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In the name of God the gracious no one can measure




Best Clinical Guidelines;
  where to look for ?
      Vahideh Zarea Gavgani (PhD)
                   ICEBM
      Guideline Adoption Workshop
   Tabriz University of Medical Sciences
                Tabriz-Iran
                April 2012
What we will do ?
• In this slide we will have a description about
  clinical guidelines as an introduction
• Then the search tools and websites for CG will
  be presented in tow sections:
      – 1) Search Engines
      – 2) specific websites for Guidelines
• We have tried to cover the guidelines by
  region and topics as well ,


1 May 2012               Gavgani Vahideh Zarae (PhD)   2
What are Clinical Guidelines
• “systematically developed statements to assist practitioners and
  patient decisions about appropriate health care for specific
  circumstances”(Field &Lohr,1990).

• Clinical guidelines are recommendations on the appropriate
  treatment and care of people with specific diseases and conditions
  within the NHS in England and Wales. Clinical guidelines are based on
  the best available evidence. Guidelines help healthcare professionals
  in their work, but they do not replace their knowledge and skills

• Guidelines are designed to support the decision-making processes in
  patient care . The content of a guideline is based on a systematic
  review of clinical evidence - the main source for evidence-based care.




1 May 2012                 Gavgani Vahideh Zarae (PhD)                3
Protocol or Guideline
• Clinical protocols can be seen as more specific
  than guidelines, defined in geater detail.
  Protocols provide "a comprehensive set of rigid
  criteria outlining the management steps for a
  single clinical condition or aspects of
  organisation""




 1 May 2012         Gavgani Vahideh Zarae (PhD)     4
Purposes of guidelines
• To describe appropriate care based on the best
  available scientific evidence and broad consensus;
• To reduce inappropriate variation in practice;
• To provide a more rational basis for referral;
• To provide a focus for continuing education;
• To promote efficient use of resources;
• To Act as focus for quality control, including audit;
• To highlight shortcomings of existing literature and
  suggest appropriate future research.
 1 May 2012           Gavgani Vahideh Zarae (PhD)         5
Purposes of guidelines
• provide recommendations for the treatment and
  care of people by health professionals
• be used to develop standards to assess the
  clinical practice of individual health professionals
• be used in the education and training of health
  professionals
• help patients to make informed decisions
• Improve communication between patient and
  health professional

 1 May 2012          Gavgani Vahideh Zarae (PhD)    6
Search Engines

•   PubMed
•   Trip
•   MdConsult
•   Google
•   And directories like openclinicals




1 May 2012           Gavgani Vahideh Zarae (PhD)   7
PubMed




1 May 2012   Gavgani Vahideh Zarae (PhD)   8
1 May 2012   Gavgani Vahideh Zarae (PhD)   9
1 May 2012   Gavgani Vahideh Zarae (PhD)   10
1 May 2012   Gavgani Vahideh Zarae (PhD)   11
1 May 2012   Gavgani Vahideh Zarae (PhD)   12
TRIP data base
• http://www.tripdatabase.com




 1 May 2012       Gavgani Vahideh Zarae (PhD)   13
Basic Search




1 May 2012     Gavgani Vahideh Zarae (PhD)   14
Trip database Advance search




1 May 2012   Gavgani Vahideh Zarae (PhD)   15
1 May 2012   Gavgani Vahideh Zarae (PhD)   16
trip


“phrase”




  1 May 2012   Gavgani Vahideh Zarae (PhD)   17
Google


                          Title




1 May 2012   Gavgani Vahideh Zarae (PhD)   18
Google




             NZ




1 May 2012        Gavgani Vahideh Zarae (PhD)   19
Google




1 May 2012   Gavgani Vahideh Zarae (PhD)   20
MD Consult




1 May 2012    Gavgani Vahideh Zarae (PhD)   21
MD Consult




1 May 2012    Gavgani Vahideh Zarae (PhD)   22
Web Sites and Organizations
•   ADOPTE (for process)
•   NGC
•   NICE
•   GAIN
•   eGuidelines
•   GIN
•   WHO

