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Guidelines in orthopaedic surgery. A first step.

K-L Krämer1, L Jani2, J Grifka2

  • 1Orthopädische Universitätsklinik Heidelberg, Germany.

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|March 2, 2017
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Summary
This summary is machine-generated.

Medical guidelines, like those from the German Society for Orthopaedic Traumatology (DGOT), aid healthcare decisions. Publication is the first step; implementation and evaluation are crucial for practice change.

Keywords:
Key words Guideline • Orthopedic surgery • Evidence based medicine • AWMF • Standards

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Area of Science:

  • Medical guideline development and dissemination.
  • Healthcare policy and practice improvement.

Background:

  • Systematically developed guidelines assist doctors and patients in making appropriate healthcare decisions.
  • The German Society for Orthopaedic Traumatology (DGOT) has published 22 guidelines since 1998, with 20 more in development.
  • The Association of the Scientific Medical Societies in Germany (AWMF) has published 629 guidelines since 1995.

Purpose of the Study:

  • To outline the current status of guideline publication by the DGOT and AWMF.
  • To emphasize the importance of implementation and evaluation following guideline publication.

Main Methods:

  • Systematic review of guideline publication data from DGOT and AWMF.
  • Analysis of the guideline development and dissemination process.

Main Results:

  • DGOT has published 22 structured guidelines and has 20 under construction.
  • AWMF has published 629 guidelines since 1995.
  • Guideline publication is identified as the initial phase of dissemination.

Conclusions:

  • Publication of guidelines by DGOT and BVO is the first step toward dissemination.
  • Subsequent implementation and evaluation are necessary to determine if medical practice changes occur.