Table 1. Methodological Standards for Practice Guidelines Adapted From: Shaneyfelt, T.M., Mayo-Smith, M.F., Rothwangl, J. Are Guidelines Following Guidelines? The Methodological Quality of Clinical Practice Guidelines in the Peer-Reviewed Medical Literature. JAMA, May 26, 1999 – Vol 281, No. 20. With the Permission of the Journal of the American Medical Association
Frequency of Adherence to Methodological Standards on Guideline Development and Format
Purpose of the guideline is specified
Rationale and importance of the guideline are explained
The participants in the guideline development process and their areas of expertise are specified.
Targeted health problem or technology is clearly defined
Targeted patient population is specified
Intended audience or users of the guideline are specified
The principal preventive, diagnostic, or therapeutic options available to clinicians and patients are specified
The health outcomes are specified
The method by which the guideline underwent external review id specified
An expiration date or date of scheduled review is specified.
Frequency of Adherence to Methodological Standards on Evidence Identification and Summary
Method of identifying scientific evidence is specified
Time period from which evidence is reviewed is specified.
The evidence used is identified by citation and referenced
Method of data extraction is specified
Method for grading or classifying the scientific evidence is specified
Formal methods of combining evidence or expert opinion are used and described.
Benefits and harms of specific health practices are specified
Benefits and harms are quantified
The effect on health care costs from specific health practices is specified
Costs are quantified
Frequency of Adherence to Methodological Standards on the Formulation of Recommendations
21. The role of value judgments used by the guideline developers in making recommendations is discussed
The role of patient preferences is discussed
Recommendations are specific and apply to the stated goals of the guideline
Recommendations are graded according to the strength of the evidence
Flexibility n the recommendations is specified
_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision