This Article Full Text Free Full Text (PDF) Free All Versions of this Article: chest.07-1271v1 chest.07-1271v2 132/3/1015    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Article Archive Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (2) Citing Articles via Google Scholar Google Scholar Articles by Baumann, M. H. Articles by Gutterman, D. Search for Related Content PubMed PubMed Citation Articles by Baumann, M. H. Articles by Gutterman, D. Related Content Special Features Related Editorial

ACCP Evidence-Based Guideline Development^*

A Successful and Transparent Approach Addressing Conflict of Interest, Funding, and Patient-Centered Recommendations

^* From the University of Mississippi Medical Center (Dr. Baumann), Jackson, MS, and Immediate Past Chair, ACCP Health and Science Policy Committee; the American College of Chest Physicians (Dr. Lewis), Northbrook, IL; and the Department of Medicine (Dr. Gutterman), Medical College of Wisconsin, Milwaukee, WI, and Chair, ACCP Health and Science Policy Committee. The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Correspondence to: Sandra Zelman Lewis, PhD, American College of Chest Physicians, 3300 Dundee Rd, Northbrook, IL 60062-2348; e-mail: slewis{at}chestnet.org

Abstract

Evidence-based clinical practice guidelines (EBGs) can provide an invaluable distillation of knowledge regarding best practices based on the available evidence. EBGs, providing accurate and useful guidance to best clinical practices, require a rigorous development process. The American College of Chest Physicians (ACCP) has developed a process that embodies transparency, thoroughness, and timeliness, and effective conflict-of-interest management, and it continues to evolve. This process employs a quantitative and rigorous grading of the strength of recommendations and of the quality of evidence that incorporates sensitivity to health-care resource utilization and patient values and preferences. A review of this process is provided to inform the ACCP membership and those wishing to embark on EBG development.

Key Words: clinical practice guidelines • conflict of interest • evidence-based guidelines

Related Editorial

Guidelines for Guidelines: We’ve Come a Long Way

Carolyn M. Clancy and Jean R. Slutsky
Chest 2007 132: 746-747. [Full Text] [PDF]

This article has been cited by other articles:

				F. W. Grannis Jr, W. M. Alberts, and D. Addrizzo-Harris There Are Major Problems With the American College of Chest Physicians Second Lung Cancer Guidelines Chest, April 1, 2008; 133(4): 1049 - 1051. [Full Text] [PDF]

				C. M. Clancy and J. R. Slutsky Guidelines for Guidelines: We've Come a Long Way Chest, September 1, 2007; 132(3): 746 - 747. [Full Text] [PDF]