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Related Experiment Videos

The practice guidelines development cycle: a conceptual tool for practice guidelines development and implementation

G P Browman1, M N Levine, E A Mohide

  • 1Ontario Cancer Treatment and Research Foundation, Canada.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|February 1, 1995
PubMed
Summary

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A new Practice Guidelines Development Cycle was created to systematically develop cancer treatment guidelines. This tool integrates scientific evidence with clinical experience and administrative factors for better guideline creation.

Area of Science:

  • Oncology
  • Health Services Research
  • Clinical Practice Guidelines

Background:

  • Developing evidence-based cancer treatment guidelines faces challenges.
  • Clinicians struggle with integrating evidence into practice.
  • Existing guidelines may not fully account for clinical and administrative factors.

Purpose of the Study:

  • To develop a conceptual tool for systematic cancer treatment practice guideline development.
  • To create a framework that incorporates clinical and administrative factors into evidence-based guidelines.

Main Methods:

  • The Practice Guidelines Development Cycle was derived from an evidence-based practice initiative and literature review.
  • A framework was evolved to incorporate clinical and administrative factors.

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  • The tool's application was illustrated using adjuvant systemic therapy in breast cancer.

    • Main Results:

    • The Practice Guidelines Development Cycle comprises eight sequential steps, including topic selection and policy formulation.
    • The cycle produces evidence-based recommendations, practice guidelines, and practice policies.
    • Key features include emphasis on scientific evidence, consensus on clinical experience and administrative factors, and separation of clinical and cost considerations.

    Conclusions:

    • Addressing barriers and the sociocultural nature of practice improves guideline development.
    • Respecting clinical experience is crucial for effective guideline strategies.
    • The Practice Guidelines Development Cycle offers a structured approach to guideline creation.