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Articles de revues sur le sujet "Clinical Practice Guidelines (CPG)"

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Palmer, Claire. « Clinical practice guidelines : the priorities ». Psychiatric Bulletin 20, no 1 (janvier 1996) : 40–42. http://dx.doi.org/10.1192/pb.20.1.40.

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The Clinical Practice Guidelines (CPG) Steering Group commissioned a survey to find out which areas of clinical practice the mental health community view as priority for the development of clinical practice guidelines (CPGs). Fifty per cent of all professionals and service users surveyed considered the assessment of risk and management of deliberate self-harm and dangerousness' a priority area for guideline development. These findings provided the basis for a successful bid to the Department of Health for the development of The Royal College of Psychiatrists' first CPG.
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Society of Neurosciences, Malaysian. « Clinical Practice Guidelines ». Journal Of Cardiovascular, Neurovascular & ; Stroke 3, no 1 (30 mars 2021) : 1–155. http://dx.doi.org/10.32896/cvns.v3n1.1-155.

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The 1st Clinical Practice Guideline (CPG) on the management of ischaemic stroke was published in 2006 and the second edition was published in 2012. Since then, there was a rapid development in the management of acute stroke, mainly with the improvement and advancement of reperfusion therapy, encompassing both medical thrombolysis and mechanical thrombectomy. Furthermore, the importance of timely intervention, especially in the emergency department, had significantly improved the outcome in stroke patients. Therefore, this current CPG emphasizes the hyperacute management and has introduced new chapters, for example, emergency medical services. With the growing numbers of elderly population in Malaysia, we have also included a new chapter on stroke in the older person. This 3rd edition was developed to provide a clear and concise approach based on current evidence with the focus being on the efforts to reduce time and improve pre-hospital care. We have summarised and adapted relevant clinical trials data and published literatures to our local practice.
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Kim, Soo Young. « Recent Advance in Clinical Practice Guideline Development Methodology ». Korean Journal of Family Medicine 43, no 6 (20 novembre 2022) : 347–52. http://dx.doi.org/10.4082/kjfm.22.0178.

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Clinical practice guidelines (CPG) can be defined as systematically developed recommendations and related content obtained by reviewing scientific evidence, which help healthcare providers make decisions. CPG is one of the most powerful tools that helps clinicians make evidence-based decisions in practice. Methodologies in areas essential for CPG development, such as for systematic review, risk of bias (ROB) assessment, adaptation, and the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations, are rapidly developing. Therefore, they must be well-understood and applied to evidence-based CPG development. In this regard, it is necessary to learn about the updates and changed in the methodologies for CPG development. This manuscript covers the following CPG development methodologies: (1) main principles of CPG, (2) managing conflict of interest, (3) considering patient value and preference, (4) determination of key questions, (5) ROB assessment, (6) adaptation, (7) rapid guideline development, (8) living guideline development, and (9) GIN-McMaster Guideline Development Checklist.
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Vachhrajani, Shobhan, Abhaya V. Kulkarni et John R. W. Kestle. « Clinical practice guidelines ». Journal of Neurosurgery : Pediatrics 3, no 4 (avril 2009) : 249–56. http://dx.doi.org/10.3171/2008.12.peds08278.

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In the era of evidence-based medicine, clinical practice guidelines (CPGs) have become an integral part of many aspects of medical practice. Because practicing neurosurgeons rarely have the time or, in some cases, the methodological expertise, to assess and assimilate the totality of primary research, CPGs can in theory provide a vehicle through which neurosurgeons could more efficiently integrate the most current evidence into patient management. Clinical practice guidelines have been met with some skepticism, however, particularly within the neurosurgical community. Some have expressed concerns that the promise of CPGs has not been matched by the reality. Others who oppose CPGs fear that they hinder the art of medicine, and limit physician and patient autonomy. The purpose of this paper is to provide the practicing neurosurgeon with an up-to-date review of CPGs. The authors discuss some of the complexities and recent advancements in CPG development, appraisal, and publication. An overview of the various systems for grading medical evidence and issuing CPG recommendations, each of which has its advantages and disadvantages, is included, and the current knowledge on the impact of CPGs in 2 important realms, patient care and medicolegal issues, is discussed. The purpose of this review is to provide a balanced, current synopsis of what CPGs are, how they are developed, and what they can and cannot do. The authors hope that this will allow neurosurgeons to make more informed decisions about the many CPGs that will inevitably become an essential component of medical practice in the years to come.
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Torcivia, Peter, Ifeoma Nkemakolam et M. Danet Lapiz-Bluhm. « Critical Appraisal of Clinical Practice Guidelines (CPG) Training for Graduate Student Nurses : Exemplar of a CPG for the Management of Post-Traumatic Stress Disorder (PTSD) ». Journal of the American Nurses Association - New York 2, no 2 (23 août 2022) : 28–34. http://dx.doi.org/10.47988/janany.33648481.2.2.

