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Citations
| 46 | GEM: a proposal for a more comprehensive guideline document model using XML - RN, BT, et al. |
| 35 |
et al., `Comparing computer-interpretable guideline models: a case-study approach
- Peleg
- 2003
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Citation Context ...n support system (52) emphasizing “informed judgment,” in which science, beliefs, and computerization are each necessary, but not sufficient, components. Examples include, but are not limited to, CIG =-=(53)-=-, “neuro-fuzzy systems” (54), and Bayesian networks (55). DISCLOSURE Chairperson and Primary Writer: Dr. Jeffrey I. Mechanick reports that he has received speaker honoraria from Abbott Nutrition and s... |
| 31 |
SC Jr: Scientific evidence underlying the ACC/AHA clinical practice guidelines. JAMA
- Tricoci, JM, et al.
- 2009
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Citation Context ...1), poor overall quality of meta-analyses (32,33), failure to include adequate intent-to-treat analysis (30,34), allocation concealment (randomization), and appropriate “blinding” (30). Tricoci et al =-=(35)-=- highlighted the impact and dominance of flawed and “weak” studies on CPG. On analysis of the evolution of CPG recommendations by the American College of Cardiology and American Heart Association, the... |
| 25 |
De testimonio: on the evidence for decisions about the use of therapeutic interventions.
- Rawlins
- 2008
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Citation Context ...ctice of high-quality medicine. In addition, the notion that evidence must be rated in accordance with some rigid hierarchy might be misguided. For example, in a recent article in The Lancet, Rawlins =-=(28)-=- pointed out that the presumed “gold standard” of clinical evidence—a randomized controlled trial—has many pitfalls. Foremost among these pitfalls are nongeneralizability and overdependence on non-Bay... |
| 24 |
Centor RM. Reassessment of Clinical Practice Guidelines Go Gently Into That Good Night. JAMA-Journal of the American Medical Association
- TM
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Citation Context ...icts or multiplicities of interest, bias, paucity of credentialed authors, and time limitations, plague professional medical societies and produce CPG results that may not be credible or reproducible =-=(27)-=-. This situation creates confusion and mitigates the intended benefit of CPG: to foster a consistent practice of high-quality medicine. In addition, the notion that evidence must be rated in accordanc... |
| 19 |
American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic and Bariatric Surgery Medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatri
- JI, RF, et al.
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Citation Context ...writers and reviewers that might compromise the usefulness of CPG are avoided. Three major goals are to (1) balance transparently the effect of rigid quantitative EBM methods with subjective factors, =-=(2)-=- create a less onerous, less time-consuming, and less costly CPG production process, and (3) introduce an electronic implementation component. The updated 2010 AACE protocol emphasizes “informed judgm... |
| 16 | et al (GRADE Working Group). Grading quality of evidence and strength of recommendations - Atkins, Best, et al. |
| 15 | Guyatt GH. Progress in evidence-based medicine. JAMA 2008;300:1814e6. J Am Med Inform Assoc 2010;17:115e123 - VM |
| 15 |
Laupland KB, Doig CJ. A systematic evaluation of the quality of meta-analyses in the critical care literature. Crit Care
- Delaney, SM, et al.
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Citation Context ...29,30). Other issues that mitigate clinical evidence in medical decision making are stopping randomized controlled trials early because of apparent benefit (31), poor overall quality of meta-analyses =-=(32,33)-=-, failure to include adequate intent-to-treat analysis (30,34), allocation concealment (randomization), and appropriate “blinding” (30). Tricoci et al (35) highlighted the impact and dominance of flaw... |
| 14 | et al; GRADE Working Group. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ - GH, AD, et al. |
| 13 | Findling JWet al. The diagnosis of Cushing’s syndrome: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2008; 93: 1526–1540 - LK, BM |
| 11 | Decision Support, Knowledge Representation and Management in Medicine,
- Peleg, Tu
- 2006
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Citation Context ...ey will hybridize hard evidence, soft experience-based impressions, and pragmatic implementation tools for the electronic age of medicine. Ultimately, the target is a clinical decision support system =-=(52)-=- emphasizing “informed judgment,” in which science, beliefs, and computerization are each necessary, but not sufficient, components. Examples include, but are not limited to, CIG (53), “neuro-fuzzy sy... |
| 10 | DiGuiseppi CG, Atkins D, Kamerow DB. Developing evidence-based clinical practice guidelines: lessons learned by the US Preventive Services Task Force. Annu Rev Public Health - SH - 1996 |
| 9 |
et al; GRADE Working Group. Going from evidence to recommendations
- GH, AD, et al.
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Citation Context ... (2) attributes of successful CPG, (3) a document template, (4) a specific method for evidence rating, incorporation of subjective variables, and transparent formulation of recommendation grades, and =-=(5)-=- a rigorous multilevel review process (1). The mandate for this document resulted from the increased number of AACE CPG being published without a consistent methodologic approach to provide an EBM rec... |
| 9 |
Cook DJ, Doig C. Evaluating metaanalyses in the general surgical literature: a critical appraisal
- Dixon, Hameed, et al.
