Guerra-Farfan Ernesto, Garcia-Sanchez Yaiza, Jornet-Gibert Montsant, Nuñez Jorge H, Balaguer-Castro Mariano, Madden Kim
Department of Orthopaedic Surgery and Traumatology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Department of Orthopaedic Surgery and Traumatology, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain.
Injury. 2023 May;54 Suppl 3:S26-S29. doi: 10.1016/j.injury.2022.01.047. Epub 2022 Feb 1.
Clinical practices guidelines (CPGs) play a fundamental role in improving healthcare and patients' outcomes by helping clinicians make the best evidence-based decisions for their patients in a time-efficient manner. By following the available methods and criteria to create trustworthy CPGs, panel members can develop high-quality guidelines. However, despite the improvements over the years, CPGs are still subjected to biases and limitations, with conflicts of interest being the ugliest problem GCPs must face. In this review, we discuss the main characteristics of clinical practice guidelines, their pros and cons, and the future challenges they need to overcome.
临床实践指南（CPGs）通过帮助临床医生以高效的方式为患者做出最佳的循证决策，在改善医疗保健和患者治疗结果方面发挥着基础性作用。通过遵循现有的方法和标准来制定可信的临床实践指南，专家小组成员可以制定出高质量的指南。然而，尽管多年来有所改进，但临床实践指南仍存在偏差和局限性，利益冲突是临床实践指南必须面对的最严重问题。在本综述中，我们讨论了临床实践指南的主要特点、优缺点以及它们需要克服的未来挑战。