1 May 2012            Gavgani Vahideh Zarae (PhD)   23
ADAPTE
                             To know how to adopt a guideline
                             visit the ADAPTE website




1 May 2012   Gavgani Vahideh Zarae (PhD)                        24
National Guidelines Clearinghouse
                (NGC)




1 May 2012    Gavgani Vahideh Zarae (PhD)   25
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   26
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   27
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   28
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   29
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   30
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   31
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   32
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   33
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   34
NGC




1 May 2012   Gavgani Vahideh Zarae (PhD)   35
(NGC)




1 May 2012   Gavgani Vahideh Zarae (PhD)   36
Open Clinical    www.openclinical.org




1 May 2012      Gavgani Vahideh Zarae (PhD)   37
Open Clinical links to C-Guidelines Organizations




 1 May 2012         Gavgani Vahideh Zarae (PhD)   38
National Institute for Clinical Excellence
                    (NICE)




1 May 2012         Gavgani Vahideh Zarae (PhD)   39
NICE ; Find a Guideline




1 May 2012          Gavgani Vahideh Zarae (PhD)   40
NICE; Search for Guidelines by type




1 May 2012               Gavgani Vahideh Zarae (PhD)   41
NICE;




1 May 2012   Gavgani Vahideh Zarae (PhD)   42
NICE; search for a specific topics

                                                       “Low Back Pain”




1 May 2012               Gavgani Vahideh Zarae (PhD)                     43
eGuidelines




1 May 2012    Gavgani Vahideh Zarae (PhD)   44
eGuidlines




1 May 2012    Gavgani Vahideh Zarae (PhD)   45
eGuidlines




1 May 2012    Gavgani Vahideh Zarae (PhD)   46
eGuidlines




1 May 2012    Gavgani Vahideh Zarae (PhD)   47
eGuidlines




1 May 2012    Gavgani Vahideh Zarae (PhD)   48
eGuidlines




1 May 2012    Gavgani Vahideh Zarae (PhD)   49
eGuidlines




1 May 2012    Gavgani Vahideh Zarae (PhD)   50
GAIN




1 May 2012   Gavgani Vahideh Zarae (PhD)   51
1 May 2012   Gavgani Vahideh Zarae (PhD)   52
GAIN




1 May 2012   Gavgani Vahideh Zarae (PhD)   53
Guidelines International Network
                          http://www.g-i-n.net/
                    G.I.N




1 May 2012           Gavgani Vahideh Zarae (PhD)   54
Click here &
                                            Enter your
                                              topics




1 May 2012   Gavgani Vahideh Zarae (PhD)                  55
Search results for “low back pain”




1 May 2012     Gavgani Vahideh Zarae (PhD)   56
1 May 2012   Gavgani Vahideh Zarae (PhD)   57
Other Countries
•   Malaysia
•   India
•   New Zealand
•   Iran
•   Italy
•   Nederland
•   Russia
•   Japan
•   Canada
•   Germany

