Transparent methods for developing evidence-based rapid practice points

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Figure. Overview of the process of developing and approving quick practice points for life with SMPC. ACP = American College of Physicians; BOR = Board of Regents; ERT = test review team; KQ = key questions; PICO = population, intervention / exposure, comparison, result; SMPC = Scientific Medical Policy Committee; SR = systematic review. Credit: Annals of Internal Medicine (2021). DOI: 10.7326 / M20-7641

The American College of Physicians (ACP) today released a paper detailing the methods its Scientific Medical Policy Committee (SMPC) uses to develop fast, live ACP practice points. “The development of life, the points of rapid practice: a summary of the methods of the scientific medical policy committee of the American College of Physicians” was published in Annals of Internal Medicine.

ACP began to develop rapid and lively practice points in response to the urgent need to provide evidence-based responses to physicians managing patients with COVID-19. This process involves evidence gathered through independent living, a rapid systematic review from which practice points are developed. When developing practice points, ACP takes into account the balance of benefits and harms and also takes into account the values ​​and preferences of the public and the patient, and other considerations that include, among others, the cost. , acceptability and viability.

The paper explains in detail the ACP methods for developing fast and reliable clinical advice, which include a rapid systematic review, the use of the GRADE (Grading of Recommendations Assessment, Development and Evaluation) method to assess the certainty of the evidence of the results. of interest, the use of policies on disclosure of interests and conflict management and incorporation of a public (non-clinical) perspective.

“It is important to transparently detail our methodology and process to develop fast and lively practice points,” said George Abraham, MD, MPH, FACP, President, ACP. “We want to make sure that doctors, their patients and others understand the rigorous standards by which ACP is known and that they were used to develop these current and timely documents.”

When ACP rapid practice points are based on limited or rapidly evolving evidence, such as with the COVID-19 pandemic, practice points and systematic review are maintained as “living” documents through continuous monitoring and synthesis of new evidence as they appear.


There is no evidence that chloroquine helps treat or prevent COVID-19


More information:
Amir Qaseem et al, The Development of Living, Rapid Practice Points: Summary of Methods from the Scientific Medical Policy Committee of the American College of Physicians, Annals of Internal Medicine (2021). DOI: 10.7326 / M20-7641

Citation: Transparent Methods for Developing Evidence-Based Fast Practice Points (2021, May 25) Retrieved May 25, 2021 at https://medicalxpress.com/news/2021-05-transparent-methods-evidence-based -rapid.html

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