The American College of Physicians (ACP) was one of the first organizations in the United States to develop evidence-based clinical guidelines and has been developing guidelines since 1981. ACP's Clinical Guidelines Committee (CGC), in collaboration with staff from the Clinical Policy department, develops clinical guidelines and guidance statements and continues to refine and enhance its methodology. This article presents an update of the CGC's 2010 paper outlining policies, methods, and presentation format of ACP's clinical guidelines and guidance statements. Updated methods include more stringent policies about disclosure of interests and conflict management; inclusion of public perspective; full adoption of GRADE (Grading of Recommendations Assessment, Development and Evaluation) methods; more standardized reporting formats that consider value of care, patient comorbid conditions, patient values and preferences, and costs; and further clarification of guidance statement methods.
Bibliographical noteFunding Information:
Financial support for the development of ACP clinical guidelines and guidance statements and for evidence reviews commissioned by ACP comes exclusively from the ACP operating budget. Financial support for external reviews not commissioned by ACP is described in the published reviews and frequently derives from public monies (for example, the Agency for Healthcare Research and Quality or Department of Veterans Affairs). ACP staff who author the clinical guidelines or guidance statements receive no additional compensation for the development of the papers beyond their salary, which comes out of the ACP operating budget. No industry funding is accepted for any stage of development of clinical guidelines or guidance statements.
All Public Panel members receive an honorarium for completing training on evidence-based medicine offered by ACP. All financial support for Public Panel members comes exclusively from the ACP operating budget in accordance with ACP policy.
Financial Support: Financial support for the development of this paper comes exclusively from the ACP operating budget.
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't