Dear all,
A couple of days ago I had a very interesting discussion with a
colleague who is the project manager for a new clinical guideline. They
are following the recommended approaches of systematic searching for
evidence, evaluation of evidence and defining the level of evidence,
grading of recommendation etc. They also use consensus and benefit from
methodological as well as clinical inputs.
She asked a question, that I first thought should be easy to answer. She
wanted to know the date that the first evidence-based clinical guideline
was published. I answered that although guidelines have been used in
medicine (and health care) for decades, but they were usually based on
expert opinion or consensus statements. I thought evidence-based
guidelines could not precede the first attempts of systematic reviewing
and meta-analyses in health care (mid 80s?). It could not also precede
the EBM movement (late 80s, early nineties?), by definition.
Does anyone know when the first guideline using evidence-based methods
was published and what was its topic etc?
Kind regards
Arash
--
Dr Arash Rashidian
Department of Health Sciences
University of York
York, YO10 5DD, UK
Tel: +44 (0)1904 434498
Mob: +44 (0)7766658847
Fax: +44 (0)1904 324101
Study of Adherence to Guidelines and Evidence (SAGE)
http://www-users.york.ac.uk/~ar130/
Visit HTA for Developing Countries Forum at:
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