title: A comparison of clinical practice guidelines for proximal femoral fracture.
abstract: Clinical practice guidelines are designed to assist clinical decision-making by summarising evidence and forming recommendations. The number of available guidelines is vast and they vary in relevance and quality. We reviewed guidelines relevant to the management of a patient with a fractured neck of femur and explored similarities and conflicts between recommendations. As guidelines are often produced in response to an area of clinical uncertainty, recommendations differ. This can result in a situation where the management of a particular clinical problem will depend upon which guideline is followed. We explore the reasons for such differences.
authors.affiliation: Academic Unit of Anaesthesia, Pain & Critical Care Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK. rachelkearns@nhs.net
authors.forename: R J
authors.initials: RJ
authors.lastname: Kearns
authors.forename: L
authors.initials: L
authors.lastname: Moss
authors.forename: J
authors.initials: J
authors.lastname: Kinsella
mesh_terms: D000698:Analgesia / Q000379:methods; D000740:Anemia / Q000150:complications; D000758:Anesthesia / Q000379:methods; D000925:Anticoagulants / Q000627:therapeutic use; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery*; D006337:Heart Murmurs / Q000150:complications; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010146:Pain / Q000150:complications / Q000188:drug therapy; D010975:Platelet Aggregation Inhibitors; D011183:Postoperative Complications / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D006113:United Kingdom
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors