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Guideline organizations' guidance documents paper 7: updating practice guidelines
Rachad Ghazal1, Joanne Khabsa2, Jessica Mroueh1
1Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Journal of Clinical Epidemiology
|November 21, 2025
Summary
Practice guideline updates are crucial for patient care. Most organizations update based on new evidence but need better methods for communicating changes to users.
Area of Science:
- Medical Practice Guidelines
- Evidence-Based Medicine
- Healthcare Policy
Background:
- Practice guidelines are vital for patient care and policy.
- Ensuring guidelines are current with the latest evidence is essential.
Purpose of the Study:
- To describe the processes guideline-producing organizations use to update practice guidelines.
- To analyze methods for guideline updates based on publicly available guidance documents.
Main Methods:
- Descriptive summary of guidance documents from guideline-producing organizations.
- Independent and duplicate assessment of eligibility and data abstraction.
- Synthesis of data in textual and tabular formats.
Main Results:
- 107 of 133 organizations (80%) had guidance on updating processes.
- The most common update trigger was new evidence (75%); 65% revisited search strategies.
- Electronic publication was common (84%), but few highlighted changes (12%) or notified users (5%).
Conclusions:
- The study reveals insights into practice guideline updating processes.
- There is a need for improved methods in guideline updates.
- Enhanced communication of updates and changes to users is critical.
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