BACKGROUND Surveillance of patients with Barrett esophagus (BE) is recommended to detect dysplasia and early cancer. In 1998, practice guidelines for the surveillance of patients with BE were developed under the auspices of the American College of Gastroenterology (ACG). Our objective is to assess physicians' awareness of agreement with and adherence to these guidelines. METHODS A national pr...

Adherence to national and international clinical practice guidelines is suboptimal throughout Europe. The European Association of Urology Guidelines Office project “IMAGINE” (IMpact Assessment Implementation Education) has been developed measure baseline adherence urological guideline recommendations across Europe identify issues that drive nonadherence.

BACKGROUND Evidence supporting antibiotic treatment guidelines and respiratory quinolones (RQs) in community-acquired pneumonia (CAP) is limited. OBJECTIVE To study associations among guideline adherence, specific antibiotics, clinical outcomes and antibiotic costs. METHODS A retrospective cohort study in three tertiary care university teaching hospitals in Toronto, Ontario, studying CAP in...

OBJECTIVES A clinical practice guideline (CPG) contains specifically developed recommendations that can serve physicians as a decision aid in evidence-based practice. The implementation of heart failure (HF) CPGs represents a challenge in general practice. As part of the development of a tailored curriculum, aim of this study was to identify barriers of guideline adherence and needs for medical...

BACKGROUND Prognostic models in reproductive medicine can help to identify subfertile couples who would benefit from fertility treatment. Expectant management in couples with a good chance of natural conception, i.e., tailored expectant management (TEM), prevents unnecessary treatment and is therefore recommended in international fertility guidelines. However, current implementation is not opti...

Background This study aimed to assess the adherence rate of pharmacological treatment to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guideline published in 2011 and the prevalence of comorbidities among patients with COPD in Hong Kong (HK). Methods Patients were recruited from five tertiary respiratory centers and followed up for 12 months. Data on baseline physiological...

OBJECTIVE The aim of the paper is to investigate the association between physicians' adherence to a pharmacotherapy guideline and continuity of care for patients with depressive and/or anxiety disorders in a collaborative care program. METHODS This retrospective observational study was conducted using medical records of subjects suffering from depression and/or anxiety disorder visited by 26 ...

ever, the IOM standards for external review and updating guidelines specify precisely what guideline developers must do, not simply what they must report, as in AGREE II. The IOM states that guideline developers should use a systematic review of the evidence, a tough but essential standard with the purpose to ensure that a guideline uses all of the evidence, not just that which supports the gui...

BACKGROUND Diabetes mellitus (DM) is a serious chronic disease and an important public health issue. This study aimed to identify the predominant culture within the Palestinian Primary Healthcare Centers of the Ministry of Health (PHC-MoH) and the Primary Healthcare Centers of the United Nations Relief and Works Agency for Palestine Refugees (PHC-UNRWA) by using the competing values framework (...

Prescribing pattern surveys are one of the pharmacoepidemiological techniques that provide an unbiased picture of prescribing habits. Prescription surveys permit the identification of suboptimal prescribing patterns for further evaluation. The aims of this study were to determine the prescribing trend, adherence of the prescribers to the guideline, and the impact of drug expenditure on drug uti...