Study: Clinical Practice Guidelines Rarely Meet All IOM Standards

Organizations that develop clinical practice guidelines have generally not met all of the standards issued by the Institute of Medicine in March 2011, according to a study in Archives of Internal Medicine.

The IOM published 25 standards to enhance the quality of guidelines that are developed. Researchers studied a random sample of 130 guidelines from the National Guideline Clearinghouse website for compliance with 18 of these standards.




Results showed that fewer than half of the guidelines met more than 50 percent of the IOM standards. The overall median number of standards that were met was eight. Of subspecialty societies' guidelines, fewer than a third met more than 50 percent of the standards.

Standards that many guidelines did not meet include providing information on conflicts of interest, describing criteria used to select committee members and noting differences of opinion among committee members.

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