1 May 2012           Gavgani Vahideh Zarae (PhD)   58
Malaysia ;Academy of Medicine




1 May 2012      Gavgani Vahideh Zarae (PhD)   59
Malaysia ;Academy of Medicine




         TOPICS




1 May 2012             Gavgani Vahideh Zarae (PhD)   60
Malaysia ;Ministry of Health




1 May 2012    Gavgani Vahideh Zarae (PhD)   61
Malaysia ;Ministry of Health




1 May 2012    Gavgani Vahideh Zarae (PhD)   62
INDIA
• www.qmedkf.org.in www.indianmedicalsites.in




1 May 2012              Gavgani Vahideh Zarae (PhD)   63
India




1 May 2012   Gavgani Vahideh Zarae (PhD)   64
India




1 May 2012   Gavgani Vahideh Zarae (PhD)   65
New Zealand Guidelines Group




1 May 2012        Gavgani Vahideh Zarae (PhD)   66
New Zealand




1 May 2012     Gavgani Vahideh Zarae (PhD)   67
New Zealand




1 May 2012     Gavgani Vahideh Zarae (PhD)   68
New Zealand




1 May 2012     Gavgani Vahideh Zarae (PhD)   69
New Zealand




1 May 2012     Gavgani Vahideh Zarae (PhD)   70
New Zealand




1 May 2012     Gavgani Vahideh Zarae (PhD)   71
Iran




1 May 2012   Gavgani Vahideh Zarae (PhD)   72
Italy        < http://www.snlg-iss.it/en_method>




1 May 2012         Gavgani Vahideh Zarae (PhD)     73
Nederland http://www.cbo.nl/en/




1 May 2012     Gavgani Vahideh Zarae (PhD)     74
Russia http://www.klinrek.ru/cgi-bin/mbook




1 May 2012                 Gavgani Vahideh Zarae (PhD)    75
Japan                      http://jcqhc.or.jp/




1 May 2012   Gavgani Vahideh Zarae (PhD)                         76
WHO




1 May 2012   Gavgani Vahideh Zarae (PhD)   77
WHO




1 May 2012   Gavgani Vahideh Zarae (PhD)   78
WHO




1 May 2012   Gavgani Vahideh Zarae (PhD)   79
WHO




1 May 2012   Gavgani Vahideh Zarae (PhD)   80
End!
• This Slide show was prepared and presented
  at the Guideline Adoption workshop (April
  2012) in Iranian Center for Evidence Based
  Medicine in Tabriz University of Medicine by
  Vahideh Zarea Gavgani ; reachable at
  Vgavgani@gmail.com




