Standardized Reporting of Clinical Practice Guidelines: A Proposal from the Conference on Guideline Standardization

作者：Richard N. Shiffman, Paul Shekelle, J. Marc Overhage, Jean R. Slutsky, Jeremy Grimshaw, Aniruddha M. Deshpande · 发表于：Annals of Internal Medicine · 年份：2003 · DOI：10.7326/0003-4819-139-6-200309160-00013 · 被引用次数：459 · 研究领域：Clinical practice guidelines implementation、Health Systems, Economic Evaluations, Quality of Life、Meta-analysis and systematic reviews

Despite enormous energies invested in authoring clinical practice guidelines, the quality of individual guidelines varies considerably. The Conference on Guideline Standardization (COGS) was convened in April 2002 to define a standard for guideline reporting that would promote guideline quality and facilitate implementation. Twenty-three people with expertise and experience in guideline development, dissemination, and implementation participated. A list of candidate guideline components was assembled from the Institute of Medicine Provisional Instrument for Assessing Clinical Guidelines, the National Guideline Clearinghouse, the Guideline Elements Model, and other published guideline models. In a 2-stage modified Delphi process, panelists first rated their agreement with the statement that "[Item name] is a necessary component of practice guidelines" on a 9-point scale. An individualized report was prepared for each panelist; the report summarized the panelist's rating for each item and the median and dispersion of rankings of all the panelists. In a second round, panelists separately rated necessity for validity and necessity for practical application. Items achieving a median rank of 7 or higher on either scale, with low disagreement index, were retained as necessary guideline components. Representatives of 22 organizations active in guideline development reviewed the proposed items and commented favorably. Closely related items were consolidated into 18 topics to create th...