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Citation Context ...29,30). Other issues that mitigate clinical evidence in medical decision making are stopping randomized controlled trials early because of apparent benefit (31), poor overall quality of meta-analyses =-=(32,33)-=-, failure to include adequate intent-to-treat analysis (30,34), allocation concealment (randomization), and appropriate “blinding” (30). Tricoci et al (35) highlighted the impact and dominance of flaw... |
| 7 | et al; GRADE Working Group. Grading quality of evidence and strength of recommendations for diagnostic tests and strategies - HJ, AD, et al. |
| 7 | Spergel LM, Besarab A, et al. The Society for Vascular Surgery: clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access. J Vasc Surg. 2008;48(suppl 5):2S-25S - AN |
| 7 | Shiffman RN. Evaluation of guideline quality using GEM-Q. Medinfo 2001 - Agrawal |
| 6 | Interpreting procedures from descriptive guidelines.
- Peleg, Gutnik, et al.
- 2006
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Citation Context ...ngineered in the 2010 AACE protocol to create a clinical algorithm that reflects the process flow of the clinical encounter and can be used in the electronic implementation component to reduce errors =-=(42,43)-=-. Nodes in the clinical algorithm will be numbered and then explicitly linked with graded recommendations in the Executive Summary and the evidence base in the Appendix section of the CPG (44,45). In ... |
| 5 |
et al; GRADE Working Group. Systems for grading the quality of evidence and the strength of recommendations I: critical appraisal of existing approaches The GRADE Working Group. BMC Health Serv Res
- Atkins, Eccles, et al.
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Citation Context ...oals are to (1) balance transparently the effect of rigid quantitative EBM methods with subjective factors, (2) create a less onerous, less time-consuming, and less costly CPG production process, and =-=(3)-=- introduce an electronic implementation component. The updated 2010 AACE protocol emphasizes “informed judgment” and hybridizes EBM descriptors (study design type), qualifiers (study flaws), and subje... |
| 5 | DiGuiseppi CG. Broadening the evidence base for evidence-based guidelines: a research agenda based on - Atkins |
| 5 |
What happened to the valid POEMs? A survey of review articles on the treatment of type 2 diabetes
- AF, DC
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Citation Context ...e that matters” (POEMs), in which, with little extrapolation, clinicians can easily derive information about diagnostic, therapeutic, or preventive procedures that help patients live longer or better =-=(37)-=-. POEMs is considered highly relevant and valid information. Examples in the endocrinology literature include (1) fluoride therapy increasing bone mineral density in postmenopausal women with osteopor... |
| 5 | Shiffman RN. A model of ambiguity and vagueness in clinical practice guideline recommendations - Codish |
| 5 |
Gavarini A, Uggeri E, Negro R, Pezzarossa A. The control of blood glucose in the critical diabetic patient: A neuro-fuzzy method. J Diabetes Complications
- Dazzi, Taddei
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Citation Context ...izing “informed judgment,” in which science, beliefs, and computerization are each necessary, but not sufficient, components. Examples include, but are not limited to, CIG (53), “neuro-fuzzy systems” =-=(54)-=-, and Bayesian networks (55). DISCLOSURE Chairperson and Primary Writer: Dr. Jeffrey I. Mechanick reports that he has received speaker honoraria from Abbott Nutrition and sanofi-aventis U.S. LLC. Prim... |
| 4 |
Braithwaite SS, Palumbo PJ, American Association of Clinical Endocrinologists Ad Hoc Task Force for Standardized Production of Clinical Practice Guidelines. American Association of Clinical Endocrinologists protocol for standardized production of clinical
- JI, DA
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Citation Context ...ent. AACE CPG are developed without any industry involvement. Multiplicities of interests among writers and reviewers that might compromise the usefulness of CPG are avoided. Three major goals are to =-=(1)-=- balance transparently the effect of rigid quantitative EBM methods with subjective factors, (2) create a less onerous, less time-consuming, and less costly CPG production process, and (3) introduce a... |
| 3 | et al; GRADE Working Group. Incorporating considerations of resources use into grading recommendations. BMJ - GH, AD, et al. |
| 3 | Ferrannini E, Grundy SM, et al.; Endocrine Society. Primary prevention of cardiovascular disease and type 2 diabetes in patients at metabolic risk: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2008;93:3671 - JL |
| 3 |
PR, Altman DG: Reporting of clinical trials: a review of research funders’ guidelines
- Dwan, Gamble, et al.
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Citation Context ...Systematic literature searches are subject to study publication and reporting biases, in which medical journals are more likely to publish studies with positive findings rather than negative findings =-=(29,30)-=-. Other issues that mitigate clinical evidence in medical decision making are stopping randomized controlled trials early because of apparent benefit (31), poor overall quality of meta-analyses (32,33... |
| 3 |
et al.: Support for guideline development through error classification and constraint checking
- Peleg, Patel, et al.
