Module 1: Professional Accountability and Prescribing

Lesson 5

Using CPGs in practice

Grimshaw, Eccles and Tetroe (2004) and Dahm et al. (2009) identified several other challenges with locating and using CPGs in clinical practice, including:

  • Conflict of interest among the guideline developers that are not declared appropriately
  • Poor management of conflict of interest in guideline writing by experts
  • Lack of transparency regarding the methods used to develop the guideline
  • Insufficient consideration of relevant patient characteristics when developing the guideline
  • Low quality or no evidence underlying the recommendations or guidelines cited or defined
  • No consideration of the economic, patient or caregiver impact
  • Guidelines for multi-morbidity conditions that are in conflict with each other
  • Conflicting or confusing recommendations or guidelines across various groups for the same disease condition
  • Guidelines that are not reviewed or updated when new evidence becomes available