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EBM EBM 2-3 (evidence-based medicine: EBM) EBM 1

1 1 2

B burden belief bargain barrier A. JAMA EBMer JAMA EBM 3 EBM 3 EBM 3 3 B. peer review Field(IOM) Shaneyfelt ( Guidelines Qualities Assessment Questionnaire: GQAQ) Cluzeau ( Appraisal Instrument for Clinical Guidelines: AICG) Grill(Checklist to assess the quality of guidelines endorsed by specialty societies: CAQG) GEM-Q(GQAQ ) AGREE EU BestBETs 3

(Etwas neues) peer review 2 AGREE instrument (BestBETs ) 1 JAMA 3 2(instrument) AGREE GQAQ AICG CAQG IOM 4

Method for Evaluating Research Guideline Evidence (MERGE) New Zealand Guideline Group Guideline evaluation tool ( guidelines-program evaluation study ) 3 3 a) b) c) 1) 2)3) 5

3 (conflict of interest) MR ( ) 6

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(CDSR) 1999 10 EBM 1 2 PubMed 3 EBM 8

EBM EBM Medline EMBASE national guideline local guideline ( ),. : EBM. EBM 2002; 3(4): 46-7. In: EBM : ; 2003: 187-99. 9

Guidelines. In: Sackett DL.et al. Evidence-based medicine: how to practice and teach EBM. New York : Churchill Livingstone; 2000: 169-82. In: JAMA :; 2001: 131-53. Hayward RSA et al. User s guides to the medical literature. : how to use clinical practice guidelines. A. are the recommendations valid? JAMA 1995; 274(7): 570-4. Wilson MC et al. User s guides to the medical literature. : how to use clinical practice guidelines.b. what are the recommendations and will they help you in caring for your patients? JAMA 1995; 274(20):1630-2. EBM. ; 2002. : Badenoch D, Heneghan C. Evidence-based medicine toolkit. BMJ 2002. Field MJ, Lohr KN (editors) Institute of Medicine Committee to Advise the Public Health Service on Clinical Practice Guidelines. Guidelines for clinical practice: from development to use. Washinton DC:National Academy Press ; 1992. (available at; http://books.nap.edu/openbook/0309045894/html/index. html ) Shaneyfelt TM et al. Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA 1999 May 26; 281(20): 1900-5. ( available at; http://dcp.utmem.edu/sf.am.care/documents/fm%20education/ebm/readings/guideli nes.jama.99.pdf ) Cluzeau FA et al. Development and application of a generic methodology to assess the quality of clinical guidelines. Int J Qual Health Care 1999 Feb;11(1):21-8. (refer to; http://www.sghms.ac.uk/depts/phs/hceu/clinguid.htm ) Grill R et al. Practice guidelines developed by specialty societies: the need for a critical appraisal. Lancet 2000, 355:103 6. (available at; http://www.thelancet.com/journal/vol355/iss9198/full/llan.355.9198.original_research.23 33.1 ) Agrawal A, Shiffman RN. Evaluation of guideline quality using GEM-Q. Medinfo 2001; 10(Pt 2): 1097-101. (available at; http://ycmi.m ed.yale.edu/gem/publications/agrawal_medinfo.pdf ) AGREE collaboration: http://www.agreecollaboration.org BestBETs guidelines checklist: http://www.bestbets.org/ca/pdf/guideline.pdf Godlee F, Jefferson T eds.,peer review in health sciences. London: BMJ; 1999. Method for Evaluating Research Guideline Evidence (MERGE): http://www.health.nsw.gov.au/public-health/merge/merge.html New Zealand Guideline Group Guideline evaluation tool: http://www.nzgg.org.nz/tools/evaluation.cfm Antosi SH et al. Evaluation of clinical practice guidelines. CMAJ 1995; 153 : 1575-81. (available at; http://mdm.ca/cpgsnew/cpgs/cpgworkshop1994/1575e.html ) Alberta Clinical Practice Guidelines Program, 2002: Evaluation framework for the Clinical Practice Guidelines Program (available at; http://www.hsurc.sk.ca/r esearch_studies/pdf.php3?id=39&section=1 ) Sinuff T et al. Evaluation of a practice guideline for noninvasive positive-pressure ventilation for acute respiratory failure. Chest. 2003; 123(6): 2062-73. EBM 2000; 1(4): 412-8. 10

Tsutani K. Policy and politics of evidence-based medicine in Japan. In: EBM 12. 2001; 51-68. 2003; 4: 6-35. Lewis S. Paradox, process and perception: the role of organizations in clinical practice guidelines development. CMAJ 1995; 153(8):1073-7. Van der Weyden MB. Clinical practice guidelines: time to move the debate from the how to the who. Med J Aust 2002 ;176(7):304-5. (available at; http://www.mj a.com.au/public/issues/176_07_010402/martineditorial_fm.html ) EBM EBM 2003; 4(4): 470-3. Choudhry NK et al. Relationships between authors of clinical practice guidelines and the pharmaceutical industry. JAMA 2002; 287(5): 612-7. Silagy CA et al. Use of systematic reviews in clinical practice guidelines: case of smoking cessation. BMJ 2001: 323: 833-6. EBM 2000; 1(4): 424-6. Hayward RSA et al: More informative abstracts of articles on clinical practice guidelines. Ann Intern Med 1993; 118: 731-7. In: 10. 1999; 26-41. In: 11. 2000; 20-6. ver4.0 2001.1.25. In: EBM 21-7. EBM 2003; 4(3):340-1. Cruise H et al. Quality and methods of developing practice guidelines BMC Health Serv Res. 2002;2(1):1. Epub 2002 Jan 11. (available http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=1182534 6 ). EBM 2000; 1(4):444-50... EBM 2003; 4(3):262-70. Muir Gray JA: Evidence-based, locally owned, patient-centered guideline development. Br J Surg 1997; 84: 1636-37. at; 11