(Show Context)
Citation Context ...ngineered in the 2010 AACE protocol to create a clinical algorithm that reflects the process flow of the clinical encounter and can be used in the electronic implementation component to reduce errors =-=(42,43)-=-. Nodes in the clinical algorithm will be numbered and then explicitly linked with graded recommendations in the Executive Summary and the evidence base in the Appendix section of the CPG (44,45). In ... |
| 2 |
EA: Evidence-based nutrition support in the intensive care unit: an update on reported trial quality. Curr Opin Clin Nutr Metab Care 2009
- GS, Simpson, et al.
(Show Context)
Citation Context ...Systematic literature searches are subject to study publication and reporting biases, in which medical journals are more likely to publish studies with positive findings rather than negative findings =-=(29,30)-=-. Other issues that mitigate clinical evidence in medical decision making are stopping randomized controlled trials early because of apparent benefit (31), poor overall quality of meta-analyses (32,33... |
| 2 |
Transparency standards for diabetes performance measures. Jama
- Aron, Pogach
(Show Context)
Citation Context ...n which there is a shortage of experienced thyroid ultrasonographers. Transparency for this 4-step methodology will be realized by maintaining a record of the CPG development process. Aron and Pogach =-=(47)-=- reviewed the importance of transparency as applied to the divergent EBM recommendations for target hemoglobin A1c levels in diabetes.s2010 AACE CPG Protocol, Endocr Pract. 2010;16(No. 2) 277 Table 5 ... |
| 2 | Overhage M, Takesue BY, et al. Computerizing Guidelines to Improve Care and Patient Outcomes. JAMIA,1995;2 - WM |
| 1 | Sidawy AN, Ascher E, Montori VM. Methodology for clinical practice guidelines for the management of arteriovenous access - MH, BA |
| 1 | Schünemann HJ, et al. A case for clarity, consistency, and helpfulness: state-of-the-art clinical practice guidelines in endocrinology using the Grading of Recommendations, Assessment, Development, and Evaluation system - BA, MH |
| 1 | et al (American College of Cardiology/American Heart Association Task Force on Practice Guidelines [Writing Committee to Develop Guidelines for the Management of Adults With Congenital Heart Disease]). ACC/AHA 2008 guidelines for the management of adults - CA, RG, et al. |
| 1 | et al (American College of Surgeons). American College of Surgeons Guidelines Program: a process for using existing guidelines to generate best practice recommendations for central venous access. J Am Coll Surg - AC, Shiloach, et al. |
| 1 | Australian National Health and Medical Research Council [ANHMRC]). Appendix 2: brief description of the ANHMRC approach. http://www.biomed central.com/content/supplementary/1472-6963-4-38-S2. doc. Accessed for verification January 31 - O’Connell - 2010 |
| 1 | Centre for Evidence-Based Medicine [OCEBM]). Appendix 3: brief description of the OCEBM approach. www.biomedcentral.com/content/ supplementary/1472-6963-4-38-S3.doc. Accessed for verification January 31 - Phillips - 2010 |
| 1 | Scottish Intercollegiate Guidelines Network [SIGN]). Appendix 4: brief description of the SIGN approach. www.biomedcentral.com/content/ supplementary/1472-6963-4-38-S4.doc. Accessed for verification January 31 - Phillips - 2010 |
| 1 | Preventive Services Task Force [USPSTF]). A brief description of the USPSTF approach. www.biomedcentral.com/content/supplementary/14726963-4-38-S5.doc. Accessed for verification January 31 - Atkins |
| 1 | Task Force on Community Preventive Services [USTFCPS]). Appendix 6: brief description of the USTFCPS approach. www.biomedcentral.com/content/ supplementary/1472-6963-4-38-S6.doc. Accessed for verification January 31 - Briss - 2010 |
| 1 | Focusing on patient oriented evidence that matters in the care of patients with diabetes mellitus. Pharmacotherapy - AF |
| 1 | Caixas A, Gimenez-Palop O, Gonzalez-Clemente JM, Mauricio D: Dissemination of 'patient-oriented evidence that matters' on the Internet: the case of Type 2 diabetes treatment. Diabetic Medicine 2005 - Gimenez-Perez |
| 1 | AF. Information in practice: obtaining useful information from expert based sources. BMJ - DC, Shaughnessy |
| 1 |
Keeping the patient in the equation—humanism and health care reform
- Hartzband, Groopman
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Citation Context ...these position papers raise a valid point that CPG need to be relevant to actual clinical problems. Furthermore, by incorporating POEMs, CPG move closer to truly hybridizing EBM with medical humanism =-=(41)-=-. The Updated 2010 AACE Protocol Currently, chairpersons and primary writers actively involved in AACE CPG task forces have had several years of experience with the 2004 AACE protocol. Three general c... |
| 1 |
cascades” make guidelines global? J Eval Clin Pract
- Fried, Can
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Citation Context ...reas. An alternative graded recommendation would be provided in the Executive Summary, and the rationale would be inserted in the Appendix. In other words, globally relevant recommendation “cascades” =-=(46)-=- are produced, which can broaden the utility and applicability of specific recommendations around the world, based on economic and educational differences. For instance, the routine evaluation of thyr... |
