CLINICAL PRACTICE

GUIDELINE (CPG)
CLINICAL PRACTICE GUIDELINE (CPG)

04
01 03 When written carefully, CPGs can
offer guidance on
treatment options based upon
the established effectiveness
Clinical Practice Clinical practice of available therapeutic options
Guideline are guidelines are (including no treatment), a
patient’s individual clinical
statement that include designed to provide a situation, minimization of
recommendations link between the best harm, and cost. ( IOM, 2011)
intended to optimize available evidence and
patient care. clinical practice.
 Identify relevant CPG. Evaluate validity, summarize content
and validity assessment

CPG Look for update version of CPG ( 5 years) with a references

lists

Developed by multi-disciplinary subcommittees, combining

the best research available with expert consensus on
best practice, including patient's opinion.

Using rigorous evidence-based methodology with the

strength of evidence
HOW DO CPGS DIFFER FROM SR

Systematic review provides the highest level of evidence for answering a

specific clinical question, particularly for treatment interventions.

A CPG, on the other hand, translates this evidence into treatment options
for a specific clinical condition. A well-written CPG will comment on the
strength of evidence upon which it is based. If it does not, it may simply be
based on the author’s opinion.

Depending upon the complexity of the condition, a CPG may rely on

more than one systematic review, as well as other types of evidence.
THE IOM/INSTITUTE OF MEDICINE IDENTIFIED EIGHT STANDARDS FOR
DEVELOPING TRUSTWORTHY GUIDELINES. THE STANDARDS REFLECT BEST PRACTICES ACROSS THE ENTIRE GUIDELINE
DEVELOPMENT PROCESS, INCLUDING ATTENTION TO:

Guideline Clinical practice

Establishing Managing conflict of
development group guideline–systematic
transparency; interest;
composition; review intersection;

Establishing evidence
foundations for and Articulation of
External review; and Updating.
rating strength of recommendations;
recommendations;
 PEDRO

HOW TO FIND Searching the websites of the Institutes

within the National Institutes of Health
CPG? network.

Key words : "clinical practice

guidelines", "practice guidelines", or
"guidelines".
SEARCH PEDro home
PEDRO FOR http://www.pedro.org.au/
CPGS

PEDro Advanced search page

http://search.pedro.org.au/pedro/findrecords.php?-
type=new_search

• There are around 496 guidelines to choose from

SEARCHING • National Guidelines Clearinghouse (NGC) is
FOR CPG repository of CPG
• https://guideline.gov
• APTA including section on Pediatrics (SOP)

Useful websites to understand process of searching:

https://www.youtube.com/watch?v=X0wOpYljxfk
https://www.youtube.com/watch?v=63rHFBpzEsY&t=19
4s
https://www.youtube.com/watch?v=Q0cS9bb1jVo