Journal of Clinical Epidemiology
Volume 53, Issue 9 , Pages 949-954 , September 2000

Are clinical practice guidelines valid for primary care?

  • Robin P. Graham

      Affiliations

    • Center for Health ASsessment and Evaluation (UB CHASE), Office of Research and Development, Department of Family Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, NY, USA
    • Corresponding Author InformationCorresponding author. State University of New York at Buffalo, Department of Family Medicine, 462 Grider Street, CC172, Buffalo, NY 14215, USA. Tel: (716) 898-4740; fax: (716) 898-3536
  • ,
  • Paul A. James

      Affiliations

    • Office of Research and Development, Department of Family Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, NY, USA
  • ,
  • Timothy M. Cowan

      Affiliations

    • Office of Research and Development, Department of Family Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, NY, USA

Received 2 July 1997 ,Revised 13 October 1999 ,Accepted 1 December 1999.

References 

  1. U.S. Preventive Services Task Force. Guide to Clinical Preventive Services. Baltimore, MD: William & Wilkins; 1989;xxxiii–xxxv.
  2. Canadian Task Force on the Periodic Health Examination. The periodic health examination. Can Med Assoc J. 1979;121:1193–1254
  3. Chalmers I. Evaluating the effects of care during pregnancy and childbirth. In:  Chalmers I,  Enkin M,  Keirse MJNC editor. Effective Care in Pregnancy and Childbirth, Chapter 1. Oxford, UK: Oxford University Press; 1989;p. 3–38
  4. In:  Chalmers I,  Enkin M,  Keirse MJNC editor. Effective Care in Pregnancy and Childbirth. Oxford, UK: Oxford University Press;; 1989;
  5. Gifford RH, Feinstein AR. A critique of methodology in studies of anticoagulant therapy for acute myocardial infarction. New Engl J Med. 1969;280:351–357
  6. Feinstein AR. Epidemiologic analyses of causation (The unlearned scientific lessons of randomized trials). J Clin Epidemiol. 1989;42:481–489
  7. Feinstein AR, Horwitz RI. Double standards, scientific methods, and epidemiologic research. New Engl J Med. 1982;307:1611–1617
  8. Feinstein AR. The role of observational studies in the evaluation of therapy. Stat Med. 1984;3:341–345
  9. Feinstein AR. Current problems and future challenges in randomized clinical trials. Circulation. 1984;70:767–774
  10. Feinstein AR. Experimental requirements and scientific principles in case-control studies. J Chron Dis. 1985;38:127–133
  11. Horwitz RI. The experimental paradigm and observational studies of cause-effect relationships in clinical medicine. J Chron Dis. 1987;40:91–99
  12. Hadorn DC, Baker C, Dracup K, Pitt B. Making judgments about treatment effectiveness based on health outcomes (Theoretical and practical issues). Joint Commission Journal on Quality Improvement. 1994;20(10):547–554
  13. Monane M, Bohn RL, Gurwitz JH, Glynn RJ, Avorn J. Noncompliance with congestive heart failure therapy in the elderly. Arch Intern Med. 1994;154(4):433–437
  14. Ellrodt AG, Conner L, Riedinger M, Weingarten S. Measuring and improving physician compliance with clinical practice guidelines. A controlled intervention trial. Ann Intern Med. 1995;122(4):277–282
  15. Aucott JN, Taylor AL, Wright JT, Granz MD, Landefeld CS, et al.  Developing guidelines for local use (Algorithms for cost-efficient outpatient management of cardiovascular disorders in a VA Medical Center). Joint Commission Journal on Quality Improvement. 1994;20(1):17–32
  16. Garnick DW, Fowles J, Lawthers AG, Weiner JP, Parente ST, Palmer RH, et al.  Focus on quality (Profiling physicians' practice patterns). Journal of Ambulatory Management. 1994;17:44–75
  17. Lawthers AG, Palmer RH, Banks N, Garnick DW, Fowles J, Weiner JP. Designing and using measures of quality based on physician office records. Journal of Ambulatory Care Management. 1995;18:56–72
  18. Demlo LK, Campbell PM, Brown SS. Reliability of information abstracted from patients' medical records. Med Care. 1992;16:995–1005
  19. Lawthers AG, Palmer RH, Banks N, Garnick DW, Fowles J, Weiner JP. Designing and using measures of quality based on physician office records. Journal of Ambulatory Care Management. 1995;18:56–72
  20. Bentsen BG. The accuracy of recording patient problems in family practice. J Med Ed. 1976;51(4):311–316
  21. Demlo LK, Campbell PM, Brown SS. Reliability of information abstracted from patients' medical records. Med Care. 1978;16(12):995–1005
  22. Stange KC, Zyzanski S, Fedirko Smith T. How valid are medical records and patient questionaires for physician profiling and health services research?. Med Care. 1998;36(6):851–867
  23. DiMatteo MR, Dante D. Achieving Patient Compliance (The Psychology of the Practitioner's Role). New York, NY: Pergamon Press; 1982;
  24. Konstam M, Dracup K, Baker C, et al.  Heart failure (Evaluation and care of patients with left-ventricular systolic dysfunction. Clinical Practice Guideline No. 11, AHCPR Publication No. 94-0612). Rockville, MD: Agency for Health Care Policy and Research; 1994;
  25. Palmer RH, Banks NJ, Spath P. Checklist for developing guideline-derived evaluation instruments. In: Using Clinical Practice Guidelines to Evaluate Quality of Care, Vol. 2: Methods. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1995:73–88. (AHCPR publication no. 95-0046).
  26. James PA, Cowan TM, Graham RP, Majeroni BA, Fox CH, Jaén CR. Using a clinical practice guideline to measure physician practice (Translating a guideline for the management of heart failure). Journal of the American Board of Family Practice. 1997;10(3):206–212
  27. Cook TD, Campbell DT. Quasi-Experimentation (Design & Analysis Issues for Field Settings). Boston, MA: Houghton Mifflin; 1979;
  28. Campbell DT, Stanley JC. Experimental and Quasi-Experimental Designs for Research. Boston, MA: Houghton Mifflin; 1966;
  29. Redelmeier DA, Tvershy A. Discrepancy between medical decisions for individual patients and for groups. N Engl Med. 1990;322(16):1162–1164
  30. Asch DA, Hershey JC. Why some health policies don't make sense at the bedside. Ann Intern Med. 1995;122(11):846–850
  31. Wennberg JE. Unwanted variations in the rules of practice. JAMA. 1991;265(10):1306–1307

PII: S0895-4356(99)00224-3

Journal of Clinical Epidemiology
Volume 53, Issue 9 , Pages 949-954 , September 2000