[Evidence-based assessment of the effectiveness of clinical practice guidelines].
The objectives of evidence-based assessment of the effectiveness of clinical practice guidelines are:first, to evaluate the validity, reproducibility, reliability, and applicability of the guidelines prepared;second, to evaluate whether the preventive measures against fractures and osteoporosis taken by the application of the guidelines have become evidence-based, and whether the contents and methods of guidance and education for public health nurses and nutritionists, who perform fracture-control activities, have been improved;and, lastly, to evaluate whether the frequency of fracture has been reduced by the use of the guidelines. Designs for the effectiveness assessment include the randomized controlled trial, non-randomized controlled trial, and before-after trial. It is important to establish the effectiveness of the guidelines by incorporating one of these designs in the preventive measures.
Kajita
Etsuko
E
Department of Public Health and Home Care Nursing, Nagoya University School of Health Sciences, Japan.
D019317:Evidence-Based Medicine; D005598:Fractures, Spontaneous / Q000517:prevention & control*; D006801:Humans; D010024:Osteoporosis / Q000517:prevention & control*; D017063:Outcome Assessment, Health Care; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic