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Strategies for monitoring and updating clinical practice guidelines: a systematic review

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dc.contributor.authorMartínez García, Laura
dc.contributor.authorArévalo Rodríguez, Ingrid
dc.contributor.authorSolá, Iván
dc.contributor.authorHaynes, R. Brian
dc.contributor.authorVandvik, Per Olav
dc.contributor.authorAlonso Coello, Pablo
dc.date.accessioned2021-10-27T16:44:29Z
dc.date.available2021-10-27T16:44:29Z
dc.date.issued2012-11-19
dc.description.abstractBackground: Scientific knowledge is in constant change. The flow of new information requires a frequent re-evaluation of the available research results. Clinical practice guidelines (CPGs) are not exempted from this phenomenon and need to be kept updated to maintain the validity of their recommendations. The objective of our review is to systematically identify, describe and assess strategies for monitoring and updating CPGs. Study design and setting: We conducted a systematic review of studies evaluating one or more methods of updating (with or without monitoring) CPGs or recommendations. We searched MEDLINE (PubMed) and The Cochrane Methodology Register (The Cochrane Library) from 1966 to June 2012. Additionally, we hand-searched reference lists of the included studies and the Guidelines International Network book of abstracts. If necessary, we contacted study authors to obtain additional information. Results: We included a total of eight studies. Four evaluated if CPGs were out of date, three updated CPGs, and one continuously monitored and updated CPGs. The most detailed reported phase of the process was the identification of new evidence. As opposed to studies updating guidelines, studies evaluating if CPGs were out of date applied restricted searches. Only one study compared a restricted versus an exhaustive search suggesting that a restricted search is sufficient to assess recommendations’ Validity. One study analyzed the survival time of CPGs and suggested that these should be reassessed every three years. Conclusions: There is limited evidence about the optimal strategies for monitoring and updating clinical practice guidelines. A restricted search is likely to be sufficient to monitor new evidence and assess the need to update, however, more information is needed about the timing and type of search. Only the exhaustive search strategy has been assessed for the update of CPGs. The development and evaluation of more efficient strategies is needed to improve the timeliness and reduce the burden of maintaining the validity of CPGs. Keywords: Clinical practice guidelines, Diffusion of innovation, Evidence-based medicine, Information storage and retrieval, Methodology, Updating, Implementation science, Dissemination and implementation, Knowledge translation.eng
dc.format.extent10 p.spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.urihttps://repositorio.fucsalud.edu.co/handle/001/1870
dc.language.isoengspa
dc.publisherBioMed Centralspa
dc.publisher.placeReino Unidospa
dc.relation.citationendpage10spa
dc.relation.citationissue109spa
dc.relation.citationstartpage1spa
dc.relation.citationvolume7spa
dc.relation.ispartofImplementation Science ISSN:1748-5908 Vol.7 Núm.109 (2012)
dc.relation.ispartofjournalImplementation Sciencespa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/spa
dc.sourcehttps://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-7-109spa
dc.subject.proposalGuías de práctica clínica como asuntospa
dc.subject.proposalDifusión de innovacionesspa
dc.subject.proposalMedicina basada en la evidenciaspa
dc.subject.proposalAlmacenamiento y recuperación de la informaciónspa
dc.subject.proposalMetodologíaspa
dc.subject.proposalCiencia de la implementaciónspa
dc.subject.proposalDifusión de la informaciónspa
dc.subject.proposalConocimientospa
dc.titleStrategies for monitoring and updating clinical practice guidelines: a systematic revieweng
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.coarversionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttps://purl.org/redcol/resource_type/WPspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dspace.entity.typePublication

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