How to Keep Clinical Practice Guidelines "Fresh"

Yao-long CHEN; Ling WANG; Nan YANG; She-yu LI; Qi WANG; Guo-wei LI; Yang SONG; Shan SU; Hong-cai SHANG; Ke-hu YANG

doi:10.3969/j.issn.1674-9081.20200071

Volume 11 Issue 2

Mar. 2020

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Medical Journal of Peking Union Medical College Hospital > 2020 > 11(2): 207-212. > DOI: 10.3969/j.issn.1674-9081.20200071

Yao-long CHEN, Ling WANG, Nan YANG, She-yu LI, Qi WANG, Guo-wei LI, Yang SONG, Shan SU, Hong-cai SHANG, Ke-hu YANG. How to Keep Clinical Practice Guidelines "Fresh"[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(2): 207-212. DOI: 10.3969/j.issn.1674-9081.20200071

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How to Keep Clinical Practice Guidelines "Fresh"

Yao-long CHEN^{1, 2, 3, ,},
Ling WANG⁴,
Nan YANG^{1, 2, 3},
She-yu LI^{5, 6, 7, 8},
Qi WANG^{9, 10},
Guo-wei LI¹¹,
Yang SONG¹²,
Shan SU^{13, 14},
Hong-cai SHANG¹⁵,
Ke-hu YANG^{1, 2, 3}

1.
Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
2.
WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, China
3.
Chinese GRADE Center, Lanzhou 730000, China
4.
School of Public Health, Lanzhou University, Lanzhou 730000, China
5.
Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, China
6.
Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China
7.
MAGIC China Center, Chengdu 610041, China
8.
Department of Guideline and Rapid Recommendation, West China Hospital, Sichuan University, Chengdu 610041, China
9.
Department of Health Research Methods, Evidence, and Impact (HEI), Faculty of Health Sciences, McMaster University, Hamilton L8S 4L8, Canada
10.
McMaster Health Forum, McMaster University, Hamilton L8S 4L8, Canada
11.
Center for Clinical Epidemiology and Methodology (CCEM), Guangdong Second Provincial General Hospital, Guangzhou 510317, China
12.
Iberoamerica Cochrane Centre, Research Institute, Hospital de la Santa Creu i Sant Pau, Barcelona 08041, Spain
13.
Department of Pharmacy, Peking University Third Hospital, Beijing 100191, China
14.
Department of Pharmacy Administration and Clinical Pharmacy School of Pharmaceutical Sciences, Peking University, Beijing 100191, China
15.
Key Laboratory of Chinese Internal Medicine of Ministry of Education, Beijing Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China

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Corresponding author:
CHEN Yao-long Tel: 86-931-8912639, E-mail:chenyaolong@vip.163.com
Received Date: March 09, 2020
Issue Publish Date: March 29, 2020

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Abstract

Abstract

Clinical practice guidelines are guiding documents in medical practices. Timely updated recommendations are important and valuable to guide physicians in making clinical decisions. Guidelines should be developed on the latest research evidence for the best recommendations in clinical practice and updated regularly to remain valid. Based on the discussion about the status quo, methods and procedures, and challenges of updating guidelines, our results showed that the longest update period is 5 years, and the shortest period can be constantly updated. Since there are no standardized methods for guideline updating, we proposed in this article the procedures for Chinese guideline developers, and recommended RIGHT and CheckUp as the reporting checklists. In addition, the related strategies and suggestions to effectively update guidelines were proposed for the guideline managers, developers, researchers, and users.
- clinical practice guideline,
- update of guideline,
- systematic review,
- evidence-based medicine

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References

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