Display options
Cite
Meyer C, Bowers A, Wayant C, et al. Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines. PLoS One. 2018;13(10):e0204720doi: 10.1371/journal.pone.0204720.
Meyer, C., Bowers, A., Wayant, C., Checketts, J., Scott, J., Musuvathy, S., & Vassar, M. (2018). Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines. PloS one, 13(10), e0204720. https://doi.org/10.1371/journal.pone.0204720
Meyer, Chase, et al. "Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines." PloS one vol. 13,10 (2018): e0204720. doi: https://doi.org/10.1371/journal.pone.0204720
Meyer C, Bowers A, Wayant C, Checketts J, Scott J, Musuvathy S, Vassar M. Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines. PLoS One. 2018 Oct 03;13(10):e0204720. doi: 10.1371/journal.pone.0204720. eCollection 2018. PMID: 30281671; PMCID: PMC6169920.
Copy Download .nbib Format: NLM
Share it on

PLoS One. 2018 Oct 03;13(10):e0204720. doi: 10.1371/journal.pone.0204720. eCollection 2018.

Scientific evidence underlying the American College of Gastroenterology's clinical practice guidelines.

PloS one

Chase Meyer, Aaron Bowers, Cole Wayant, Jake Checketts, Jared Scott, Sanjeev Musuvathy, Matt Vassar

Affiliations

  1. Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, United States of America.

PMID: 30281671 PMCID: PMC6169920 DOI: 10.1371/journal.pone.0204720

Abstract

BACKGROUND: Clinical practice guidelines contain recommendations for physicians to determine the most appropriate care for patients. These guidelines systematically combine scientific evidence and clinical judgment, culminating in recommendations intended to optimize patient care. The recommendations in CPGs are supported by evidence which varies in quality. We aim to survey the clinical practice guidelines created by the American College of Gastroenterology, report the level of evidence supporting their recommendations, and identify areas where evidence can be improved with additional research.

METHODS: We extracted 1328 recommendations from 39 clinical practice guidelines published by the American College of Gastroenterology. Several of the clinical practice guidelines used the differing classifications of evidence for their recommendations. To standardize our results, we devised a uniform system for evidence.

RESULTS: A total of 39 clinical practice guidelines were surveyed in our study. Together they account for 1328 recommendations. 693 (52.2%) of the recommendations were based on low evidence, indicating poor evidence or expert opinion. Among individual guidelines, 13/39 (33.3%) had no recommendations based on high evidence.

CONCLUSION: Very few recommendations made by the American College of Gastroenterology are supported by high levels of evidence. More than half of all recommendations made by the American College of Gastroenterology are based on low-quality evidence or expert opinion.

Conflict of interest statement

The authors have declared that no competing interests exist.

References

  1. Gastroenterology. 2009 Feb;136(2):376-86 - PubMed
  2. Am J Gastroenterol. 2010 Mar;105(3):501-23; quiz 524 - PubMed
  3. Lancet. 2014 Jan 11;383(9912):156-65 - PubMed
  4. BMJ. 2008 Apr 26;336(7650):924-6 - PubMed
  5. Obstet Gynecol. 2011 Sep;118(3):505-12 - PubMed
  6. Lancet. 2011 Jan 8;377(9760):108-9 - PubMed
  7. Gastroenterology. 2015 Sep;149(3):521-5 - PubMed
  8. PLoS One. 2016 Oct 24;11(10):e0165244 - PubMed
  9. Lancet. 2014 Jan 11;383(9912):166-75 - PubMed
  10. BMJ. 2011 Apr 13;342:d2254 - PubMed
  11. Gastroenterology. 2007 Dec;133(6):1761-2 - PubMed
  12. JAMA. 2009 Feb 25;301(8):831-41 - PubMed
  13. Gastroenterology. 2007 Apr;132(4):1219-20 - PubMed
  14. Cephalalgia. 2005 Oct;25(10):765-6 - PubMed
  15. Pain Pract. 2018 Jan;18(1):38-47 - PubMed
  16. Respirology. 2015 Feb;20(2):348-51 - PubMed
  17. Hepatology. 2013 Dec;58(6):2142-52 - PubMed
  18. PLoS One. 2017 Jun 19;12(6):e0178456 - PubMed
  19. PLoS One. 2012;7(5):e37413 - PubMed

MeSH terms

Publication Types