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Table 3 Change in guideline development process

From: Twelve years of clinical practice guideline development, dissemination and evaluation in Canada (1994 to 2005)

 

Year of development

n = 1630 guidelines

Change

 

1994–1999

n = 730

% of guidelines (95% CI)

2000–2005

n = 630

% of guidelines (95% CI)

%

Scientific literature reviewed

99.6 (99.1–100)

94.3 (92.5–96.1)

-5.3

Computerized literature search

87.9 (85.6–90.4)

93.6 (91.7–95.5)

+5.7

Search strategy stated in guideline

33.5 (29.9–37.0)

41.7 (37.8–45.7)

+8.2

Quality of evidence graded

53.9 (50.2–57.5)

46.9 (42.9–51.0)

-7.0

   Consensus reached by:

   

Open discussion

78.4 (75.4–81.4)

95.2 (93.5–96.9)

+16.8

Structured process (e.g. Delphi or nominal technique)

12.5 (10.0–14.9)

1.3 (0.4–2.2)

-11.2

Other (e.g. Expert opinion)

9.1 (7.0–11.2)

3.5 (2.1–5.0)

-5.6