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Background: Clinical practice guidelines serve as a framework for clinical decisions supporting best practices to optimize patient care. Critical appraisal of a clinical practice guideline is an important clinical skill for advanced practice nurses and other advanced healthcare professionals. Hence, advanced practice nursing students should receive appraisal training of clinical practice guidelines to develop their critical skills in determining their quality and potential incorporation into evidence-based clinical practice. Objective: This paper describes the incorporation of a critical appraisal of a clinical practice guideline in a graduate nursing program for advanced nursing practice. As an exemplar of the appraisal process, the clinical practice guideline from the United States (US) Department of Veterans Affairs and the Department of Defense (VA/DoD) on the management of post-traumatic stress disorder and acute stress disorder was critically appraised. Methodology: Students enrolled in a graduate nursing course were formed into groups of 3-4, and selected a clinical practice guideline according to their specialty. A group of four students enrolled in the Psychiatric and Mental Health Nurse Practitioner program critically appraised the VA/DoD clinical practice related to the management of posttraumatic stress disorder and acute stress disorder using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument. Students’ performance and feedback were evaluated. Results: The students viewed the course activity positively and appreciated learning the CPG appraisal process and its use in practice. The VA/DoD clinical practice guideline was deemed of high quality and user-friendly for practitioners’ use in clinical decision-making despite minor limitations. Conclusion and recommendations: Incorporation of clinical practice guideline assessment using the AGREE II Instrument in the advanced practice nursing curriculum should be considered. Participating graduate students considered the skill needed for their future advanced practice. Regular updates of clinical practice guidelines and their appraisals are also recommended.
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Tobin, Margaret, Andrew Wilson, David Codyre, Alan Rosen et David Barton. « Clinical Practice Guidelines : A Tool to Measure Variance ». Australasian Psychiatry 11, no 1 (mars 2003) : 26–28. http://dx.doi.org/10.1046/j.1440-1665.2003.00522.x.

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Objective: To outline plans of the RANZCP Quality Improvement Committee (QIC) for the implementation of the Clinical Practice Guidelines (CPG) into clinical practice in Australia and New Zealand, and provide views of the QIC on the role of CPG as a quality improvement tool. Conclusions: Clinical Practice Guidelines are of limited utility unless there is clinician buy-in and they are used as a tool to measure variance as part of a continuous quality improvement cycle. The QIC actively encourages debate regarding the content and development process of the CPG as well as methods for their use in routine clinical practice.
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Gholami, Reza, Rishad Khan, Anushka Ramkissoon, Abdulrahman Alabdulqader, Nikko Gimpaya, Rishi Bansal, Michael A. Scaffidi et al. « Recommendation Reversals in Gastroenterology Clinical Practice Guidelines ». Journal of the Canadian Association of Gastroenterology 5, no 2 (21 octobre 2021) : 98–99. http://dx.doi.org/10.1093/jcag/gwab040.

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Abstract Background Recommendations in clinical practice guidelines (CPGs) may be reversed when evidence emerges to show they are futile or unsafe. In this study, we identified and characterized recommendation reversals in gastroenterology CPGs. Methods We searched CPGs published by 20 gastroenterology societies from January 1990 to December 2019. We included guidelines which had at least two iterations of the same topic. We defined reversals as when (a) the more recent iteration of a CPG recommends against a specific practice that was previously recommend in an earlier iteration of a CPG from the same body, and (b) the recommendation in the previous iteration of the CPG is not replaced by a new diagnostic or therapeutic recommendation in the more recent iteration of the CPG. The primary outcome was the number of recommendation reversals. Secondary outcomes included the strength of recommendations and quality of evidence cited for reversals. Results Twenty societies published 1022 CPGs from 1990 to 2019. Our sample for analysis included 129 unique CPGs. There were 11 recommendation reversals from 10 guidelines. New evidence was presented for 10 recommendation reversals. Meta-analyses were cited for two reversals, and randomized controlled trials (RCTs) for seven reversals. Recommendations were stronger after the reversal for three cases, weaker in two cases, and of similar strength in three cases. We were unable to compare recommendation strengths for three reversals. Conclusion Recommendation reversals in gastroenterology CPGs are uncommon but highlight low value or harmful practices.
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Marriott, Sarah. « Clinical Practice Guidelines : who needs them ? » Psychiatric Bulletin 19, no 7 (juillet 1995) : 403–6. http://dx.doi.org/10.1192/pb.19.7.403.

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Clinical Practice Guidelines (CPGs) are systematically developed statements to assist practitioner and patient in clinical decisions about appropriate health care for specific clinical circumstances. The Royal College of Psychiatrists CPG Programme aims to develop clinical guidelines which are scientifically valid and acceptable to those affected by them. At the same time, CPGs must be responsive to advances in knowledge, and versatile enough for the demands of routine practice. Their development involves a number of stages and a variety of methods, built into a cycle of evaluation and review. The Programme has established priorities for clinical topics for CPG development through consultation with the mental health community. Well-developed CPGs would benefit clinicians, patients and purchasers of care. It Is now important to appraise their ability to change clinical practice, the associated direct and indirect costs, and their value as a medical technology. The clinical professions are in the strongest position to co-ordinate their development, and guide their evaluation.
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KLIGER, ALAN S., et WILLIAM E. HALEY. « Clinical Practice Guidelines in End-Stage Renal Disease ». Journal of the American Society of Nephrology 10, no 4 (avril 1999) : 872–77. http://dx.doi.org/10.1681/asn.v104872.

