Download "Supporting Recovery from Opioid Addiction: Community Care Best Practice Guidelines
for Recovery-Oriented Methadone Maintenance," at http://www.
Disclosures: The American College of Physicians financed the development of these clinical practice guidelines
These practice guidelines
identify the methods used to conduct systematic reviews and give recommendations for selecting treatments based on the results.
That any recommendations in clinical practice guidelines
would fall into Class III is puzzling.
For example, the Infectious Diseases Society of America (IDSA) issued updated clinical practice guidelines
for the diagnosis and treatment of Lyme disease in 2006.
Between 1992 and 1996, the Agency for Health Care Policy and Research (AHCPR), now the Agency for Healthcare Research and Quality (AHRQ), began publishing clinical practice guidelines
for many different health diagnoses and problems (AHRQ 2004).
The clinical practice guideline
was produced under the auspices of medical specialty associations; relevant professional societies, public or private organizations, government agencies at the Federal, State, or local level; or health care organizations or plans.
The CEN membership believes that wherever possible, recommendations related to the management of a new vascular access or central venous catheter must be based on existing clinical practice guidelines
for vascular access such as the Canadian Society of Nephrology Clinical Practice Guidelines
for Vascular Access (1999), and/or the Kidney Disease Outcome Quality Initiative (K-DOQI) Guidelines for vascular access (Update 2001).
Several practice guidelines
and publications suggest that reporting of PT results for patients on oral anticoagulation therapy include the use of international normalized ratio (INR) values (1,2,5).
In our ICU clinical practice guidelines
are written for nursing procedures that are difficult to carry out or that are infrequently used and clinical protocols are written for biomedical devices that are difficult to assemble, new equipment that is to be introduced in the department and biomedical devices that are infrequently used.
have garnered a great deal of attention in health care.
Relationships between authors of clinical practice guidelines
and the pharmaceutical industry.