Robert Wood Johnson Foundation Clinical Scholars, Ann Arbor, Michigan 48109-2800, USA.
Otolaryngol Head Neck Surg. 2013 Aug;149(2):187-91. doi: 10.1177/0194599813490894. Epub 2013 May 23.
Clinical practice guidelines (CPGs) have become increasingly important in recent years due to an increasing emphasis on evidence-based practice, as well as serious discussions in academic, medical, and legal circles about their possible role in measuring physician performance, setting provider reimbursement strategy, and establishing protection from litigation in the future. At the same time, CPGs are costly to develop. Thus, as CPGs gain influence in medical practice, it will become essential that CPGs are developed using trustworthy standards and that the authors of CPGs are not being unduly influenced by financial pressures from external stakeholders. Since 2004, the 9 CPGs sponsored by the American Academy of Otolaryngology-Head and Neck Surgery Foundation have been developed with full disclosure and appropriate management of potential financial conflicts of interest. This commentary discusses the potential for conflict of interest in otolaryngology CPGs and how the otolaryngology guideline development process can serve as a model for other professional medical organizations.
近年来，临床实践指南（CPGs）变得越来越重要，这是因为越来越强调循证实践，以及在学术、医学和法律界就其在衡量医生绩效、制定提供者报销策略以及为未来的诉讼提供保护方面的可能作用进行了认真讨论。同时，CPGs 的开发成本很高。因此，随着 CPG 在医疗实践中的影响力不断增强，使用值得信赖的标准来制定 CPG 并确保 CPG 作者不会受到外部利益相关者的财务压力的不当影响将变得至关重要。自 2004 年以来，美国耳鼻喉科学-头颈外科学基金会赞助的 9 项 CPG 均充分披露并适当管理潜在的财务利益冲突。本评论讨论了耳鼻喉科 CPG 中潜在的利益冲突，以及耳鼻喉科指南制定过程如何为其他专业医疗组织提供模型。