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Abstract. Clinical practice guidelines (CPGs) for end-stage renal failure (ESRD) were recently published, and represent a comprehensive review of available literature and the considered judgment of experts in ESRD. To prioritize and implement these guidelines, the evidence underlying each guideline should be ranked and the attributes of each should be defined. Strategies to improve practice patterns should be tested. Focused information for each high priority guideline should be disseminated, including a synopsis and assessment of the underlying evidence, the evidence model used to develop that guideline, and suggested strategies for CPG implementation. Clinical performance measures should be developed and used to measure current practice, and the success of changing practice patterns on clinical outcomes. Individual practitioners and dialysis facilities should be encouraged to utilize continuous quality improvement techniques to put the guidelines into effect. Local implementation should proceed at the same time as a national project to convert high priority CPGs into clinical performance measures proceeds. Patients and patient care organizations should participate in this process, and professional organizations must make a strong commitment to educate clinicians in the methodology of CPG and performance measure development and the techniques of continuous quality improvement. Health care regulators should understand that CPGs are not standards, but are statements that assist practitioners and patients in making decisions.
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Lim, Kyeong-Tae, Hyun-Tae Kim, Eui-Hyoung Hwang, Man-Suk Hwang, In Heo, Sun-Young Park, Jae-Heung Cho et al. « Adaptation and Dissemination of Korean Medicine Clinical Practice Guidelines for Traffic Injuries ». Healthcare 10, no 7 (22 juin 2022) : 1166. http://dx.doi.org/10.3390/healthcare10071166.

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In South Korea, car insurance that includes medical coverage of traditional Korean medicine (TKM) has increased exponentially. Clinical practice guidelines (CPG) for traffic injuries were established in 2016. We aimed to revise and update de novo CPG and distribute the adapted CPG to TKM practitioners and patients. Clinical key questions from previous CPG were identified and updated regarding the grade of recommendation and level of evidence using additional evidence from the literature obtained through a systematic search and the use of the Grading of Recommendations Assessment, Development, and Evaluation methodology. The dissemination and implementation of the updated CPG were conducted at the CPG Center of Korean Medicine. Ultimately, 25 recommendations based on 13 clinical key questions were developed: 2 for diagnosis, 22 for TKM treatments, and 1 for prognosis. After recognition by professional societies and certification by the CPG Center of Korean Medicine, leaflets, card news, and infographics for TKM doctors in South Korea were produced and distributed. These are the only TKM CPG for patients who have experienced traffic injuries. They are expected to contribute to standardized and evidence-based treatment using TKM and similar interventions. Moreover, disseminating the adapted CPG will promote treatment reliability and strengthen insurance coverage.
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Thèses sur le sujet "Clinical Practice Guidelines (CPG)"

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Mac, Donald Tanya. « Standardized functional capacity outcome measures in post-operative cardiac surgery : A survey of current clinical practice and development of a clinical practice guideline (CPG) ». Thesis, University of Ottawa (Canada), 2009. http://hdl.handle.net/10393/28369.

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The objectives of the thesis were to determine the prevalence of functional capacity outcome measure use among physiotherapists working with post-operative cardiac surgery clients and to develop evidence-based recommendations regarding their use in clinical practice. The thesis consisted of a systematic review of the literature; a survey of outcome measure use in clinical practice; and the development of a clinical practice guideline. Thirty-one functional capacity outcome measures were included in the review. Only 2.6% of survey respondents reported almost always using outcome measures in their clinical practice. The Six Minute Walk Test, the modified Borg Rating Scale of Perceived Exertion and vital signs were recommended for routine use in clinical practice. A variety of outcome measures are available for use in clinical practice however their use in clinical practice continues to be less than optimal. There is a need for continued training in outcome measure use in clinical practice.
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Shibu, Litty Mathew. « Examining the research-practice gap in Physical Therapy (PT) in the United States of America using knowledge translation interventions (KTIs) : a comparative study ». Thesis, Brunel University, 2018. http://bura.brunel.ac.uk/handle/2438/17553.

