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Practice Guidelines Grading Systems

This study has been completed.
Sponsor:
Information provided by:
Instituto Tecnologico y de Estudios Superiores de Monterey
ClinicalTrials.gov Identifier:
NCT00940290
First received: July 13, 2009
Last updated: January 12, 2010
Last verified: November 2009
History of Changes
  Purpose

Clinical practice guidelines (CPG) are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. They are developed to give a recommendation based on the best evidence available. Through a randomized trial, the investigators intend to provide information about which of the four grading systems most used today to grade evidence and recommendations in CPGs, could change physician´s behavior towards a common clinical situation in daily practice.


Condition Intervention
Decision Making
 Other: Graded Clinical Recommendation

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Different Grading Systems to Grade Evidence and Recommendations in Clinical Practice Guidelines: Does it Influence the Clinicians´ Behavior?

Further study details as provided by Instituto Tecnologico y de Estudios Superiores de Monterey:

Primary Outcome Measures:
  • Change in Behavior in Physicians Attitude Towards a Decision to Give a Medication [ Time Frame: One day ] [ Designated as safety issue: No ]

Enrollment: 216
Study Start Date: August 2009
Study Completion Date: November 2009
Primary Completion Date: October 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
GRADE system
A clinical recommendation built and graded with the GRADE working group system
 Other: Graded Clinical Recommendation
Graded recommendation in reference to a clinical condition written as it would be in a clinical practice guideline
SIGN grading system
A clinical recommendation built and graded with the Scottish Intercollegiate Guidelines Network system
 Other: Graded Clinical Recommendation
Graded recommendation in reference to a clinical condition written as it would be in a clinical practice guideline
NICE grading system
A clinical recommendation built and graded with National Institute of Clinical Excellence grading system
 Other: Graded Clinical Recommendation
Graded recommendation in reference to a clinical condition written as it would be in a clinical practice guideline
CEBM-Oxford
A clinical recommendation built and graded with the Centre for Evidence-Based Medicine grading system
 Other: Graded Clinical Recommendation
Graded recommendation in reference to a clinical condition written as it would be in a clinical practice guideline

Detailed Description:

Clinical practice guidelines (CPG) are used by professional and consumer organizations who are demanding more rigorous processes to ensure that health decisions are well informed by the best available research evidence. More than 60 different grading systems are used today to grade evidence and recommendations in CPGs. The investigators aimed to provide information about which of the four most common grading systems used today (GRADE, SIGN, NICE and CEBM-Oxford) could change physician´s behavior when reading a clinical recommendation in a CPG. The investigators will randomize 216 pediatricians and pediatricians in training into four groups (one for each grading system) to read a clinical case and to make a decision before reading the CPG statement graded with any of the four grading systems. After that they will re-consider their answer and post a new one based on the graded recommendation. The investigators will measure change in their decision and among groups.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Pediatricians and residents in pediatrics

Exclusion Criteria:

  • Less than six months in clinical practice
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00940290

Locations
Mexico
Escuela de Medicina y Biotecnologia del ITESM
Monterrey, NL, Mexico, 64710
Sponsors and Collaborators
Instituto Tecnologico y de Estudios Superiores de Monterey
Investigators
Principal Investigator: Carlos A Cuello-Garcia, MD Instituto Tecnologico y de Estudios Superiores de Monterey
  More Information

No publications provided by Instituto Tecnologico y de Estudios Superiores de Monterey

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Responsible Party: Carlos Alberto Cuello-Garcia, Instituto Tecnologico y de Estudios Superiores de Monterrey
ClinicalTrials.gov Identifier: NCT00940290     History of Changes
Other Study ID Numbers: CMBE-ITESM-1
Study First Received: July 13, 2009
Results First Received: December 9, 2009
Last Updated: January 12, 2010
Health Authority: Mexico: Ethics Committee

Keywords provided by Instituto Tecnologico y de Estudios Superiores de Monterey:
practice guideline as topic
decision making
evidence based medicine

ClinicalTrials.gov processed this record on May 16, 2013