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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

  • 1.

    Purpose of the guideline is specified

  • 2.

    Rationale and importance of the guideline are explained

  • 3.

    The participants in the guideline development process and their areas of expertise are specified.

  • 4.

    Targeted health problem or technology is clearly defined

  • 5.

    Targeted patient population is specified

  • 6.

    Intended audience or users of the guideline are specified

  • 7.

    The principal preventive, diagnostic, or therapeutic options available to clinicians and patients are specified

  • 8.

    The health outcomes are specified

  • 9.

    The method by which the guideline underwent external review id specified

  • 10.

    An expiration date or date of scheduled review is specified.

Frequency of Adherence to Methodological Standards on Evidence Identification and Summary

  • 11.

    Method of identifying scientific evidence is specified

  • 12.

    Time period from which evidence is reviewed is specified.

  • 13.

    The evidence used is identified by citation and referenced

  • 14.

    Method of data extraction is specified

  • 15.

    Method for grading or classifying the scientific evidence is specified

  • 16.

    Formal methods of combining evidence or expert opinion are used and described.

  • 17.

    Benefits and harms of specific health practices are specified

  • 18.

    Benefits and harms are quantified

  • 19.

    The effect on health care costs from specific health practices is specified

  • 20.

    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

  • 22.

    The role of patient preferences is discussed

  • 23.

    Recommendations are specific and apply to the stated goals of the guideline

  • 24.

    Recommendations are graded according to the strength of the evidence

  • 25.

    Flexibility n the recommendations is specified


_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision

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