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This research was undertaken to study the impact of single and multicomponent knowledge translation interventions (KTIs) on barriers to the integration of Clinical Practice Guidelines (CPG) into Clinical Decision Making (CDM) in the context of physical therapists (PTs) and find out which of the two KTIs was more effective. A literature review showed that research knowledge (e.g. CPG) in the field of PT (Physical Therapy) is not being integrated in to clinical practice (e.g. CDM), thus leading to a research-practice (R-P) gap in other words CPG-CDM gap. It is suggested in the literature that the management and behavioural aspects of PTs might be acting as barriers hindering the integration of the research knowledge into clinical practice consequently affecting the delivery of optimum patientcare. Remedial measures, namely KTIs, are suggested to address those barriers and to bridge the R-P gap. However, the phenomenon of the R-P gap, the causes of it and the possible interventions are not well understood concepts in the literature, particularly in the context of PTs. CPG for Venous Thromboembolism (VTE) in PT was chosen as the example of research knowledge. It was argued that barriers have the potential to affect CDM which in turn can affect the CPG-CDM gap. Lack of knowledge about CPG-CDM gap is a major limitation in the literature that is affecting the integration of CPG into CDM. Other gaps found in the literature that have the potential to affect CPG-CDM gap include management and behavioural variables as probable causes of CPG-CDM gap (or barriers), use of KTIs to bridge the CPG-CDM gap and, KTIs. Furthermore, lack of knowledge about relationship between barriers and CPG-CDM gap, KTIs and barriers, KTIs and CPG-CDM gap and the impact of KTIs (effectiveness) in bridging CPG-CDM gap were the other gaps found in the literature that had potential implications to CPG-CDM gap. These gaps were addressed in this research to some extent. Relationships between the independent variables (lack of knowledge of PTs in CPG, lack of favourable attitude of PTs towards CPG and lack of self-efficacy and motivation of PTs to integrate CPG into CDM) and the dependent variables (CDM and CPG-CDM gap) were defined and models were proposed. Further, it was posited that KTIs could impact barriers based on theories and models found in the literature that provided some basis to create the linkage between KTIs and management and behavioural barriers. Education material (EM) and virtual communities of practice (VCoP) were chosen as of the KTIs in this study. The models of Cabana et al. (1999) and Fischer et al. (2016), primarily, were used to ground the conceptual models represented by figures and equations. Methodologically, a positivist approach with an objective ontological stance was employed and a deductive approach and quantitative research method were used to address the research gaps. The research design included a longitudinal element and survey questionnaire. The target population was licensed PTs in the USA. Random sampling was used. Two groups of PTs were identified namely EM-group and VCoP group. Data was collected from the groups before and after administering the KTIs. The results showed that single and multicomponent KTIs impacted barriers in different ways. EM impacted lack of favourable attitude of PTs towards CPG, and lack of self-efficacy and motivation of PTs to integrate CPG into CDM as barriers and narrow the CPG-CDM gap. VCoP was found to impact the combination of four barriers and narrow CPG-CDM gap. In addition, barriers in groups of two were also impacted by VCoP and narrowed the CPG-CDM gap. Furthermore, a CPG knowledge score card and a corresponding CDM score card developed by the researcher were used to test the change behaviour of PTs in integrating CPG into CDM. This experiment showed that barriers existed and caused CPG-CDM gap and KTIs could narrow the CPG-CDM gap. The findings indicate that this research has contributed to knowledge in many ways, including unearthing the relationship between CPG-CDM gap and barriers, better understanding of KTIs, their relationship with CPG-CDM gap and barriers, gaining knowledge about the impact of single and multicomponent KTIs on single and multiple barriers and identification of methods to bridge the CPG-CDM gap.
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Youssef, Sarah Jane. « Implant Maintenance Curriculum Among U.S. Dental Hygiene Programs ». The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586814568072554.

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Taylor, Michael Dennis. « Prostate cancer clinical practice guidelines clinical and economic outcomes / ». [Gainesville, Fla.] : University of Florida, 2005. http://purl.fcla.edu/fcla/etd/UFE0010098.

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Thesis (Ph.D.)--University of Florida, 2005.
Typescript. Title from title page of source document. Document formatted into pages; contains 99 pages. Includes Vita. Includes bibliographical references.
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Freemantle, Jane. « The impact of clinical practice guidelines for preterm labor on clinical care / ». Title page, table of contents and abstract only, 1997. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmf855.pdf.

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Msosa, Yamiko Joseph. « Modelling evolving clinical practice guidelines : a case of Malawi ». Thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28388.

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Electronic medical record (EMR) systems are increasingly being adopted in low- and middle-income countries. This provides an opportunity to support task-shifted health workers with guideline-based clinical decision support to improve the quality of healthcare delivery. However, the formalization of clinical practice guidelines (CPGs) into computer-interpretable guidelines (CIGs) for clinical decision support in such a setting is a very challenging task due to the evolving nature of CPGs and limited healthcare budgets. This study proposed that a CIG modelling language that considers CPG change requirements in their representation models could enable semi-automated support of CPG change operations thereby reducing the burden of maintaining CIGs. Characteristics of CPG changes were investigated to elucidate CPG change requirements using CPG documents from Malawi where EMR systems are routinely used. Thereafter, a model-driven engineering approach was taken to design a CIG modelling framework that has a novel domain-specific modelling language called FCIG for the modelling of evolving CIGs. The CIG modelling framework was implemented using the Xtext framework. The national antiretroviral therapy EMR system for Malawi was extended into a prototype with FCIG support for experimentation. Further studies were conducted with CIG modellers. The evaluations were conducted to answer the following research questions: i) What are the CPG change requirements for modelling an evolving CIG? ii) Can a model-driven engineering approach adequately support the modelling of an evolving CIG? iii) What is the effect of modelling an evolving CIG using FCIG in comparison with the Health Level Seven (HL7) standard for modelling CIGs? Data was collected using questionnaires, logs and observations. The results indicated that finegrained components of a CPG are affected by CPG changes and that those components are not included explicitly in current executable CIG language models. The results also showed that by including explicit semantics for elements that are affected by CPG changes in a language model, smart-editing features for supporting CPG change operations can be enabled in a language-aware code editor. The results further showed that both experienced and CIG modellers perceived FCIG as highly usable. Furthermore, the results suggested that FCIG performs significantly better at CIG modelling tasks as compared to the HL7 standard, Arden Syntax. This study provides empirical evidence that a model-driven engineering approach to clinical guideline formalization supports the authoring and maintenance of evolving CIGs to provide up-to-date clinical decision support in low- and middle-income countries.
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Irving, Michelle. « Implementation of evidence in nephrology using clinical practice guidelines ». Thesis, The University of Sydney, 2010. http://hdl.handle.net/2123/13637.

