Guidelines: Options and Limit

  • Manuel López-Cano
  • Josep M. García-Alamino


Clinical practice guidelines (CPGs) have been created with the intention of facilitating decision-making. They offer explicit and concise recommendations for diagnosis, management (e.g., surgical treatments), and prevention of specific diseases or conditions. All information included in CPGs is the result of a systematic review of published studies, which are collected according to strict selection criteria. The process of developing guidelines involves a series of well-defined consecutive phases to assess the quality of evidence, according to which final recommendations are build. In this chapter, we describe the main aspects involved in the development and implementation of CPGs with special emphasis on the GRADE system. All parties involved, clinicians, patients, policy makers, and payers should be aware that guidelines are intended for marking care more consistent and efficient and for closing the gap between what clinicians (surgeons) do and what scientific evidence supports.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Manuel López-Cano
    • 1
  • Josep M. García-Alamino
    • 2
  1. 1.Abdominal Wall Surgery Unit, Department of General and Digestive SurgeryUniversity Hospital Vall d´HebronBarcelonaSpain
  2. 2.DPhil Programme in Evidence-Based HealthcareUniversity of OxfordOxfordUK

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