Abstract:
BACKGROUND:Clinicians are faced with a plethora of guidelines. To rate guidelines, they can select from a number of evaluation tools, most of which are long and difficult to apply. The goal of this project was to develop a simple, easy-to-use checklist for clinicians to use to identify trustworthy, relevant, and useful practice guidelines, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST). METHODS:A modified Delphi process was used to obtain consensus of experts and guideline developers regarding a checklist of items and their relative impact on guideline quality. We conducted 4 rounds of sampling to refine wording, add and subtract items, and develop a scoring system. Multiple attribute utility analysis was used to develop a weighted utility score for each item to determine scoring. RESULTS:Twenty-two experts in evidence-based medicine, 17 developers of high-quality guidelines, and 1 consumer representative participated. In rounds 1 and 2, items were rewritten or dropped, and 2 items were added. In round 3, weighted scores were calculated from rankings and relative weights assigned by the expert panel. In the last round, more than 75% of experts indicated 3 of the 8 checklist items to be major indicators of guideline usefulness and, using the AGREE tool as a reference standard, a scoring system was developed to identify guidelines as useful, may not be useful, and not useful. CONCLUSION:The 8-item G-TRUST is potentially helpful as a tool for clinicians to identify useful guidelines. Further research will focus on its reliability when used by clinicians.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Shaughnessy AF,Vaswani A,Andrews BK,Erlich DR,D'Amico F,Lexchin J,Cosgrove Ldoi
10.1370/afm.2119subject
Has Abstractpub_date
2017-09-01 00:00:00pages
413-418issue
5eissn
1544-1709issn
1544-1717pii
15/5/413journal_volume
15pub_type
杂志文章abstract:PURPOSE:At this second anniversary of the Annals of Family Medicine, we sought to characterize primary care research and to identify opportunities for new directions by analyzing the content of the first and second volumes of the Annals. METHODS:Using an a priori classification scheme, 2 editors independently categori...
journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2005-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
abstract:PURPOSE:This study was conducted to document current immunization practices by family physicians. METHODS:In 2008 the American Academy of Family Physicians (AAFP) conducted a survey among a random sample of 2,000 of its members who reported spending 80% or more of their time in direct patient care. The survey consiste...
journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
abstract::Efforts to address the current fragmented US health care structure, including controversial federal reform, cannot succeed without a reinvigoration of community-centered health systems. A blueprint for systematic implementation of community services exists in the 1967 Folsom Report--calling for "communities of solutio...
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pub_type: 杂志文章
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更新日期:2012-05-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
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更新日期:2013-09-01 00:00:00
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更新日期:2015-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-03-01 00:00:00
abstract:PURPOSE:The aim of this study was to assess whether the quality of diabetes care differs among practices employing nurse-practitioners (NPs), physician's assistants (PAs), or neither, and which practice attributes contribute to any differences in care. METHODS:This cross-sectional study of 46 family medicine practices...
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pub_type: 杂志文章
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1370/afm.529
更新日期:2006-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-08-12 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.1462
更新日期:2013-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1370/afm.997
更新日期:2009-09-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 杂志文章
doi:10.1370/afm.74
更新日期:2004-05-01 00:00:00
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更新日期:2015-01-01 00:00:00
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更新日期:2006-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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更新日期:2016-03-01 00:00:00
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journal_title:Annals of family medicine
pub_type: 历史文章,杂志文章,评审
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更新日期:2018-09-01 00:00:00
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pub_type: 杂志文章
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journal_title:Annals of family medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:2004-09-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-05-01 00:00:00
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更新日期:2005-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-07-01 00:00:00