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Chronic kidney disease (CKD) is becoming increasingly common in today’s society. It is estimated that 16% of the Australian population have some form of CKD. In 2007 over 16 000 were undergoing treatment for end stage chronic kidney disease (ESKD) this includes over 2000 new patients. Over 1600 died whilst undergoing treatment for ESKD in 2007. There has been a proliferation of evidence-based clinical practice guidelines for the treatment of chronic kidney disease patients, both locally and internationally. The Caring for Australasians with Renal Impairment (CARI) guidelines are guidelines produced for Australian and New Zealand practitioners. The CARI Guidelines have been written by doctors, nurses, allied health professionals and consumers on a voluntary basis. They are published on-line and in the journal Nephrology as biennial supplements. The use of these guidelines in practice is aimed at reducing mortality and morbidity for ch ronic kidney disease patients. Evidence shows that the attainment of evidence-based guideline recommendations is variable between practitioners, renal units, states and countries, often with a gap between guideline recommendations and practice. Research into the use of guidelines in practice is a new and emerging field of research. Current research into the strategies to bridge this gap has been unable to suggest one effective method to increase the rate of guideline implementation into practice. The research projects that form the basis of this thesis aimed to explore current implementation strategies used in chronic kidney disease and research best methods of implementation for evidence-based CKD guidelines within a framework of exploring barriers and enablers to this process. In chapter 2 of this thesis, to understand what is already known about the implementation of evidence-based guidelines in CKD, a systematic review of all published studies on implementation of evidence-based guidelines was ! undertak en. Twenty two studies including seven randomized controlled trials and 15 before-after studies were included. Four main interventions were evaluated in over 700 dialysis centres/hospitals or general practices: audit and feedback, computerized decision support system (CDSS), opinion leader/multidisciplinary team and passive dissemination of guidelines. Audit and feedback significantly increased 14 of the 25 study outcomes with a median improvement of 2.5% (range: -4.5-48.4%). CDSS significantly increased three of the four study outcomes with a median improvement of 12.8% (range: 1.1-42.1%). Opinion leader/multidisciplinary team significantly increased 24 of the 30 study outcomes with a median improvement of 8.2%(range: -4.0-79.8%). Dissemination of guidelines resulted in a median improvement in study outcomes of 2.7% (range 0.5-25.8). Well planned and executed interventions were able to improve CKD management to varying degrees. The achievement of quality indicators was assoc iated with improved patient outcomes. In Chapters 3 and 4, to gain a detailed understanding of the opinions of the end users of the CARI guidelines a survey was undertaken of all nephrologists and renal nurses in Australia and New Zealand. Chapter 3 outlines the results of the 211 nephrologists (70% of practising nephrologists) who responded. Over 90% agreed that the CARI guidelines were a useful summary of evidence, nearly 60% reported that the guidelines had significantly influenced their practice and 38% reported that the guidelines had improved health outcomes for patients. Only 8% indicated that the guidelines did not match the best available evidence. Older age and being male showed some association with a less favourable response for some domains. Chapter 4 discusses the results from the 173 renal nurses who responded. They were more positive in their responses, than nephrologists, in the range of 10-20% in many question domains. and improvemen ts in positive responses regarding the guidelines in the ran! ge of 10 -30% were seen in many domains between 2002 and 2006. Chapter 5 builds on the information obtained in the survey of nephrologists to further understand the role that guidelines have in clinical practice and clinical decision making. Face to face interviews with Australian nephrologists were undertaken. The results were analysed qualitatively and four major themes emerged. 1) There was a high degree of trust in the CARI process and output; 2) Guidelines had a range of functions in clinical practice, they provided a good summary of evidence, were a foundation to practice, an educational resource, could justify funding requests to policy makers, and promote patient adherence; 3) There was also non-guideline influences on clinical decision making, such as quality of life or patient needs, opinion leaders, previous experience, the clinical setting, the regulation and subsidy framework for drugs and devices, logistics, and other sources of evidence; 4) Nephrologists sug gested facilitators of guideline implementation such as audit and feedback and reminders. The process by which nephrologists engaged with and used the guidelines was noted and compared to Rogers’ diffusion of innovation theory. Some additional steps were added to this theory to make it applicable to the implementation of guidelines in CKD. Improvements in the evidence which underpins guidelines and improvements in the content and formatting of guidelines are likely to make them more influential on decision making. In chapter 6, to test strategies for implementation in CKD, we established an implementation project in six renal units in Australia. This centered on the implementation of the CARI iron guideline utilising audit and feedback, the use of an opinion leader and a purpose-designed computerised decision support system. Wide variation of iron indices was observed across the centres in the study. In the active implementation units, we saw improvements in iro n indices, especially in units that at baseline had iron sco! res well below the CARI guideline recommendations. We found that with a senior motivated opinion leader, the targeting of barriers and the use of a decision support system, implementation of a guideline can indeed be successful. Support from an external body such as CARI may be of assistance. The overarching purpose of these studies was to gain a better understanding of the place of guidelines in CKD practice and how we can ensure that evidence-based guidelines are used in practice and by doing so improve clinical outcomes for CKD patients. The findings show that guidelines hold a prominent place in clinical nephrology practice with both nephrologists and renal nurses, but there are many other competing influences on clinical decisions. Implementation of guidelines is possible and guideline groups should pursue this actively, utilising evidence-based implementation strategies. Strategies vary in their effectiveness and appropriate strategies should be used in differing si tuations. Renal nurses are an important resource in the implementation process. They should be involved in the guideline development process and their requirements for dissemination should be taken into account. Guidelines should be written using best methods that encourage implementation, such as the use of action statements, the provision of targets, be based on high levels of evidence, kept up to date and assistance given to encourage implementation into practice. Guideline groups should also foster close links with trials groups to facilitate a generation of evidence in required clinical areas. Finally, implementation requires hard work, by dedicated individuals at all levels, including the guideline producers and writers and those at the clinical level. A high level of detail regarding the implementation process is required, such as a thorough evaluation of barriers and strategies to overcome these. There is a need for guideline producers to understand their differing t arget audiences and tailor the guidelines depending on the n! eeds, us age and processes of these target groups.
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Nupdal, Jason Bentley. « Implementing Clinical Practice Guidelines in Family Practice : Caring for Children with ADHD ». Diss., North Dakota State University, 2014. https://hdl.handle.net/10365/27368.

