Guidance on guidelines.

Guidance on guidelines.

Clinical guidelines are rapidly proliferating on both sides of the Atlantic. Mainly intended to improve the quality and cost effectiveness of care, they could also be used for rationing. Currently, their potential impact is unclear. Some patients and doctors may reject guidelines shaped by epidemiological or public health priorities or driven by financial considerations. Other conflicts may ari...

Recommended guidance beyond guidelines

Hand in hand with an inflation of treatment guidelines across Europe, the gap between recommendations based on evidence and clinical practice paradoxically increases. There are several reasons for which guidelines use to be disregarded in everyday practice. First, there are always stakeholders staying out of consensus and therefore reluctant to support the implementation of its outcome. Second,...

Guidance for guidelines.

Guidance on the creation of evidence-linked guidelines for COIN.

This guidance on the creation of evidence-linked guidelines was issued to the COIN Specially Working Groups charged in 1995 with producing clinical guidelines for breast, colorectral, lung, prostate and testicular cancer and generic guidelines for the delivery of radio- and chemotherapy on behalf of the Faculty of Clinical Oncology of The Royal College of Radiologists and the Joint Council for ...

Guidelines on the use of ultrasound guidance for vascular access.

Insertion of vascular access is a common procedure with potential for iatrogenic events, some of which can be serious. The spread of ultrasound scanners in operating rooms, intensive care units and emergency departments has made ultrasound-guided catheterisation possible. The first guidelines were published a decade ago but are not always followed in France. The French Society of Anaesthesia an...