Trustworthy guidelines - excellent; customized care tools - even better

BMC Medicine
Glyn ElwynGordon H Guyatt

Abstract

The ability to do online searches for health information has led to concerns that patients find the results confusing and that they often lead to expectations for treatments that have little supportive evidence. At the same time, the science of summarizing research evidence has advanced to the point where it is increasingly possible to quantify treatment tradeoffs and to describe the balance between harms and benefits for individual patients. Trustworthy clinical practice guidelines provide evidence-based recommendations to health care practitioners based on assessments of study-level averages. In an effort to customize the use of evidence and ensure that choices are consistent with their personal preferences, tools for patients have been developed. Gradually, there is recognition that the audience for high quality evidence is much wider than merely health care professionals - and that there is a case to be made for creating tools that translate existing evidence into tools to help patients and clinicians work together to decide next steps. We observe two processes occurring: first, is the recognition that decision making in healthcare requires collaboration and deliberation, and second, to achieve this, we need tools designed ...Continue Reading

References

Aug 9, 2007·PLoS Medicine·Victor M MontoriAudrey J Weymiller
Dec 12, 2007·The Milbank Quarterly·George WeiszVirginie J Tournay
May 19, 2010·Annals of Internal Medicine·Gordon GuyattHolger Schünemann
Jun 8, 2011·Annals of Internal Medicine·Christine LaineCynthia Mulrow
Jun 10, 2011·Patient Education and Counseling·Vikki Ann EntwistleAndrew Thompson
Apr 27, 2012·Journal of Health Services Research & Policy·Sue Ziebland
Aug 3, 2012·Patient Education and Counseling·Glyn ElwynAdrian Edwards
Nov 10, 2012·BMJ : British Medical Journal·Albert G MulleyGlyn Elwyn
Jul 5, 2013·Journal of the Royal Society of Medicine·Iain ChalmersKatherine Cowan
Sep 2, 2014·Patient Education and Counseling·Glyn ElwynRonald Epstein
Feb 12, 2015·BMJ : British Medical Journal·Thomas AgoritsasPer Olav Vandvik

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Citations

Oct 30, 2015·International Journal of Cardiology·Wei-Min HeXiao-Dong Zhuang
Sep 2, 2015·BMC Medicine·Trisha GreenhalghHelen Salisbury
May 17, 2017·Journal of Evaluation in Clinical Practice·Sietse WieringaTrish Greenhalgh
Jun 25, 2019·JAMA Internal Medicine·Jarno M RiikonenKari A O Tikkinen
Nov 13, 2019·International Journal of Evidence-based Healthcare·Zoe Jordan
Oct 14, 2020·Journal of Clinical Epidemiology·Anja Fog HeenThomas Agoritsas
Nov 5, 2020·International Journal of Paediatric Dentistry·Rafael Sarkis-Onofre, Bernardo Antonio Agostini
Mar 5, 2021·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Tammy C HoffmannJuan P Brito
Apr 28, 2021·BMJ Evidence-based Medicine·Marie-Anne DurandGlyn Elwyn

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