title: Developing clinical practice guidelines: reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development.
abstract: Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large scale guideline production organisations (such as the UK National Institute for Health and Clinical Excellence). It therefore seems timely to, in a series of three articles, update and extend our earlier paper. In this third paper we discuss the issues of: reviewing, reporting, and publishing guidelines; updating guidelines; and the two emerging issues of enhancing guideline implementability and how guideline developers should approach dealing with the issue of patients who will be the subject of guidelines having co-morbid conditions.
authors: RAND Corporation, Santa Monica, CA 90407, USA. shekelle@rand.org
authors: Paul
authors: P
authors: Shekelle
authors: Steven
authors: S
authors: Woolf
authors: Jeremy M
authors: JM
authors: Grimshaw
authors: Holger J
authors: HJ
authors: Schünemann
authors: Martin P
authors: MP
authors: Eccles
mesh_terms: D003256:Community Participation / Q000379:methods; D015897:Comorbidity; D019317:Evidence-Based Medicine; D006801:Humans; D010380:Peer Review / Q000379:methods; D010506:Periodicals as Topic; D017410:Practice Guidelines as Topic; D011787:Quality of Health Care / Q000592:standards; D006113:United Kingdom