title: Implementation of a clinical practice guideline for identification of microalbuminuria in the pediatric patient with type 1 diabetes.
abstract: Evidence-based practice is a shift in the health care culture from basing decisions on consensus opinion, past practice, and precedent toward the use of rigorous analysis of scientific evidence using outcomes research and clinical evidence to guide clinical decision making. The development of evidence-based clinical practice guidelines (CPG) is critical to guide the assessment and management of children with diabetes. This article provides an overview of the infrastructure and processes that are crucial to providing evidence-based care in a large urban pediatric diabetes center. Development of a CPG to identify microalbuminuria in children with type 1 diabetes is discussed.
authors: Division of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. montgomery@email.chop.edu
authors: Kathleen A
authors: KA
authors: Montgomery
authors: Sarah J
authors: SJ
authors: Ratcliffe
authors: H Jorge
authors: HJ
authors: Baluarte
authors: Kathryn M
authors: KM
authors: Murphy
authors: Steven
authors: S
authors: Willi
authors: Terri H
authors: TH
authors: Lipman
mesh_terms: D000293:Adolescent; D000419:Albuminuria / Q000175:diagnosis* / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology / Q000451:nursing* / Q000652:urine*; D003928:Diabetic Nephropathies / Q000453:epidemiology / Q000517:prevention & control*; D042241:Early Diagnosis; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D008403:Mass Screening; D017410:Practice Guidelines as Topic; D015995:Prevalence; D012680:Sensitivity and Specificity; D014481:United States / Q000453:epidemiology; D055815:Young Adult