Clinical Practice Guideline Development Manual: A Quality‐Driven Approach for Translating Evidence into Action

Rosenfeld, Richard M.; Shiffman, Richard N.

doi:10.1016/j.otohns.2009.04.015

Cited by 304 publications

(493 citation statements)

References 39 publications

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“…19 The Guideline Development Group (GDG) consisted of 16 panel members representing experts in advanced practice nursing, plastic surgery, consumer advocacy, facial plastic and reconstructive surgery, otolaryngology, otology, psychiatry, plastic surgery, rhinology, and sleep medicine.…”

Section: Methodsmentioning

confidence: 99%

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Ishii

Tollefson

Basura

et al. 2017

Otolaryngol.--head neck surg.

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Objective. Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work.The resultant psychological impact of rhinoplasty can also be significant. Furthermore, the health care burden from psychological pressures of nasal deformities/aesthetic shortcomings, surgical infections, surgical pain, side effects from antibiotics, and nasal packing materials must also be considered for these patients. Prior to this guideline, limited literature existed on standard care considerations for pre-and postsurgical management and for standard surgical practice to ensure optimal outcomes for patients undergoing rhinoplasty. The impetus for this guideline is to utilize current evidence-based medicine practices and data to build unanimity regarding the peri-and postoperative strategies to maximize patient safety and to optimize surgical results for patients.Purpose. The primary purpose of this guideline executive summary is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The target audience is any clinician or individual, in any setting, involved in the management of these patients. The target patient population is all patients aged ≥15 years. The guideline is intended to focus on knowledge gaps, practice variations, and clinical concerns associated with this surgical procedure; it is not intended to be a comprehensive reference for improving nasal form and function after rhinoplasty. Recommendations in this guideline concerning education and counseling to the patient are intended to include the caregiver if the patient is <18 years of age.Action Statements. The Guideline Development Group made the following recommendations: (1) Clinicians should ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, should provide feedback on whether those expectations are a realistic goal of surgery, and should document this discussion in the medical record.(2) Clinicians should assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. (3) The surgeon, or the surgeon's designee, should evaluate the rhinoplasty c...

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Section: Methodsmentioning

confidence: 99%

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Ishii

Tollefson

Basura

et al. 2017

Otolaryngol.--head neck surg.

Self Cite

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“…7 Guidelines translate best evidence into best practice. Well crafted guidelines promote quality by reducing healthcare variations, improving diagnostic accuracy, promoting effective therapy, and discouraging ineffective-or potentially harmful-interventions.…”

Section: Editor's Responsementioning

confidence: 99%

Art

Rosenfeld

2010

Otolaryngol.--head neck surg.

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T he art of medicine is often pondered yet rarely discussed. Even this journal may be guilty of neglect, as suggested in the astute letter that follows. My response is offered as a tribute to this timeless art and its many facets. Letter to the Editor:Having admired your journal for many years, I regret it has become-in the truest sense of the word-a bore. Missing from page upon page of peer-reviewed perfection is the elusive essence of therapeutic nirvana: the timeless art of medicine.Although I have dabbled in philosophy myself, I must firmly disagree with the words of the satirical genius, Voltaire, who surmised, "The art of medicine consists of amusing the patient while nature cures the disease." 1 Perhaps laughter was the best medicine centuries ago, but technology has broadened the artist's palette to include more noteworthy feats.Consider, for example, the technology-driven artistry of robotic surgery, office-based laryngology, endoscopic skullbase surgery, minimally invasive thyroidectomy, or microvascular free tissue transfer. Some have elevated even the lowly tonsillectomy to an art form. 2 Yes, you discuss masterful technique from time to time in the journal, but peer review replaces artistry with objectivity, dismissing some of the most adroit accomplishments as biased, anecdotal, or tainted by conflicts of interest.Surely there is room in your hallowed pages to showcase the art of medicine alongside the science. Technical virtuosity alone does not prove efficacy or appropriateness, but it can inspire. The art of medicine must be embraced and promulgated.Without art there is no passion, and without passion, innovation withers. Please help kindle the passion of the young artist-clinicians who are the future of medicine by giving their art the visibility and recognition it deserves. It may also stem the tide of boredom.Artistically yours,

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“…These recommendations are based on scientific evidence, on the technological and economic evaluation of health services and their quality assurance. 1 However, in relation to the development of protocols, it is difficult to find a single approach with a valid and comprehensive approach, since there is a great variety of methodologies implemented. 1 This is due to the fact that each method, besides having their own characteristics, suits the specificities of the problem, as well as the study objectives and purposes.…”

Section: Introductionmentioning

confidence: 99%

“…1 However, in relation to the development of protocols, it is difficult to find a single approach with a valid and comprehensive approach, since there is a great variety of methodologies implemented. 1 This is due to the fact that each method, besides having their own characteristics, suits the specificities of the problem, as well as the study objectives and purposes. Therefore, the researcher needs to have a concise definition of the research problem as the most important step in the scientific research process in order to select the most appropriate method.…”

Section: Introductionmentioning

confidence: 99%

Methodological Approach in Nursing Research for Constructing and Validating Protocols

Catunda

Bernardo²,

Vasconcelos³

et al. 2017

Texto contexto - enferm.

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Objective: to highlight the methodological approach used in thesis/dissertations for constructing and validating protocols in the Nursing area.Method: a literature review was performed online at the Library of the Center for Study and Research in Nursing, and at the Thesis Databank of the Coordination for the Improvement of Higher Education Personnel. Eight theses and 16 dissertations were included in the final sample.Results: it was found that the most common steps in constructing protocols were reviewing the scientific literature and using professionals to assist in this process. In studies related to protocol validation, the presence of groups of specialists/judges on the subject matter ranging from three to 16 in quantity was found, with the majority presenting up to ten judges. Regarding analysis of the validation process, we noticed a higher prevalence of agreement between the judges and the Content Validity Index. Resultados: se verificó que los pasos más comunes en los protocolos de construcción fueron la revisión de la literatura científica y el uso de los profesionales para ayudar en este proceso. Sin embargo, en los estudios relacionados con los protocolos de validación, se constató la presencia de grupos de expertos/jueces en la temática, que van de tres a 16 en cantidad, y la mayoría presentaron hasta diez jueces. El análisis del proceso de validación, se verificó una mayor prevalencia de concordancia entre los jueces y del índice de validez de contenido. ConclusionConclusión: el desarrollo de estas tecnologías se constituye en un escenario complejo y multifacético, adaptado a las expectativas y objetivos de los investigadores.

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Clinical Practice Guideline Development Manual: A Quality‐Driven Approach for Translating Evidence into Action

Cited by 304 publications

References 39 publications

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

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Methodological Approach in Nursing Research for Constructing and Validating Protocols

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