Publishing review and updating connecting people dating

As stated in Chapter 2, clinical practice guidelines (CPGs) may require either a partial or a full update, depending on the volume and relevance of the evidence which has emerged since the original CPG was published.

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When new evidence substantially affects one or more sections of a CPG, an update of the section(s) in question can be published.

New publications on the efficacy of beta blockers in hypertensive patients, for instance, led to the publication of an update to the drug treatment section of the Hypertension CPG of the UK's National Institute for Health and Clinical Excellence (NICE) in 2006.

Although this date is usually indicated in the methodology section, it is sometimes difficult to find.

It is recommended, therefore, to state the end date of the literature review and the date of the most recent update in a prominent place in the CPG.

We have not located any publications regarding the preferences and needs of those who develop or use CPGs or on the most suitable formats for publishing CPG updates, nor are there any evaluations available regarding the impact of the update presentation format on compliance with CPGs or on health outcomes.

The use of new technologies for publishing and distributing CPGs has led to a proliferation of documents in electronic format.

This is most common practice applied by both Spanish and overseas institutions that issue succesive CPGs on a single topic.

Examples are the Reports on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure compiled by the Joint National Committee of the US National Heart, Lung and Blood Institute.

The CPG of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) provides only an initial list of new references, stating the pages where they are cited.

A more explicit way of presenting new evidence is at the beginning of each chapter and then by referencing it in the evaluation of evidence before providing recommedations (Figure 5.1).

Figure 5.2: Initial list of recommendations in the Basque Health Service (Osakidetza) Hypertension CPG (2007 full update, printed and electronic formats) In theory, electronic formats should enable more efficient updating.

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