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Nephrol Dial Transplant (2000) 15: 1284-1287
© 2000 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Difficulties of implementing clinical guidelines in medical practice

Editor's note

Francesco Locatelli, Simeone Andrulli and Lucia Del Vecchio

Department of Nephrology and Dialysis, Lecco Hospital, Lecco, Italy

Keywords: implementation; guidelines; clinical practice; chronic renal disease; nephrology

Introduction

Clinical practice guidelines are systematic statements designed to assist doctors in diagnostic and therapeutic decisions, and have a long tradition in clinical medicine. They have been developed by physicians as a means of improving the quality of care and objective medical decision making, as well as of optimizing the use of resources [1] and thus possibly decreasing healthcare expenditure.

Risks and benefits of clinical guidelines

Physicians are responsible for offering patients the best available treatment, but their often overloaded schedules can make it difficult for them to keep abreast of the latest medical advances in a rapidly evolving therapeutic field. The main aim of clinical guidelines is therefore that of aiding clinical decision making on the part of doctors who cannot integrate all of the published data concerning new technologies and knowledge in their everyday practice.

However, although guidelines may be important in promoting quality, they can also be harmful if they do not . . . [Full Text of this Article]

Implementation of clinical guidelines

Nephrology guidelines

Contribution of the paper by Ramsay et al.

Notes

References


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