging strategy for acute stroke?

Wardlaw

Keir²,

Seymour³

et al. 2004

Health Technol Assess

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTAWhat is the best imaging strategy for acute stroke? NHS R&D HTA ProgrammeT he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS.Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme.This has meant that the HTA panels can now focus more explicitly on health technologies ('health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care) rather than settings of care. Therefore the panel structure was replaced in 2000 by three new panels: Pharmaceuticals; Therapeutic Procedures (including devices and operations); and Diagnostic Technologies and Screening.The HTA Programme will continue to commission both primary and secondary research. The HTA Commissioning Board, supported by the National Coordinat...

show abstract

“…[1][2][3] Professional enquiries and searches of literature revealed there were no evidence-based guidelines published for management of any hereditary conditions. The management of patients in Scotland by the Clinical Genetics Service was known to vary throughout the country and a variety of professionals were involved in patient care.…”

Section: Development Of Clinical Guidelines In Scotlandmentioning

confidence: 99%

Guidelines and care pathways for genetic diseases: the Scottish collaborative project on tuberous sclerosis

et al. 1998

View full text Add to dashboard Cite

In Scotland a national audit project has been undertaken to devise evidencebased guidelines for the clinical management of patients with tuberous sclerosis (TS), a dominantly inherited multisystem disorder. In order to facilitate the audit and use of these guidelines a 'Care Pathway' was devised to form the patient records. We describe the process of guideline development for TS and our TS Care Pathway.

show abstract

Achieving health gain through clinical guidelines. I: Developing scientifically valid guidelines.

Cited by 237 publications

References 32 publications

Diagnosis, Monitoring, and Treatment of Systemic Lupus Erythematosus: A Systematic Review of Clinical Practice Guidelines

Diagnosis, Monitoring, and Treatment of Systemic Lupus Erythematosus: A Systematic Review of Clinical Practice Guidelines

What is the best imaging strategy for acute stroke?

Guidelines and care pathways for genetic diseases: the Scottish collaborative project on tuberous sclerosis

Contact Info

Product

Resources

About