Evidence based Pediatrics
Clinical Guidelines in internet: how to retrieve the important
Reference of this article.:
Martín Muñoz P, Ruiz-Canela Cáceres J, Guerra de Hoyos JA, Rivas Aguayo L. Guías de práctica clínica en internet: cómo separar el grano de la paja. Rev Pediatr Aten Primaria. 2003;5:257-272..
Published in Internet: 30/06/2003
Clinical guidelines are systematically developed statements to assist practitioner and
patient decisions about appropriate health care for specific clinical circumstances. Current
methods for developing practice guidelines include informal consensus development, formal
consensus development, and evidence-based guideline development. The key elements
of the methodology are (a) that guidelines are developed by multidisciplinary groups; (b)
they are based on a systematic review of the scientific evidence; and (c) recommendations are explicitly linked to the supporting evidence and graded according to the strength of that
evidence. Guideline developers must make a considered judgment about the generalisability,
applicability, consistency, and clinical impact of the recommendations.
Searches for guidelines may start covering Internet sites that develop good quality evidence-
based clinical guidelines. Only if the search didn?t find the answer you need, you
would carry out an extensive search to identify other resources on the web, and Medline in
the final step, but then a critical appraisal is needed. The ?Users' guides to the Medical Literature?
and the ?AGREE instrument? can be used to help make an informed judgement
about the overall quality and methods that were used to develop a guideline.
We undertook a hypothetical search to retrieve a good guideline focused on asthma in
Keywords: Evidence-based medicine. Clinical guidelines. Medical literature. Information.
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