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Clinical Practice Guidelines and Guideline Development

Shea, Kevin G. MD*; Sink, Ernest L. MD; Jacobs, John C. Jr BS

Journal of Pediatric Orthopaedics: September 2012 - Volume 32 - Issue - p S95–S100
doi: 10.1097/BPO.0b013e31824b6e1c
EBM Supplement

Multiple health care agencies have called for the increased use of clinical practice guidelines to improve health care quality. Evidence-based clinical practice guidelines are those developed with the least bias. The process of developing guidelines through the American Academy of Orthopedic Surgeons is reviewed. The advantages and disadvantages of guidelines, as well as their limitations are presented. Guidelines can have a positive impact on patient care, improve physician education, and direct future clinical research.

*St. Luke's Sports Medicine, St. Luke's Children's Hospital, University of Utah Department of Orthopedics

St. Luke's Sports Medicine, Boise, ID

Center for Hip Preservation, Hospital for Special Surgery, Weil Cornell Medical Center, New York, NY

The authors declare no conflict of interest.

Reprint: John C. Jacobs Jr, BS, St. Luke's Sports Medicine, 190 East Bannock Street, Boise, ID, 83712. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.