A commonly accepted definition of a clinical practice guideline is “a systematically developed statement to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances” [1]. Guidelines are written to improve the quality of care, to improve the appropriateness of care, to improve cost-effectiveness, and to serve as educational tools [2, 3]. The goa...

At the request of the College of Dental Surgeons of British Columbia, this guideline has been written by a working group of the BC Oral Cancer Prevention Program, which is a multidisciplinary team composed of clinicians and scientists from the BC Cancer Agency. This guideline is intended to provide guidance about the appropriate use of oral cancer screening techniques and to help dentists make ...

RATIONALE To improve the quality of exercise-based cardiac rehabilitation (CR) in patients with chronic heart failure (CHF) a practice guideline from the Dutch Royal Society for Physiotherapy (KNGF) has been developed. GUIDELINE DEVELOPMENT A systematic literature search was performed to formulate conclusions on the efficacy of exercise-based intervention during all CR phases in patients with...

Originally published in February 2004. This guideline is more than 5 years old and has not yet been updated to ensure that it reflects current knowledge and practice. In accordance with national standards, including those of the Agency for Healthcare Research and Quality's National Guideline Clearinghouse (http://www.guideline.gov/), this guideline can no longer be assumed to be current.

BACKGROUND Cancer-related fatigue (CRF) is a key concern for people living with cancer and can impair physical functioning and activities of daily living. Evidence-based guidelines for CRF are available, yet inconsistently implemented globally. This study aimed to identify barriers and enablers to applying a cancer fatigue guideline and to derive implementation strategies. METHODS A mixed-met...

OBJECTIVE To review the topics presented in the Agency for Health Care Policy and Research (AHCPR) Clinical Practice Guideline for Acute Pain Management and provide updated information on therapeutic issues as necessary. DATA SOURCES AHCPR Clinical Practice Guideline for Acute Pain Management: Operative or Medical Procedures and Trauma. A MEDLINE search (1990 to June 1996) of English-language...

PURPOSE Few available data exist to define either the medically necessary duration of parenteral antimicrobial therapy or length of stay for hospitalized patients with pneumonia. Therefore, we investigated the potential safety and effectiveness of a practice guideline recommending early conversion of low-risk patients with pneumonia from parenteral to oral antimicrobial therapy and early hospit...

OBJECTIVE To identify the number of Australian clinical practice guidelines, and their key characteristics. DESIGN, SETTING AND PARTICIPANTS Clinical practice guidelines that were produced or reviewed between 2003 and 2007 for use in Australia at a national or state level were identified by approaching health-related organisations and searching websites. Their characteristics were abstracted ...

BACKGROUND Although practice guidelines are important tools to improve quality of care, implementation remains challenging. To improve adherence to an evidence-based guideline for the management of mental health problems, we developed a tailored implementation strategy targeting barriers perceived by occupational physicians (OPs). Feasibility and impact on OPs' barriers were evaluated. METHOD...