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First published online on May 31, 2007
Chest, doi:10.1378/chest.07-1271
A more recent version of this article appeared on September 1, 2007
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ACCP Evidence Based Guideline Development: A Successful and Transparent Approach Addressing Conflict of Interest, Funding, and Patient-Centered Recommendations

Michael H. Baumann, MD, MS, FCCPA; Sandra Zelman Lewis, PhDB and David Gutterman, MD, FCCPC

AUniversity of Mississippi Medical Center, Jackson, MS BAmerican College of Chest Physicians, Northbrook, IL CDepartment of Medicine, Medical College of Wisconsin, Milwaukee, and VA Medical Center, WI

slewis{at}chestnet.org

Abstract

Evidence based clinical practice guidelines (EBGs) can provide an invaluable distillation of knowledge regarding best practices based upon the available evidence. EBGs, providing accurate and useful guidance to best clinical practices, require a rigorous development process. The 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 upon EBG development.

Key Words: Evidence-based Guidelines • Clinical Practice Guidelines • Conflict of Interest


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]



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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]


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