corner
Healthy Skepticism
Join us to help reduce harm from misleading health information.
Increase font size   Decrease font size   Print-friendly view   Print
Register Log in

Healthy Skepticism Library item: 20410

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Ward JE, Grieco V.
Why we need guidelines for guidelines: a study of the quality of clinical practice guidelines in Australia.
Med J Aust 1996 18; 165:(10):574-6
http://www.ncbi.nlm.nih.gov/pubmed/8941245


Abstract:

OBJECTIVE:

To appraise the quality of clinical practice guidelines (CPGs) produced in Australia.
DESIGN:

Cross-sectional survey.
PARTICIPANTS AND SETTING:

76 organisations, comprising all clinical colleges and faculties, federal and state health departments and national and state non-government agencies involved in health policy in Australia in October 1993.
OUTCOME MEASURES:

Ratings for how CPGs met 18 criteria (“fully”, “partially” or “not at all”) for validity, reproducibility, applicability, clinical flexibility, clarity, multidisciplinary process, documentation and scheduled review.
RESULTS:

Response rate was 87%, with 32 organisations submitting 42 documents; 34 of these were classified as CPGs. None of the 34 CPGs fully met all criteria for quality. None fully stated costings or described processes for retrieving and synthesising evidence; only six (18%) explicitly stated the expected health outcomes; six (18%) described the method to reach consensus; and seven (21%) fully stated controversies and potential conflict with other guidelines. However, at least 75% of CPGs fully met all criteria for applicability, flexibility, multidisciplinary input and documentation and two out of three criteria for clarity. Zero to 103 references to scientific data were cited per CPG.
CONCLUSION:

Australian guidelines developed before the publication of the NHMRC “guidelines for guidelines” in 1995 did not meet internationally recognised criteria for quality. There is a need to apply the recommended NHMRC process and to monitor future CPG quality.

Keywords:
Australia Cross-Sectional Studies Evaluation Studies as Topic Humans Practice Guidelines as Topic/standards*

 

  Healthy Skepticism on RSS   Healthy Skepticism on Facebook   Healthy Skepticism on Twitter

Please
Click to Register

(read more)

then
Click to Log in
for free access to more features of this website.

Forgot your username or password?

You are invited to
apply for membership
of Healthy Skepticism,
if you support our aims.

Pay a subscription

Support our work with a donation

Buy Healthy Skepticism T Shirts


If there is something you don't like, please tell us. If you like our work, please tell others.

Email a Friend








There is no sin in being wrong. The sin is in our unwillingness to examine our own beliefs, and in believing that our authorities cannot be wrong. Far from creating cynics, such a story is likely to foster a healthy and creative skepticism, which is something quite different from cynicism.”
- Neil Postman in The End of Education