Alonso P, Bonfill X
Centro Cochrane Iberoamericano, Servicio de Epidemiología Clínica y Salud Pública, Hospital de la Sta, Creu i St Pau, Universidad Autónoma de Barcelona. Casa de Convalescència, Barcelona, España.
Radiologia. 2007 Jan-Feb;49(1):19-22. doi: 10.1016/s0033-8338(07)73711-6.
Clinical practice guidelines are defined as a set of systematically developed recommendations that aim to guide the decision-making process. In the last ten years, interest in clinical practice guidelines has grown steadily as they have enabled a point of encounter between research and clinical practice. Unlike classical protocols, usually based on consensus or opinion and a narrative review of the available scientific literature, clinical practice guidelines are developed by multidisciplinary teams, review the evidence exhaustively and systematically, evaluate the quality of the information, and propose specific recommendations in line with the quality and design of the studies available. The later stages of dissemination, implementation, and posterior evaluation of their impact complete the cycle for dynamic change in clinical practice.
临床实践指南被定义为旨在指导决策过程的一系列系统制定的建议。在过去十年中,对临床实践指南的兴趣稳步增长,因为它们促成了研究与临床实践的交汇点。与通常基于共识或意见以及对现有科学文献的叙述性综述的经典方案不同,临床实践指南由多学科团队制定,对证据进行详尽且系统的审查,评估信息质量,并根据现有研究的质量和设计提出具体建议。其传播、实施以及后续影响评估的后期阶段完成了临床实践动态变化的循环。