Clinical Guidelines: Difference between revisions
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The standard definition of Clinical Practice Guidelines (CPGs) is "systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific circumstances"<ref>Field MJ, Lohr KN (Eds). Clinical Practice Guidelines: Directions for a New Program, Institute of Medicine, Washington, DC: National Academy Press, 1990.</ref>. Guidelines are designed to support the decision-making processes in patient care. The content of a guideline is based on a systematic review of clinical evidence - the main source for evidence-based care. | The standard definition of Clinical Practice Guidelines (CPGs) is "systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific circumstances"<ref>Field MJ, Lohr KN (Eds). Clinical Practice Guidelines: Directions for a New Program, Institute of Medicine, Washington, DC: National Academy Press, 1990.</ref>. Guidelines are designed to support the decision-making processes in patient care. The content of a guideline is based on a systematic review of clinical evidence - the main source for evidence-based care. | ||
The benefits of clinical practice guidelines include: | The benefits of clinical practice guidelines include<ref name="Moore" />: | ||
*Improve clinical outcomes<ref name="Woolf">Woolf et al. (1999) Potential benefits, limitations and harms of clinical guidelines. BMJ 527 - 530</ref> | *Improve clinical outcomes<ref name="Woolf">Woolf et al. (1999) Potential benefits, limitations and harms of clinical guidelines. BMJ 527 - 530</ref> | ||
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*Increase transparency of evidence to justify interventions<ref name="Moore">Moore, A. Development of evidence statements for physical therapy diagnosis and treatment: What are evidence statements and how do they fit in with the policy of professional bodies? WPT Congress, June 2011, Amsterdam.</ref> | *Increase transparency of evidence to justify interventions<ref name="Moore">Moore, A. Development of evidence statements for physical therapy diagnosis and treatment: What are evidence statements and how do they fit in with the policy of professional bodies? WPT Congress, June 2011, Amsterdam.</ref> | ||
*Legitimise profession in eyes of external stakeholders<ref name="Grimshaw" /><br> | *Legitimise profession in eyes of external stakeholders<ref name="Grimshaw" /><br> | ||
Clinical Guidelines are important to physiotherapists because they<ref name="Powers">Christopher M Powers. Development of Evidence-Based Practice Guidelines for the Treatment of Common Musculoskeletal Conditions: Experiences of the Orthopaedic Section of the APTA. WPT Congress, June 2011, Amsterdam.</ref>: | |||
*Provide quick access to synthesis of evidence | |||
*Give the clinicain direct access to the knowledge-base of the experts | |||
*Allow one to self-assess their current practice | |||
*Assist with developing direction of future clinical research<br> | |||
Clinical Guidelines can be found at: | Clinical Guidelines can be found at: | ||
Revision as of 16:53, 29 March 2012
Introduction[edit | edit source]
The standard definition of Clinical Practice Guidelines (CPGs) is "systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific circumstances"[1]. Guidelines are designed to support the decision-making processes in patient care. The content of a guideline is based on a systematic review of clinical evidence - the main source for evidence-based care.
The benefits of clinical practice guidelines include[2]:
- Improve clinical outcomes[3]
- Reduce variability in clinical practice[4]
- Increase use of known effective interventions[3]
- Provide greater cost effectiveness[3]
- Increase transparency of evidence to justify interventions[2]
- Legitimise profession in eyes of external stakeholders[4]
Clinical Guidelines are important to physiotherapists because they[5]:
- Provide quick access to synthesis of evidence
- Give the clinicain direct access to the knowledge-base of the experts
- Allow one to self-assess their current practice
- Assist with developing direction of future clinical research
Clinical Guidelines can be found at:
and have been collected here in Physiopedia.
Published Clinical Practice Guidelines by Speciality[edit | edit source]
- Musculoskeletal / Orthopaedics
- Cardiopulmonary
- Neurology
- Paediatrics
- Sports Medicine
- Rheumatology
- Elderly Care
- Endocrine / Metabolic
- Pain Science
- Womens Health
- Oncology
- Extended Scope
- Health Promotion
- Electrophysical
- Mental Health
Internationalisation[edit | edit source]
It is easy to find evidence-based guidelines for physiotherapy practice (e.g., using PEDro) and there are many evidence-based guidelines for physiotherapy practice but there appears to much replication.
In 2011 an international collaboration for the development of evidence-based recommendations for physiotherapy diagnosis and treatment was proposed[6] and presented at the World Physical Therapy Congress. The rartionale for this was:
- Rapid growth of body of knowledge for evidence-based physiotherapy
- Translation of evidence into recommendations for clinical practice in guidelines by several professional bodies
- International collaboration in the Guidelines International network (G-I-N)
- International collaboration in physical therapy is still limited
It is important that we remember the limitations in practice setting, delivery, competency and several other issues faced in places where the physiotherapy profession is in evolution.
References[edit | edit source]
- ↑ Field MJ, Lohr KN (Eds). Clinical Practice Guidelines: Directions for a New Program, Institute of Medicine, Washington, DC: National Academy Press, 1990.
- ↑ 2.0 2.1 Moore, A. Development of evidence statements for physical therapy diagnosis and treatment: What are evidence statements and how do they fit in with the policy of professional bodies? WPT Congress, June 2011, Amsterdam.
- ↑ 3.0 3.1 3.2 Woolf et al. (1999) Potential benefits, limitations and harms of clinical guidelines. BMJ 527 - 530
- ↑ 4.0 4.1 Grimshaw J M et al. (1995) Clinical practice guidelines – do they enhance value for money in health care? Br Med Bull 51:927-940
- ↑ Christopher M Powers. Development of Evidence-Based Practice Guidelines for the Treatment of Common Musculoskeletal Conditions: Experiences of the Orthopaedic Section of the APTA. WPT Congress, June 2011, Amsterdam.
- ↑ Philip J. Van der Wees, Ann P. Moore, Christopher M. Powers, Aimee Stewart, Maria W.G. Nijhuis-van der Sanden and Rob A. de Bie. Development of Clinical Guidelines in Physical Therapy: Perspective for International Collaboration. Physical Therapy October 2011 vol. 91 no. 10 1551-1563
