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Guidelines, practice policies, and parameters: the case for geriatrics

M A Rudberg1, G Barr, C K Cassel

  • 1Department of Medicine, University of Chicago, IL 60637.

Journal of the American Geriatrics Society
|June 1, 1994
PubMed
Summary
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Most practice guidelines lack specific information for older adults. This study found only 29.5% of guidelines address the unique needs of the aging population, highlighting a gap in geriatric care recommendations.

Area of Science:

  • Geriatric Medicine
  • Health Policy
  • Evidence-Based Practice

Background:

  • The global population is aging, increasing the importance of specialized care for older adults.
  • Practice guidelines are increasingly published to ensure appropriate medical care.
  • A gap exists in guidelines specifically addressing the needs of the elderly population.

Purpose of the Study:

  • To determine the proportion of medical practice guidelines that include specific information relevant to older persons.
  • To assess if the inclusion of age-related information in guidelines has changed over time.

Main Methods:

  • A random sample of practice guidelines was selected from the AMA Directory of Practice Parameters (1992 Edition).
  • The proportion of guidelines containing age-specific information was calculated.

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  • Analysis was performed to identify any secular trends in guideline content regarding older adults.

    • Main Results:

    • 45.9% of guidelines potentially relevant to older adults contained no age-specific information.
    • 24.6% of guidelines focused on individuals under 65 years of age.
    • Only 29.5% of guidelines provided specific information for older persons.
    • No significant secular trends were observed in the proportion of guidelines addressing older adults over time.

    Conclusions:

    • A minority of current practice guidelines adequately address the specific needs of older persons.
    • The findings indicate a significant shortfall in geriatric-focused recommendations within medical guidelines.
    • Potential reasons for this deficiency and possible solutions are discussed for improving geriatric care standards.