JAMA · 1995 · 190 citations · 0 references
NursingEndocrinologyClinical Decision SupportClinical MedicineEvidence-based PracticeClinical Practice GuidelinesEvidence-based MedicineEvidence-based Practice ImplementationGuideline ImplementationMenopause ManagementTranslating Evidence Into PracticeClinical Guideline Evidence ReviewClinical Guideline ImplementationClinical Guideline RecommendationClinical Practice Guideline AdherenceClinical Practice Guidelines ImplementationClinically Meaningful ChangeGuideline Methodology
<h3>CLINICAL SCENARIO</h3> At the conclusion of our first article on practice guidelines<sup>1</sup>in this series, we left you examining the full text of a practice guideline<sup>2</sup>that could help you marshal a convincing response to a colleague who disagrees with your approach to hormone replacement therapy (HRT) in postmenopausal women. Later that day, chatting with another colleague, you mention the disagreement. He shrugs, and avows, "It's entirely a matter of personal preference, the evidence doesn't support either of you." You return to the guideline, looking for how particular recommendations may be justified and adapted to your patient's circumstances. <h3>WHAT ARE THE RECOMMENDATIONS?</h3> Are Practical, Clinically Important, Recommendations Made? To be useful, recommendations should give practical, unambiguous advice about a specific health problem. For guidelines about managing health conditions, you should determine if the intent is to prevent, screen for, diagnose, treat, or palliate the disorder. For guidelines about