The international Appraisal of Guidelines, Research and Evaluation (AGREE) research team developed a tool to assess the methodological quality of practice guidelines— the original was released in 2003 (AGREE),1 and the revised and updated version in 2009 (AGREE II).2 AGREE II has become a widely used standard for evaluating the methodological quality and transparency of practice guidelines inte...

OBJECTIVES To evaluate (1) the state of the art in sustainability research and (2) the outcomes of professionals' adherence to guideline recommendations in medical practice. DESIGN Systematic review. DATA SOURCES Searches were conducted until August 2015 in MEDLINE, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL) and the Guidelines International Network (GIN) librar...

The Ministry of Health (MOH) has updated the clinical practice guidelines on Dementia to provide doctors and patients in Singapore with evidence-based treatment for dementia. This article reproduces the introduction and executive summary (with recommendations from the guidelines) from the MOH clinical practice guidelines on Dementia, for the information of readers of the Singapore Medical Journ...

OBJECTIVE Clinical practice guidelines are widely used as effective tools for improving the management of patients with cancer. However, there is increasing concern about variation in guideline quality. In this study we identified predictors for high-quality guidelines in oncology. DESIGN The quality scores for 32 oncology guidelines from 13 countries were determined by four independent appra...

Given the proliferation of tablets and smartphones, there is a rising desire to use these technologies and apps in clinical practice. This article offers best-practice guidelines for integrating apps into aphasia rehabilitation. In concert with evidence-based practice guidelines, it describes the steps for deciding which apps to consider and how to judge their appropriateness. We recommend a pr...

The work of the Canadian Task Force on the Periodic Health Examination is described in the historical context of its creation and of its evolution. The initial mandate of the task force is presented and the methodology it created to examine scientific information and formulate practice recommendations is reviewed. The complexity of the implementation of practice guidelines in preventive care is...

Clinical practice guidelines are increasingly affecting the quality of health care, and have the potential to affect the availability of health care options for consumers. Deciding what guidelines will cover, how they will be developed and what they will say are, therefore, issues in which consumers have a considerable stake. While there is a growing acknowledgement of the need to involve consu...

The publication of guidelines calling for less aggressive treatment of jaundice in newborns has been followed by a reappearance of case reports of kernicterus. These case reports illustrate important issues for writers and consumers of practice guidelines. One issue is the particular salience of identified patients with bad outcomes, and their potentially disproportionate influence on decision-...

BACKGROUND Clinical practice guidelines are important tools to promote evidence-based clinical care, but not all countries have the capacity or infrastructure to develop these in-house. The European Academy of Allergy and Clinical Immunology has recently developed guidelines for the prevention, diagnosis and management of food allergy and the management of anaphylaxis. In order to inform dissem...

Clinical practice guidelines augment clinician decision making. Researchers cite a lack of knowledge of guideline existence, complexity of guidelines, staff attitude, lack of training, time and resource constraints as reasons for nonadherence. This project sought to understand factors that promote or prevent guideline implementation at the point of care. Respondents' viewed clinical practice gu...