0
Commentary |

Creating Clinical Practice Guidelines We Can Trust, Use, and ShareGuidelines We Can Trust, Use, and Share: A New Era Is Imminent

Per Olav Vandvik, MD, PhD; Linn Brandt, MD; Pablo Alonso-Coello, MD, PhD; Shaun Treweek, PhD; Elie A. Akl, MD, MPH, PhD; Annette Kristiansen, MD; Anja Fog-Heen, MD; Thomas Agoritsas, MD; Victor M. Montori, MD; Gordon Guyatt, MD, FCCP
Author and Funding Information

From the Department of Medicine (Drs Vandvik, Brandt, Kristiansen, and Fog-Heen), Sykehuset Innlandet HF (Innlandet Hospital Trust), Gjøvik, Norway; The Norwegian Knowledge Centre for the Health Services (Dr Vandvik), Oslo, Norway; Institute of Health and Society (Drs Vandvik, Brandt, Kristiansen, and Fog-Heen), Faculty of Medicine, University of Oslo, Oslo, Norway; Iberoamerican Cochrane Centre (Dr Alonso-Coello), Biomedical Research Institute (CIBERESP-IIB Sant Pau), Barcelona, Spain; Health Services Research Unit (Dr Treweek), University of Aberdeen, Aberdeen, Scotland; Department of Internal Medicine (Dr Akl), American University of Beirut, Beirut, Lebanon; Department of Clinical Epidemiology and Biostatistics (Drs Akl, Agoritsas, and Guyatt), McMaster University, Hamilton, ON, Canada; and Health Encounter Research Unit (Dr Montori), Mayo Clinic, Mayo Foundation for Medical Education and Research, Rochester, MN.

Correspondence to: Per Olav Vandvik, MD, PhD, Department of Medicine, Sykehuset Innlandet HF, Gjøvik, Norway; e-mail: per.vandvik@gmail.com


For editorial comment see page 365

Presented at the 9th Guideline International Network Conference, Berlin, Germany, August 2012.

Funding/Support: Sykehuset Innlandet HF (Innlandet Hospital Trust) has provided research grants. The Norwegian Directorate of Health and Den norske legeforening (the Norwegian Medical Association) have provided grants to allow development of the tools created in MAGIC.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(2):381-389. doi:10.1378/chest.13-0746
Text Size: A A A
Published online

Standards and guidance for developing trustworthy clinical practice guidelines are now available, and a number of leading guidelines adhere to the key standards. Even current trustworthy guidelines, however, generally suffer from a cumbersome development process, suboptimal presentation formats, inefficient dissemination to clinicians at the point of care, high risk of becoming quickly outdated, and suboptimal facilitation of shared decision-making with patients. To address these limitations, we have—in our innovative research program and nonprofit organization, MAGIC (Making GRADE the Irresistible Choice)—constructed a conceptual framework and tools to facilitate the creation, dissemination, and dynamic updating of trustworthy guidelines. We have developed an online application that constitutes an authoring and publication platform that allows guideline content to be written and structured in a database, published directly on our web platform or exported in a computer-interpretable language (eg, XML) enabling dissemination through a wide range of outputs that include electronic medical record systems, web portals, and applications for smartphones/tablets. Modifications in guidelines, such as recommendation updates, will lead to automatic alterations in these outputs with minimal additional labor for guideline authors and publishers, greatly facilitating dynamic updating of guidelines. Semiautomated creation of a new generation of decision aids linked to guideline recommendations should facilitate face-to-face shared decision-making in the clinical encounter. We invite guideline organizations to partner with us (www.magicproject.org) to apply and further improve the tools for their purposes. This work will result in clinical practice guidelines that we cannot only trust, but also easily share and use.

Figures in this Article

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543