van Wyk Jacobus T, van Wijk Marc A M, Moorman Peter W, van der Lei Johan
Department of Medical Informatics, ErasmusMC University Medical Centre Rotterdam, PO Box 1738, 3000DR Rotterdam, the Netherlands.
Med Decis Making. 2006 Jan-Feb;26(1):57-62. doi: 10.1177/0272989X05284104.
To identify the possible inconsistency of statements among the practice guidelines of the Dutch College of General Practitioners (DCGP) with respect to the management of risk factors for cardiovascular disease (CVD).
Cross-sectional analysis of all electronically available DCGP practice guidelines dealing with CVD risk factor management for statement inconsistencies and reference inconsistencies.
Six DCGP guidelines out of 74 electronically available guidelines had either CVD or CVD risk factors as the subject of the guideline. Eight statement inconsistencies-were found, and for each statement inconsistency, a reference inconsistency was present.
Given that inconsistencies were found, the authors recommend that organizations that maintain a set of guidelines update the guidelines using a cross-sectional analysis of guidelines. Inconsistencies between guidelines might lead to physicians being unintentionally noncompliant with guideline recommendations.
确定荷兰全科医生学院（DCGP）的实践指南中关于心血管疾病（CVD）危险因素管理的陈述可能存在的不一致性。
对所有电子可得的DCGP关于CVD危险因素管理的实践指南进行横断面分析，以查找陈述不一致性和参考文献不一致性。
在74份电子可得的指南中，有6份DCGP指南将CVD或CVD危险因素作为指南主题。发现了8处陈述不一致，并且对于每一处陈述不一致，都存在一处参考文献不一致。
鉴于发现了不一致性，作者建议维护一套指南的组织通过对指南进行横断面分析来更新指南。指南之间的不一致可能导致医生无意中不遵守指南建议。
