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Failure of Clinical Practice Guidelines to Meet Institute of Medicine Standards

Failure of Clinical Practice Guidelines to Meet Institute of Medicine Standards ORIGINAL INVESTIGATION HEALTH CARE REFORM Failure of Clinical Practice Guidelines to Meet Institute of Medicine Standards Two More Decades of Little, If Any, Progress Justin Kung, MD; Ram R. Miller, MD; Philip A. Mackowiak, MD Background: In March 2011, the Institute of Medicine chairpersons. Except for US government agency– (IOM) issued a new set of standards for clinical practice produced guidelines, criteria used to select committee guidelines intended to enhance the quality of guidelines members and the selection process were rarely de- being produced. To our knowledge, no systematic re- scribed. Committees developing guidelines rarely in- view of adherence to such standards has been under- cluded an information scientist or a patient or patient rep- taken since one published over a decade ago. resentative. Non-English literature, unpublished data, and/or abstracts were rarely considered in developing Methods: Two reviewers independently screened 130 guidelines; differences of opinion among committee mem- guidelines selected at random from the National Guide- bers generally were not aired in guidelines; and benefits line Clearinghouse (NGC) website for compliance with of recommendations were enumerated more often than 18 of 25 IOM standards. potential harms. Guidelines published from 2006 through Results: The overall median number (percentage) of IOM http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Failure of Clinical Practice Guidelines to Meet Institute of Medicine Standards

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References (23)

Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/2013.jamainternmed.56
pmid
23089902
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION HEALTH CARE REFORM Failure of Clinical Practice Guidelines to Meet Institute of Medicine Standards Two More Decades of Little, If Any, Progress Justin Kung, MD; Ram R. Miller, MD; Philip A. Mackowiak, MD Background: In March 2011, the Institute of Medicine chairpersons. Except for US government agency– (IOM) issued a new set of standards for clinical practice produced guidelines, criteria used to select committee guidelines intended to enhance the quality of guidelines members and the selection process were rarely de- being produced. To our knowledge, no systematic re- scribed. Committees developing guidelines rarely in- view of adherence to such standards has been under- cluded an information scientist or a patient or patient rep- taken since one published over a decade ago. resentative. Non-English literature, unpublished data, and/or abstracts were rarely considered in developing Methods: Two reviewers independently screened 130 guidelines; differences of opinion among committee mem- guidelines selected at random from the National Guide- bers generally were not aired in guidelines; and benefits line Clearinghouse (NGC) website for compliance with of recommendations were enumerated more often than 18 of 25 IOM standards. potential harms. Guidelines published from 2006 through Results: The overall median number (percentage) of IOM

Journal

JAMA Internal Medicine – American Medical Association

Published: Nov 26, 2012

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