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The purpose of this Practice Improvement Project was to promote evidence-based practice in caring for children ages 4-18 with Attention Deficit Hyperactivity Disorder (ADHD) in the family practice setting. The American Academy of Pediatric Clinical Practice Guidelines (CPG) and the Diagnostic and Statistical Manual of Mental Health Conditions, 5th Ed. (DSM-V) diagnostic criteria for ADHD were embedded in the electronic health record (EHR) in the form of an evaluation tool/template to guide the Primary Care Providers (PCPs) in documenting evidence-based practice in the assessment, diagnosis and treatment of ADHD. Primary stakeholders are PCPs of Riverview Clinic who care for children with ADHD. Neuman?s System Theoretical framework was used assuring a comprehensive holistic approach to caring for children with ADHD. The logic model was applied to direct project process while providing a framework for project evaluation. A focused forum was held to educate PCPs on the American Academy of Pediatrics (AAP) CPG and the DSM-V ADHD diagnostic criteria. PCPs were introduced to the tool with instruction on use. Six weeks post launching, a retrospective chart audit was done to evaluate for the presence of evidence basedpractice documentation with the evaluation tool/template versus without. When utilized, the evaluation tool/template demonstrates a higher rate of documentation supportive of evidence-based practice. The tool enhances provider?s comfort level in caring for children with ADHD while promoting optimal quality outcome for the child. Project outcome suggests the tool be used by PCPs in documenting evidence-based practice. Key words: ADHD, children, management, EHR, template, co-morbid conditions, and clinical practice guidelines.
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Chan, Kit-ling Amy, et 陳潔玲. « Strengthening Hong Kong's primary care : role of clinical practice guidelines ». Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45170848.

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Santana, Sondra Michelle Phipps. « Practitioners' Use of Clinical Practice Guidelines : An Evidence-Based Approach ». UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/462.

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Pre-diabetes is a serious health problem in the United States. Distinguished by plasma glucose levels that are above the normal threshold, patients with pre-diabetes are 10 times more likely to develop type 2 diabetes. Patients with pre-diabetes suffer the same complications as patients with diabetes including diabetic retinopathy, nephropathy, and microalbuminuria. There is considerable evidence to support the idea that early identification and aggressive treatment of pre-diabetes has the potential to delay disease progression. The American Diabetes Association’s clinical practice guideline recommends management of with lifestyle modification and metformin for patients who are at risk for developing type 2 diabetes. The purpose of this project was to evaluate the implementation of the 2012 ADA clinical practice guidelines regarding the management of patients with pre-diabetes by the health care providers at a volunteer-run clinic located in a large metropolitan area in the southeastern United States. This study, even with a small sample size (n=26) revealed that the providers at the clinic had not implemented the 2012 ADA clinical practice guidelines. Clinical practice guidelines promote health care interventions that have proven benefits and improve the consistency of care provided to patients. The greatest benefits of implementing clinical practice guidelines for patients with pre-diabetes are early diagnosis and aggressive disease management. This would improve patient outcomes and in the long run, decrease the cost of medical care.
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Livres sur le sujet "Clinical Practice Guidelines (CPG)"

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Martin, Kathryn A., dir. 2013 Compendium of Clinical Practice Guidelines. 8401 Connecticut Avenue, Suite 900, Chevy Chase, MD 20815 www.endo-society.org : The Endocrine Society, 2013. http://dx.doi.org/10.1210/ccpg.9781936704668.

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Field, Marilyn J., et Kathleen N. Lohr, dir. Clinical Practice Guidelines. Washington, D.C. : National Academies Press, 1990. http://dx.doi.org/10.17226/1626.

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Association, American Medical Directors, dir. Clinical practice guidelines. Columbia, MD : American Medical Directors Association, 1998.

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Canadian Medical Association. Quality of Care Program. et National Partnership for Quality in Health Care., dir. Guidelines for Canadian clinical practice guidelines. Ottawa : Canadian Medical Association, 1994.

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Blijham, Joost. NHG clinical practice guidelines. Houten : Bohn Stafleu van Loghum, 2011. http://dx.doi.org/10.1007/978-90-313-8872-1.

