Armstrong Melissa J, Gronseth Gary S
Department of Neurology (MJA), University of Florida College of Medicine, Gainesville; and Department of Neurology (GSG), University of Kansas, Kansas City.
Neurol Clin Pract. 2018 Feb;8(1):58-61. doi: 10.1212/CPJ.0000000000000417.
Clinical practice guidelines are produced in ever-increasing numbers by the American Academy of Neurology (AAN) and other developers, with over 1,000 guidelines currently in the National Guideline Clearinghouse. Knowing when to use guidelines in clinical practice requires neurologists to assess the rigor of published guidelines and understand how guideline recommendations are best applied in individual patient encounters. This review briefly describes guideline definitions and the AAN process for guideline development, outlines key elements for assessing guideline quality, and details a practical approach for incorporating guideline recommendations when partnering with patients in shared decision-making.
美国神经病学学会（AAN）和其他制定者制定的临床实践指南数量不断增加，目前国家指南库中有1000多项指南。要知道何时在临床实践中使用指南，神经科医生需要评估已发表指南的严谨性，并了解如何在个体患者诊疗过程中最佳地应用指南建议。本综述简要描述了指南的定义以及AAN制定指南的过程，概述了评估指南质量的关键要素，并详细介绍了在与患者共同决策时纳入指南建议的实用方法。
