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Canadian Thoracic Society: Presenting a new process for clinical practice guideline production
S Gupta | OK Bhattacharyya | MC Brouwers | EA Estey | MB Harrison | P Hernandez | VA Palda | L Boulet
A key mandate of the Canadian Thoracic Society (CTS) is to promote
evidence-based respiratory care through clinical practice guidelines
(CPGs). To improve the quality and validity of the production, dissemination
and implementation of its CPGs, the CTS has revised its guideline
process and has created the Canadian Respiratory Guidelines Committee
to oversee this process. The present document outlines the basic methodological
tools and principles of the new CTS guideline production process.
Important features include standard methods for choosing and formulating
optimal questions and for finding, appraising, and summarizing the evidence;
use of the Grading of Recommendations Assessment, Development
and Evaluation system for rating the quality of evidence and strength of
recommendations; use of the Appraisal of Guidelines for Research and
Evaluation instrument for quality control during and after guideline development
and for appraisal of other guidelines; use of the ADAPTE process
for adaptation of existing guidelines to the local context; and use of the
GuideLine Implementability Appraisal tool to augment implementability
of guidelines. The CTS has also committed to develop guidelines in new
areas, an annual guideline review cycle, and a new formal process for dissemination
and implementation. Ultimately, it is anticipated that these
changes will have a significant impact on the quality of care and clinical
outcomes of individuals suffering from respiratory diseases across Canada.
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