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Moving towards Evidence-Based Clinical Practice Guidelines
Urogenit Tract Infect 2018 Dec;13(3):45-50
Published online December 31, 2018;  https://doi.org/10.14777/uti.2018.13.3.45
Copyright © 2018 Korean Association of Urogenital Tract Infection and Inflammation.

Jae Hung Jung1,2, Juan V A Franco3,4, Philipp Dahm5,6

Department of Urology, 2Institute of Evidence-Based Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea, 3Argentine Cochrane Centre, Instituto Universitario Hospital Italiano, Buenos Aires, 4Family and Community Medicine Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina, 5Urology Section, Minneapolis Veterans Healthcare System, Minneapolis, 6Department of Urology, University of Minnesota, Minneapolis, MN, USA
Correspondence to: Philipp Dahm
https://orcid.org/0000-0003-2819-2553
Urology Section, Minneapolis Veterans Healthcare System, 112D, 1 Veterans Drive, Minneapolis, MN 55417, USA
Tel: +1-612-467-3532, Fax: +1-612-467-2232
E-mail: pdahm@umn.edu
Received October 4, 2018; Revised November 4, 2018; Accepted December 4, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The Institute of Medicine in its report “Clinical Practice Guidelines we can trust” defined standards for clinical practice guidelines. However, many guidelines continue to rely on expert opinion and lack a formal framework for moving from evidence to recommendations. These guidelines may or may not be labeled as “consensus statements” and do not meet contemporary standards for guideline documents we would refer to as “evidence-based”. Therefore, the Grading of Recommendations Assessment, Development and Evaluation working group developed a novel, rigorous and transparent approach to grading certainty (quality) of evidence. In addition, it created a system for “moving from evidence to decisions”, for example for the development of evidence-based guidelines. In this article, we aim to introduce this approach to appraising the certainty of relevant evidence and estimate the benefits and detriments of health care interventions within the larger context of evidence-based medicine.
Keywords : Evidence-based medicine; Guideline


December 2018, 13 (3)

  • The official journal of

    The Korean Association of Urogenital Tract Infection and Inflammation

    The Korean Continence Society

    The Han-nam Urological Association

    The Korean Society of Geriatric Urological Care