Shea Kevin G, Sink Ernest L, Jacobs John C
St. Luke's Sports Medicine, St. Luke's Children's Hospital, University of Utah Department of Orthopedics, Boise, ID, USA.
J Pediatr Orthop. 2012 Sep;32 Suppl 2:S95-100. doi: 10.1097/BPO.0b013e31824b6e1c.
Multiple health care agencies have called for the increased use of clinical practice guidelines to improve health care quality. Evidence-based clinical practice guidelines are those developed with the least bias. The process of developing guidelines through the American Academy of Orthopedic Surgeons is reviewed. The advantages and disadvantages of guidelines, as well as their limitations are presented. Guidelines can have a positive impact on patient care, improve physician education, and direct future clinical research.
多家医疗保健机构呼吁增加临床实践指南的使用，以提高医疗质量。循证临床实践指南是那些偏差最小的指南。本文回顾了美国矫形外科医师学会制定指南的过程。介绍了指南的优缺点及其局限性。指南可对患者护理产生积极影响，改善医生教育，并指导未来的临床研究。