1 May 2012        Gavgani Vahideh Zarae (PhD)    81

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Clinical Guidelines

  • 1. In the name of God the gracious no one can measure Best Clinical Guidelines; where to look for ? Vahideh Zarea Gavgani (PhD) ICEBM Guideline Adoption Workshop Tabriz University of Medical Sciences Tabriz-Iran April 2012
  • 2. What we will do ? • In this slide we will have a description about clinical guidelines as an introduction • Then the search tools and websites for CG will be presented in tow sections: – 1) Search Engines – 2) specific websites for Guidelines • We have tried to cover the guidelines by region and topics as well , 1 May 2012 Gavgani Vahideh Zarae (PhD) 2
  • 3. What are Clinical Guidelines • “systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific circumstances”(Field &Lohr,1990). • Clinical guidelines are recommendations on the appropriate treatment and care of people with specific diseases and conditions within the NHS in England and Wales. Clinical guidelines are based on the best available evidence. Guidelines help healthcare professionals in their work, but they do not replace their knowledge and skills • Guidelines are designed to support the decision-making processes in patient care . The content of a guideline is based on a systematic review of clinical evidence - the main source for evidence-based care. 1 May 2012 Gavgani Vahideh Zarae (PhD) 3
  • 4. Protocol or Guideline • Clinical protocols can be seen as more specific than guidelines, defined in geater detail. Protocols provide "a comprehensive set of rigid criteria outlining the management steps for a single clinical condition or aspects of organisation"" 1 May 2012 Gavgani Vahideh Zarae (PhD) 4
  • 5. Purposes of guidelines • To describe appropriate care based on the best available scientific evidence and broad consensus; • To reduce inappropriate variation in practice; • To provide a more rational basis for referral; • To provide a focus for continuing education; • To promote efficient use of resources; • To Act as focus for quality control, including audit; • To highlight shortcomings of existing literature and suggest appropriate future research. 1 May 2012 Gavgani Vahideh Zarae (PhD) 5
  • 6. Purposes of guidelines • provide recommendations for the treatment and care of people by health professionals • be used to develop standards to assess the clinical practice of individual health professionals • be used in the education and training of health professionals • help patients to make informed decisions • Improve communication between patient and health professional 1 May 2012 Gavgani Vahideh Zarae (PhD) 6
  • 7. Search Engines • PubMed • Trip • MdConsult • Google • And directories like openclinicals 1 May 2012 Gavgani Vahideh Zarae (PhD) 7
  • 8. PubMed 1 May 2012 Gavgani Vahideh Zarae (PhD) 8
  • 9. 1 May 2012 Gavgani Vahideh Zarae (PhD) 9
  • 10. 1 May 2012 Gavgani Vahideh Zarae (PhD) 10
  • 11. 1 May 2012 Gavgani Vahideh Zarae (PhD) 11
  • 12. 1 May 2012 Gavgani Vahideh Zarae (PhD) 12
  • 13. TRIP data base • http://www.tripdatabase.com 1 May 2012 Gavgani Vahideh Zarae (PhD) 13
  • 14. Basic Search 1 May 2012 Gavgani Vahideh Zarae (PhD) 14
  • 15. Trip database Advance search 1 May 2012 Gavgani Vahideh Zarae (PhD) 15
  • 16. 1 May 2012 Gavgani Vahideh Zarae (PhD) 16
  • 17. trip “phrase” 1 May 2012 Gavgani Vahideh Zarae (PhD) 17
  • 18. Google Title 1 May 2012 Gavgani Vahideh Zarae (PhD) 18
  • 19. Google NZ 1 May 2012 Gavgani Vahideh Zarae (PhD) 19
  • 20. Google 1 May 2012 Gavgani Vahideh Zarae (PhD) 20
  • 21. MD Consult 1 May 2012 Gavgani Vahideh Zarae (PhD) 21
  • 22. MD Consult 1 May 2012 Gavgani Vahideh Zarae (PhD) 22
  • 23. Web Sites and Organizations • ADOPTE (for process) • NGC • NICE • GAIN • eGuidelines • GIN • WHO 1 May 2012 Gavgani Vahideh Zarae (PhD) 23
  • 24. ADAPTE To know how to adopt a guideline visit the ADAPTE website 1 May 2012 Gavgani Vahideh Zarae (PhD) 24
  • 25. National Guidelines Clearinghouse (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 25
  • 26. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 26
