Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines

Clinical practice guidelines contain recommendations for physicians to determine the most appropriate care for patients. These guidelines systematically combine scientific evidence and clinical judgment, culminating in recommendations intended to optimize patient care. The recommendations in CPGs ar...

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Veröffentlicht in:PloS one 2018-10, Vol.13 (10), p.e0204720-e0204720
Hauptverfasser: Meyer, Chase, Bowers, Aaron, Wayant, Cole, Checketts, Jake, Scott, Jared, Musuvathy, Sanjeev, Vassar, Matt
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container_end_page e0204720
container_issue 10
container_start_page e0204720
container_title PloS one
container_volume 13
creator Meyer, Chase
Bowers, Aaron
Wayant, Cole
Checketts, Jake
Scott, Jared
Musuvathy, Sanjeev
Vassar, Matt
description Clinical practice guidelines contain recommendations for physicians to determine the most appropriate care for patients. These guidelines systematically combine scientific evidence and clinical judgment, culminating in recommendations intended to optimize patient care. The recommendations in CPGs are supported by evidence which varies in quality. We aim to survey the clinical practice guidelines created by the American College of Gastroenterology, report the level of evidence supporting their recommendations, and identify areas where evidence can be improved with additional research. We extracted 1328 recommendations from 39 clinical practice guidelines published by the American College of Gastroenterology. Several of the clinical practice guidelines used the differing classifications of evidence for their recommendations. To standardize our results, we devised a uniform system for evidence. A total of 39 clinical practice guidelines were surveyed in our study. Together they account for 1328 recommendations. 693 (52.2%) of the recommendations were based on low evidence, indicating poor evidence or expert opinion. Among individual guidelines, 13/39 (33.3%) had no recommendations based on high evidence. Very few recommendations made by the American College of Gastroenterology are supported by high levels of evidence. More than half of all recommendations made by the American College of Gastroenterology are based on low-quality evidence or expert opinion.
doi_str_mv 10.1371/journal.pone.0204720
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These guidelines systematically combine scientific evidence and clinical judgment, culminating in recommendations intended to optimize patient care. The recommendations in CPGs are supported by evidence which varies in quality. We aim to survey the clinical practice guidelines created by the American College of Gastroenterology, report the level of evidence supporting their recommendations, and identify areas where evidence can be improved with additional research. We extracted 1328 recommendations from 39 clinical practice guidelines published by the American College of Gastroenterology. Several of the clinical practice guidelines used the differing classifications of evidence for their recommendations. To standardize our results, we devised a uniform system for evidence. A total of 39 clinical practice guidelines were surveyed in our study. Together they account for 1328 recommendations. 693 (52.2%) of the recommendations were based on low evidence, indicating poor evidence or expert opinion. Among individual guidelines, 13/39 (33.3%) had no recommendations based on high evidence. Very few recommendations made by the American College of Gastroenterology are supported by high levels of evidence. 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subjects Clinical medicine
Clinical practice guidelines
Clinical trials
Evidence-Based Medicine - standards
Gastroenterology
Gastroenterology - standards
Guidelines
Health sciences
Humans
Identification methods
Internet
Medical personnel
Medicine
Medicine and Health Sciences
People and Places
Physicians
Practice guidelines (Medicine)
Practice Guidelines as Topic - standards
Quality
Research and Analysis Methods
Science Policy
Societies, Medical - standards
Studies
United States
title Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines
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