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Guidelines and evidence-based recommendations in anaesthesia: where do we stand?
Lisa Q Rong1, Katia Audisio2, Sinead M O'Shaughnessy1
1Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
British Journal of Anaesthesia
|March 22, 2022
Summary
Clinical practice guidelines need improvement in quality and evidence. The COVID-19 pandemic showed the need for flexible, rigorously developed, and
Area of Science:
- Medical Informatics
- Evidence-Based Medicine
Background:
- Clinical practice guidelines (CPGs) are crucial for healthcare but vary in quality.
- Many CPG recommendations lack robust, high-level evidence.
- The COVID-19 pandemic exposed limitations in current CPG development and dissemination.
Discussion:
- The quality and evidence base of clinical practice guidelines are inconsistent.
- Low-level evidence often underpins recommendations in many guidelines.
- Flexible and rigorous guideline formats are needed, as demonstrated by the COVID-19 pandemic.
Key Insights:
- CPGs require standardization for consistent quality and evidence grading.
- Guideline registration is essential for transparency and tracking.
- Living guidelines, continuously updated, are necessary for dynamic healthcare needs.
Outlook:
- Future guideline development must be standardized, graded, and registered.
- Implementing 'living' guidelines ensures recommendations remain current and evidence-based.
- Continuous updating of guidelines is vital for adapting to new medical knowledge and public health challenges.
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