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Current status of practice guidelines in oncology
1Community Oncology Program, Anderson Cancer Center, Houston, Texas, USA.
Oncology (Williston Park, N.Y.)
|July 1, 1995
Summary
Developing and implementing oncology practice guidelines is crucial but still in its early stages. Key principles for guideline creation include topic selection, panel composition, objective processes, and review mechanisms.
Area of Science:
- Oncology
- Healthcare Policy
- Medical Practice Management
Background:
- Numerous organizations are creating oncology practice guidelines.
- Guideline development and implementation science are nascent fields.
- Various entities, including federal agencies and medical societies, are involved.
Purpose of the Study:
- To highlight the current state of oncology practice guideline development.
- To identify essential principles for creating sound guidelines.
- To underscore the need for research in guideline implementation.
Main Methods:
- The study reviews the landscape of guideline development organizations.
- It identifies core principles for guideline generation.
- It discusses the early stage of guideline implementation science.
Main Results:
- Guideline development requires careful topic selection, panel composition, objective processes, and review protocols.
- The science of implementing these guidelines and ensuring physician acceptance is underdeveloped.
- Systematic evaluation of implementation strategies is lacking.
Conclusions:
- While guideline development has principles, its science is embryonic.
- Guideline implementation science requires significant advancement.
- Further research is needed to understand physician acceptance and effective implementation strategies.