Median life span of a cohort of National Institute for Health and Care Excellence clinical guidelines was about 60 months

被引：41

作者：

Alderson, Lucy J. H. ^{[1
]}

Alderson, Phil ^{[1
]}

Tan, Toni ^{[1
]}

机构：

[1] Natl Inst Hlth & Care Excellence, Ctr Clin Practice, Manchester M1 4BD, Lancs, England

来源：

JOURNAL OF CLINICAL EPIDEMIOLOGY | 2014年 / 67卷 / 01期

关键词：

Clinical guidelines; updating; life span; survival analysis; NICE; best practice;

D O I：

10.1016/j.jclinepi.2013.07.012

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objectives: To describe the length of time National Institute for Health and Care Excellence (NICE) clinical guidelines have remained valid. Study Design and Setting: The present study is a survival analysis of a cohort of published NICE clinical guidelines. The National Health Service in England and Wales uses NICE clinical practice guidelines as a reference for treatment and care of individuals. They need to be updated as new evidence arises, to remain credible and relevant, and are currently assessed 3 years after publication. Results: Survival analysis suggested that about 86% of guidelines are still up-to-date 3 years after their publication. The median life span was 60 months (95% confidence interval: 51, 69). Conclusion: These findings are similar to those in other studies of the life span of guidelines. Efficient mechanisms must be in place to detect the minority of guidelines that become outdated quickly. Crown Copyright (C) 2014 Published by Elsevier Inc. All rights reserved.

引用

页码：52 / 55

页数：4

共 9 条

[1] The updating of clinical practice guidelines: insights from an international survey [J].

Alonso-Coello, Pablo ;

Martinez Garcia, Laura ;

Carrasco Gimeno, Jose Miguel ;

Sola, Ivan ;

Qureshi, Safia ;

Burgers, Jako S. .

IMPLEMENTATION SCIENCE, 2011, 6

[2]

[Anonymous], GUID MAN 2009

[3] AGREE II: advancing guideline development, reporting and evaluation in health care [J].

Brouwers, Melissa C. ;

Kho, Michelle E. ;

Browman, George P. ;

Burgers, Jako S. ;

Cluzeau, Francoise ;

Feder, Gene ;

Fervers, Beatrice ;

Graham, Ian D. ;

Grimshaw, Jeremy ;

Hanna, Steven E. ;

Littlejohns, Peter ;

Makarski, Julie ;

Zitzelsberger, Louise .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2010, 182 (18) :E839-E842

[4] From outdated to updated, keeping clinical guidelines valid [J].

Clark, Eloise ;

Donovan, Edward F. ;

Schoettker, Pamela .

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2006, 18 (03) :165-166

[5]

Greenwood M., 1926, REPORTS PUBLIC HLTH, V33, P1

[6] NONPARAMETRIC-ESTIMATION FROM INCOMPLETE OBSERVATIONS [J].

KAPLAN, EL ;

MEIER, P .

JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1958, 53 (282) :457-481

[7]

National Institute for Health and Clinical Excellence, 2007, GUID MAN 2007

[8] Guidelines International Network: Toward International Standards for Clinical Practice Guidelines [J].

Qaseem, Amir ;

Forland, Frode ;

Macbeth, Fergus ;

Ollenschlaeger, Guenter ;

Phillips, Sue ;

van der Wees, Philip .

ANNALS OF INTERNAL MEDICINE, 2012, 156 (07) :525-U103

[9] Validity of the agency for healthcare research and quality clinical practice guidelines - How quickly do guidelines become outdated? [J].

Shekelle, PG ;

Ortiz, E ;

Rhodes, S ;

Morton, SC ;

Eccles, MP ;

Grimshaw, JM ;

Woolf, SH .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (12) :1461-1467

← 1 →