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Cancer Care Ontario. Program in Evidence-based Care. et Cancer Care Ontario. Practice Guidelines Initiatives., dir. Cancer clinical practice guidelines. Toronto, ON : Cancer Care Ontario, 1998.

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1943-, Margolis Carmi Z., et Cretin Shan, dir. Implementing clinical practice guidelines. Chicago : AHA Press, 1999.

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Nuffield Institute for Health Services Studies., University of York. Centre for Health Economics., NHS Centre for Reviews & Dissemination. et Royal College of Physicians of London. Research Unit., dir. Implementing clinical practice guidelines : Can guidelines be used to improve clinical practice?. Leeds : Nuffield Institute for Health,University of Leeds and Centre for Health Economics and NHS Centre for Reviews and Dissemination, University of York and the Research Unit of the Royal College of Physicians, 1994.

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Uphold, Constance R. Clinical guidelines in family practice. Gainesville, Fla : Barmarrae Books, 1993.

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Virginia, Graham Mary, dir. Clinical guidelines in family practice. 3e éd. Gainesville, Fla : Barmarrae Books, 1998.

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Chapitres de livres sur le sujet "Clinical Practice Guidelines (CPG)"

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Mallick, Ujjal K., et Fabián Pitoia. « The Barriers to Uniform Implementation of Clinical Practice Guidelines (CPG) for Thyroid Cancer ». Dans Practical Management of Thyroid Cancer, 357–68. Cham : Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-91725-2_26.

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Hughes, R. A. « Developing Clinical Practice Guidelines (CPGs) for Bone Mineral Density Measurement and Osteoporosis Management ». Dans Manual of Bone Densitometry Measurements, 121–45. London : Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-0759-0_7.

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Sánchez, Orlando, et Martha Brownlee-Duffeck. « Clinical Practice Guidelines ». Dans Encyclopedia of Clinical Neuropsychology, 812–15. Cham : Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-57111-9_2066.

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Lee, Andrea M. « Clinical Practice Guidelines ». Dans Encyclopedia of Clinical Neuropsychology, 595–96. New York, NY : Springer New York, 2011. http://dx.doi.org/10.1007/978-0-387-79948-3_2066.

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Davidson, Karina, et Joan Duer-Hefele. « Clinical Practice Guidelines ». Dans Encyclopedia of Behavioral Medicine, 469–72. Cham : Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_1113.

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Davidson, Karina, et Joan Duer-Hefele. « Clinical Practice Guidelines ». Dans Encyclopedia of Behavioral Medicine, 425–27. New York, NY : Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_1113.

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Sánchez, Orlando, et Martha Brownlee-Duffeck. « Clinical Practice Guidelines ». Dans Encyclopedia of Clinical Neuropsychology, 1–4. Cham : Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56782-2_2066-2.

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Barry, Maurice. « Imaging Guidelines ». Dans Clinical Practice in Rheumatology, 19–20. London : Springer London, 2003. http://dx.doi.org/10.1007/978-0-85729-430-2_6.

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Heilbronner, Robert L. « AACN Practice Guidelines ». Dans Encyclopedia of Clinical Neuropsychology, 1–2. Cham : Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-57111-9_820.

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Heilbronner, Robert L. « AACN Practice Guidelines ». Dans Encyclopedia of Clinical Neuropsychology, 1–2. Cham : Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-56782-2_820-2.

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Actes de conférences sur le sujet "Clinical Practice Guidelines (CPG)"

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Iqbal Hashmi, Zafar, et Tatjana Zrimec. « Ontology-driven modeling of clinical practice guidelines (CPG) towards computerization of CPG knowledge sources via GEM model ». Dans 2008 International Symposium on Information Technology. IEEE, 2008. http://dx.doi.org/10.1109/itsim.2008.4631717.

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Keenan, S., T. Sinuff, P. Dodek, K. Burns, J. Muscedere, J. Kutsogiannis, N. Ayas et al. « Clinical Practice Guidelines (CPGs) for Mask CPAP (CPAP) and Noninvasive Ventilation (NIV) in Acute Care Settings. » Dans American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a3038.

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Sbissi, Samia, Mariem Mahfoudh et Said Gattoufi. « Ontology Learning from Clinical Practice Guidelines ». Dans 11th International Conference on Knowledge Engineering and Ontology Development. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0008169903120319.

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Nicastro, Emanuele, Francesco Piccialli, Andrea Lo Vecchio, Alfredo Guarino et Salvatore Cuomo. « Mobile learning for clinical practice guidelines implementation ». Dans the 6th International Conference. New York, New York, USA : ACM Press, 2013. http://dx.doi.org/10.1145/2504335.2504381.

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Nazarenko, G. I., D. A. Sychev, E. B. Kleymenova, S. A. Payushik, A. I. Akhmetova et L. P. Yashina. « Multifunctional clinical decision support system based on clinical practice guidelines ». Dans 2015 International Conference on Biomedical Engineering and Computational Technologies (SIBIRCON). IEEE, 2015. http://dx.doi.org/10.1109/sibircon.2015.7361854.

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Sanati, Morteza Yousef, Wendy MacCaull, Tom Maibaum et Mohammad Mahdi Majzoobi. « Consistency checking of clinical practice guidelines with MITDL ». Dans 2016 Eighth International Conference on Information and Knowledge Technology (IKT). IEEE, 2016. http://dx.doi.org/10.1109/ikt.2016.7777755.

