Ten years ago, the US Congress, through the Medicare Improvements for Patients and Providers Act, asked what was then the Institute of Medicine (now the National Academies of Sciences, Engineering, and Medicine) to identify the best methods for developing clinical practice guidelines. The IOM did so producing what is now considered our national standard for clinical guideline development and appropriately titled, "Clinical Practice Guidelines We Can Trust".
If you are unfamiliar with this report, you can, and should, read it here
You will need to read it, understand it, and be prepared to implement it yourself.
You see, the US resource that used these IOM standards to evaluate clinical guidelines and provide free evaluation and information on #clinicalpracticeguidelineswecantrust has lost its funding and will cease to exist after July 16th of this year. You can read about our loss of the National Guideline Clearinghouse here.
While you're there, explore the resources available on the website, particularly the guideline submission kit that provides detail on how the organization implemented the IOM standards. Better get it quick, before the site comes down.
Not all guidelines are to be trusted. An examination of how well guidelines adhered to the new standards shortly after their release found that the average number of standards met in guidelines sampled was only 46.5%, or just less than half.
Developing trustworthy, evidence based guidelines for clinical care is hard work. The National Guideline Clearinghouse provided more than curated access to guidelines we can trust. Through their detailed methods for guideline inclusion, they also provided training to guideline developers interested in learning and implementing the minimum standards for trustworthy guidelines.
This is a huge loss at a time when we need science more than ever to help us navigate the evidence behind the many medical care choices available.
I don't want access to every clinical practice guideline.
I don't want to waste my time sifting through those that can't meet even half the standards for quality guideline development.
I just want access to clinical practice guidelines we can trust.