| Clinical practice guidelines: the need for greater transparency in formulating recommendations. | |
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MedLine Citation:
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PMID: 21728938 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A recently published critique of a set of Australian clinical practice guidelines (CPG) highlighted problematic issues in guideline development concerning conflicts of interest of guideline panellists, validity and strength of recommendations, and involvement of end users and external stakeholders. Management of financial or intellectual conflicts of interest requires: full disclosure; limitations on industry or agency financial support during guideline development; a representative panel that includes conflict-free members; and only conflict-free panellists to be involved in drafting guideline recommendations. Guideline panels should consider adopting the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system to assist in determining the validity and strength of recommendations. Guideline panels should seek formal feedback from external stakeholders and end users. Enacting such policies aims to lend greater transparency and credibility to CPG, limit protracted and unhelpful interpretive debates, and promote wider use of CPG. |
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Authors:
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Ian A Scott; Gordon H Guyatt |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Medical journal of Australia Volume: 195 ISSN: 1326-5377 ISO Abbreviation: Med. J. Aust. Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-06 Completed Date: 2011-09-19 Revised Date: 2011-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0400714 Medline TA: Med J Aust Country: Australia |
Other Details:
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Languages: eng Pagination: 29-33 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD. ian_scott@health.qld.gov.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Australia Bias (Epidemiology) Conflict of Interest Decision Making* Evidence-Based Medicine Feedback Humans Practice Guidelines as Topic / standards* Quality of Health Care / standards* Societies, Medical |
| Comments/Corrections | |
Comment In:
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Med J Aust. 2011 Sep 19;195(6):324-5
[PMID:
21929489
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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