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MPH, J. Williams, Sr ,. MD,. « 94. Clinical Practice Guidelines for Agromedicine : an “Online” Approach ». Dans AIHce 2000. AIHA, 2000. http://dx.doi.org/10.3320/1.2763856.

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Rodriguez-Martinez, Carlos E., Mónica P. Sossa-Briceño et Ranniery Acuña-Cordero. « Quality assessment of acute viral bronchiolitis clinical practice guidelines ». Dans Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa1334.

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Pech-May, F., I. Lopez-Arevalo et V. Sosa-Sosa. « Toward the validation of patient data for clinical practice guidelines ». Dans 2009 6th International Conference on Electrical Engineering, Computing Science and Automatic Control (CCE 2009). IEEE, 2009. http://dx.doi.org/10.1109/iceee.2009.5393408.

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Rabbi, Fazle, et Wendy MacCaull. « User-Friendly UIs for the Execution of Clinical Practice Guidelines ». Dans 2014 IEEE 27th International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2014. http://dx.doi.org/10.1109/cbms.2014.104.

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Rapports d'organisations sur le sujet "Clinical Practice Guidelines (CPG)"

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Rada, Maria Patricia, Alexandra Caseriu, Roxana Crainic et Stergios K. Doumouchtsis. A critical appraisal and systematic review of clinical practice guidelines on hormone replacement therapy for menopause : assessment using the Appraisal of Guidelines for Research and Evaluation (AGREE II) Instrument. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, décembre 2022. http://dx.doi.org/10.37766/inplasy2022.12.0089.

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Review question / Objective: To assess the quality of clinical practice guidelines (CPC) on hormone replacement therapy for menopause using the AGREE II instrument and to provide a summary of recommendations. Information sources: Literature searches using MEDLINE, Embase, Scopus, Geneva Foundation for Medical Education and Research from inception to date will be searched. The search terms include guidelines / guidance / recommendation and hormone replacement therapy related keywords and MeSH terms. National and international organizations websites will be searched individually. Additional searches on the references of the primary included items may help identify any guidelines missed on the primary searches. In the case of more than one published guideline from the same national or international association, only the latest version of the guidelines will be included and evaluated. Any disagreements on inclusion criteria will be addressed through discussion and consensus meeting within the research team. Guidelines published in languages other than English will be considered on an individual basis. Guidelines must be publicly available on a website or in a peer-reviewed publication.
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Khodyakov, Dmitry, Kathi Kinnett, Brian Denger, Sean Grant, Courtney Armstrong, Ann Martin et Ian Coulter. Developing a Process for Getting Patient and Caregiver Input on Clinical Practice Guidelines. Patient-Centered Outcomes Research Institute, juin 2020. http://dx.doi.org/10.25302/06.2020.me.150731052.

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Yan, Meili, Lingmin Chen, Min Yang, Li Zhang, Mingming Niu, Fangfang Wu, Yamin Chen et al. Evidence mapping of clinical practice guidelines recommendations and quality for depression in children and adolescents. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, août 2021. http://dx.doi.org/10.37766/inplasy2021.8.0092.

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Lasome, Caterina, Nancy Staggers et Bonnie M. Jennings. A Clinician-Centered Evaluation of the Usability of AHLTA and Automated Clinical Practice Guidelines at TAMC. Fort Belvoir, VA : Defense Technical Information Center, octobre 2008. http://dx.doi.org/10.21236/ada497616.

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Fry, Emory. A Clinician-Centered Evaluation of the Usability of AHLTA and Automated Clinical Practice Guidelines at TAMC. Fort Belvoir, VA : Defense Technical Information Center, mars 2011. http://dx.doi.org/10.21236/ada545147.

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Fry, Emory. A Clinician-Centered Evaluation of the Usability of AHLTA and Automated Clinical Practice Guidelines at TAMC. Fort Belvoir, VA : Defense Technical Information Center, octobre 2009. http://dx.doi.org/10.21236/ada625328.

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Lasome, Caterina, Nancy Staggers, Bonnie M. Jennings et Nancy Steele. A Clinician-Centered Evaluation of the Usability of AHLTA and Automated Clinical Practice Guidelines at TAMC. Fort Belvoir, VA : Defense Technical Information Center, octobre 2007. http://dx.doi.org/10.21236/ada625329.

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Du, Li, Yamin Chen, Xiu Jin, Wei Yuan et Jianshu Wang. Critical appraisal of Clinical Practice Guidelines for Depression in Children and Adolescents : a protocol for systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, août 2020. http://dx.doi.org/10.37766/inplasy2020.8.0002.

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Fang, Pengzhong, Yamin Chen, Jinlei Chen, Junhao Sun, Jianshi Tan, Ruirui Wang et Xing Wang. What Factors Affect the Methodological and Reporting Quality of Clinical Practice Guidelines for Osteoporosis ? Protocol for A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, juillet 2020. http://dx.doi.org/10.37766/inplasy2020.7.0031.

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Tan, Jing-Yu (Benjamin), jianxia zhai, Tao wang, Hong-Juan zhou, Isabella zhao et Xian-Liang liu. Self-managed non-pharmacological interventions for breast cancer survivors : systematic quality appraisal and content analysis of clinical practice guidelines. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, mars 2022. http://dx.doi.org/10.37766/inplasy2022.3.0175.

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