North of England evidence based guidelines development project: methods of guideline development
BMJPublished 23 March 1996Open access
M. Eccles, Z. Clapp, Jeremy Grimshaw, Philip C. Adams, Bernard Higgins, I Purves
Citations218
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The methods used to develop evidence based guidelines for the primary care management of two common chronic conditions—namely, asthma in adults and stable angina—and summary versions of the two guidelines that resulted are described.
Keywords
MedicineHealth Professions
The LancetEffect of clinical guidelines on medical practice: a systematic review of rigorous evaluations
2,811 Citations1993Jeremy Grimshaw, Ian Russell
It is concluded that explicit guidelines do improve clinical practice, when introduced in the context of rigorous evaluations, however, the size of the improvements in performance varied considerably.
JAMAUsers' Guides to the Medical Literature
2,178 Citations1994Roman Jaeschke
The patient is a 28-year-old man whose acute onset of shortness of breath and vague chest pain began shortly after completing a 10-hour auto trip, and the physician is very apprehensive about his symptoms.
JAMAUsers' guides to the medical literature. III. How to use an article about a diagnostic test. B. What are the results and will they help me in caring for my patients? The Evidence-Based Medicine Working Group
1,830 Citations1994Roman Jaeschke
You are back where you were in the previous article1 on diagnostic tests: in the library studying an article that will guide you in interpreting ventilation-perfusion (V/Q) lung scans.
JAMAUsers' Guides to the Medical Literature
1,046 Citations1994Roman Jaeschke
A 78-year-old woman, now 10 days after abdominal surgery, who has become increasingly short of breath over the last 24 hours, is seen by a medical consultant asked by a surgical colleague to see her.
National Academies Press eBooksGuidelines for Clinical Practice
916 Citations1992Institute of Medicine
This new book presents the first balanced and highly practical view of guidelines--their strengths, their limitations, and how they can be used most effectively to benefit health care.
JAMAUsers' Guides to the Medical Literature
701 Citations1994Gordon Guyatt
A general internist is asked to see a 65-year-old man with controlled hypertension and a 6-month history of atrial fibrillation resistant to cardioversion, who has no evidence for valvular or coronary heart disease, and who shares concerns about the benefits of long-term anticoagulant therapy.
BMJClinical trials of homoeopathy.
610 Citations1991Jos Kleijnen, P. Knipschild +1 more
The evidence of clinical trials is positive but not sufficient to draw definitive conclusions because most trials are of low methodological quality and because of the unknown role of publication bias, which indicates that there is a legitimate case for further evaluation of homoeopathy, but only by means of well performed trials.
ThoraxGuidelines on the management of asthma.
424 Citations1993Kevin Jones
There are three areas not sufficiently emphasised which are worthy of further exploration, including the need for consistency in the colour of metered dose inhalers, the role of spirometry in the management of asthma in primary care and the use of antibiotics in themanagement of acute asthma attacks.
BMJ Quality & SafetyAchieving health gain through clinical guidelines II: Ensuring guidelines change medical practice.
336 Citations1994Jeremy Grimshaw, Ian Russell
It is concluded that guidelines improve clinical practice and achieve health gains when introduced in the context of rigorous evaluations.
Journal of Clinical EpidemiologyAcupuncture and chronic pain: A criteria-based meta-analysis
314 Citations1990Gerben ter Riet, J. Kleunen +1 more
The efficacy of acupuncture in the treatment of chronic pain remains doubtful because of the quality of even the better studies, which proved to be mediocre.
BMJ Quality & SafetyAchieving health gain through clinical guidelines. I: Developing scientifically valid guidelines.
272 Citations1993Jeremy Grimshaw, Ian Russell
A classification to help purchasers and providers to identify scientifically valid guidelines is proposed and a complementary classification is proposed to help both parties to ensure that guidelines change medical practice.
BMJPhysiotherapy exercises and back pain: a blinded review.
242 Citations1991Bart W. Koes, L.M. Bouter +3 more
No conclusion can be drawn about whether exercise therapy is better than other conservative treatments for back pain or whether a specific type of exercise is more effective.
Journal of Evaluation in Clinical PracticeDeveloping clinically valid practice guidelines
182 Citations1995Jeremy Grimshaw, Martin Eccles +1 more
The practical implications of adopting this approach for guideline development and the role of peer review guidelines as another element of the process to ensure validity are discussed.
PubMedA meta-analysis of studies into the effect of acupuncture on addiction.
158 Citations1990Gerben ter Riet, Jos Kleijnen +1 more
Claims that acupuncture is efficacious as a therapy for heroin and alcohol addiction controlled clinical research is both scarce and of low quality, and the quality of the studies is generally poor.
ThoraxAcupuncture and asthma: a review of controlled trials.
119 Citations1991Jos Kleijnen, Gerben ter Riet +1 more
Claims that acupuncture is effective in the treatment of asthma are not based on the results of well performed clinical trials because the results from the better studies are highly contradictory.
