Darling Gail
Department of Surgery, University of Toronto, Canada.
Surg Oncol. 2002 Dec;11(4):255-62. doi: 10.1016/s0960-7404(02)00046-4.
With increasing numbers of clinical practice guidelines (CPGs) becoming available to guide physicians, it is important to understand how guidelines are developed. Of importance, is evaluation of the scientific evidence on which guidelines are based, indeed whether the guideline is evidence based or based on expert opinion alone. This report will review in general, guideline development. The impact of CPGs, including expected outcomes, as well as potential harms is discussed. Clinical trials, meta analyses and CPGs relevant to the treatment of lung cancer are reviewed.
随着越来越多的临床实践指南（CPG）可供医生参考，了解这些指南的制定方式非常重要。重要的是，要评估指南所依据的科学证据，实际上就是评估该指南是基于证据还是仅基于专家意见。本报告将总体回顾指南的制定情况。讨论了CPG的影响，包括预期结果以及潜在危害。还回顾了与肺癌治疗相关的临床试验、荟萃分析和CPG。