  • 27. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 27
  • 28. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 28
  • 29. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 29
  • 30. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 30
  • 31. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 31
  • 32. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 32
  • 33. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 33
  • 34. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 34
  • 35. NGC 1 May 2012 Gavgani Vahideh Zarae (PhD) 35
  • 36. (NGC) 1 May 2012 Gavgani Vahideh Zarae (PhD) 36
  • 37. Open Clinical www.openclinical.org 1 May 2012 Gavgani Vahideh Zarae (PhD) 37
  • 38. Open Clinical links to C-Guidelines Organizations 1 May 2012 Gavgani Vahideh Zarae (PhD) 38
  • 39. National Institute for Clinical Excellence (NICE) 1 May 2012 Gavgani Vahideh Zarae (PhD) 39
  • 40. NICE ; Find a Guideline 1 May 2012 Gavgani Vahideh Zarae (PhD) 40
  • 41. NICE; Search for Guidelines by type 1 May 2012 Gavgani Vahideh Zarae (PhD) 41
  • 42. NICE; 1 May 2012 Gavgani Vahideh Zarae (PhD) 42
  • 43. NICE; search for a specific topics “Low Back Pain” 1 May 2012 Gavgani Vahideh Zarae (PhD) 43
  • 44. eGuidelines 1 May 2012 Gavgani Vahideh Zarae (PhD) 44
  • 45. eGuidlines 1 May 2012 Gavgani Vahideh Zarae (PhD) 45
  • 46. eGuidlines 1 May 2012 Gavgani Vahideh Zarae (PhD) 46
  • 47. eGuidlines 1 May 2012 Gavgani Vahideh Zarae (PhD) 47
  • 48. eGuidlines 1 May 2012 Gavgani Vahideh Zarae (PhD) 48
  • 49. eGuidlines 1 May 2012 Gavgani Vahideh Zarae (PhD) 49
  • 50. eGuidlines 1 May 2012 Gavgani Vahideh Zarae (PhD) 50
  • 51. GAIN 1 May 2012 Gavgani Vahideh Zarae (PhD) 51
  • 52. 1 May 2012 Gavgani Vahideh Zarae (PhD) 52
  • 53. GAIN 1 May 2012 Gavgani Vahideh Zarae (PhD) 53
  • 54. Guidelines International Network http://www.g-i-n.net/ G.I.N 1 May 2012 Gavgani Vahideh Zarae (PhD) 54
  • 55. Click here & Enter your topics 1 May 2012 Gavgani Vahideh Zarae (PhD) 55
  • 56. Search results for “low back pain” 1 May 2012 Gavgani Vahideh Zarae (PhD) 56
  • 57. 1 May 2012 Gavgani Vahideh Zarae (PhD) 57
  • 58. Other Countries • Malaysia • India • New Zealand • Iran • Italy • Nederland • Russia • Japan • Canada • Germany 1 May 2012 Gavgani Vahideh Zarae (PhD) 58
  • 59. Malaysia ;Academy of Medicine 1 May 2012 Gavgani Vahideh Zarae (PhD) 59
  • 60. Malaysia ;Academy of Medicine TOPICS 1 May 2012 Gavgani Vahideh Zarae (PhD) 60
  • 61. Malaysia ;Ministry of Health 1 May 2012 Gavgani Vahideh Zarae (PhD) 61
  • 62. Malaysia ;Ministry of Health 1 May 2012 Gavgani Vahideh Zarae (PhD) 62
  • 63. INDIA • www.qmedkf.org.in www.indianmedicalsites.in 1 May 2012 Gavgani Vahideh Zarae (PhD) 63
  • 64. India 1 May 2012 Gavgani Vahideh Zarae (PhD) 64
  • 65. India 1 May 2012 Gavgani Vahideh Zarae (PhD) 65
  • 66. New Zealand Guidelines Group 1 May 2012 Gavgani Vahideh Zarae (PhD) 66
  • 67. New Zealand 1 May 2012 Gavgani Vahideh Zarae (PhD) 67
  • 68. New Zealand 1 May 2012 Gavgani Vahideh Zarae (PhD) 68
  • 69. New Zealand 1 May 2012 Gavgani Vahideh Zarae (PhD) 69
  • 70. New Zealand 1 May 2012 Gavgani Vahideh Zarae (PhD) 70
  • 71. New Zealand 1 May 2012 Gavgani Vahideh Zarae (PhD) 71
  • 72. Iran 1 May 2012 Gavgani Vahideh Zarae (PhD) 72
  • 73. Italy < http://www.snlg-iss.it/en_method> 1 May 2012 Gavgani Vahideh Zarae (PhD) 73
  • 74. Nederland http://www.cbo.nl/en/ 1 May 2012 Gavgani Vahideh Zarae (PhD) 74
  • 75. Russia http://www.klinrek.ru/cgi-bin/mbook 1 May 2012 Gavgani Vahideh Zarae (PhD) 75
  • 76. Japan http://jcqhc.or.jp/ 1 May 2012 Gavgani Vahideh Zarae (PhD) 76
  • 77. WHO 1 May 2012 Gavgani Vahideh Zarae (PhD) 77
  • 78. WHO 1 May 2012 Gavgani Vahideh Zarae (PhD) 78
  • 79. WHO 1 May 2012 Gavgani Vahideh Zarae (PhD) 79
  • 80. WHO 1 May 2012 Gavgani Vahideh Zarae (PhD) 80
  • 81. End! • This Slide show was prepared and presented at the Guideline Adoption workshop (April 2012) in Iranian Center for Evidence Based Medicine in Tabriz University of Medicine by Vahideh Zarea Gavgani ; reachable at Vgavgani@gmail.com 1 May 2012 Gavgani Vahideh Zarae (PhD) 81