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How well do guidelines incorporate evidence on patient preferences?

Overview
Title:
How well do guidelines incorporate evidence on patient preferences?
Authors:
Chong CA, Chen IJ, Naglie G, Krahn MD
Journal:
J Gen Intern Med
Publication date:
2009
Volume:
24
Issue:
8
First page:
977
Last page:
982
ISSN:
0884-8734
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/19387746
Link to details:
http://www.springerlink.com/content/m6220j53600m83l7/
Publication type:
Journal
Abstract
Background Clinical practice guidelines (CPG) are meant to consider important values such as patient preferences. Objective To assess how well clinical practice guidelines (CPGs) integrate evidence on patient preferences compared with that on treatment effectiveness. Design A cross-sectional review of a listing in 2006 of CPGs judged to be the best in their fields by an external joint government and medical association body. Study Selection Exclusion criterion was unavailability in electronic format. Sixty-five of 71 listed CPGs met selection criteria. Measurements Two instruments originally constructed to evaluate the overall quality of CPGs were adapted to specifically assess the quality of integrating information on patient preference vs. treatment effectiveness. Counts of words and references in each CPG associated with patient preferences vs. treatment effectiveness were performed. Two reviewers independently assessed each CPG. Main Results Based on our adapted instruments, CPGs scored significantly higher (p
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How well do guidelines incorporate evidence on patient preferences? Chong CA, Chen IJ, Naglie G, Krahn MD. J Gen Intern Med 2009; 24(8):977-982.

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