Guidelines and Statements

Guidelines and statements methodology

Document development process

The Guidelines and Statements Division of the SIR provides a framework of evidence-based clinical practice documents to ensure patient safety and enhance the delivery of patient care.

Read more about our level of evidence and strength of recommendation methodology.

SIR and the Guidelines and Statements Division welcomes opportunities to collaborate on document development with other societies on topic areas that align with IR.  Guidelines and Statements members can be nominated to writing panels and participate in peer review processes for external documents before publication.  Additionally, SIR may ask societies to collaborate on society-lead documents to foster cooperation in areas where multiple specialties intersect and to minimize duplication of efforts.

If you are interested in collaborating with SIR on a topic, please contact Liza D'Onofrio, Senior Director, Quality Programs.

<p>The development process timeline for a clinical practice guideline includes defining key clinical questions, conducting a systematic review, and developing evidence-based recommendations.</p>
<p><a href="/link/95d736d08df7451186a75e41da3be067.aspx" title="Guideline development process" target="_blank">Click to expand image.</a></p>

The development process timeline for a clinical practice guideline includes defining key clinical questions, conducting a systematic review, and developing evidence-based recommendations.

Click to expand image.

Types of documents developed

Document type

Description

Systematic literature search and review

Graded recommendations informed by quality of evidence

Assist in clinical decision-making

Consensus-based recommendations for new/emerging procedures lacking robust data

Clinical Practice Guidelines

Provide recommendations about benefits and drawbacks of different care options intended to optimize patient care

Yes

Yes

Yes

No

Appropriate use criteria

Specify situations where it is appropriate to perform a certain procedure

Yes

Yes

Yes

No

Position statements

Reflect the society’s opinion concerning areas of evolving clinical practice and/or technologies

Sometimes

Sometimes

Sometimes

Yes

Expert consensus statements

Provide guidance from experts in the clinical area

No

No

Sometimes

Yes

Practice Guidance Document (NEW)

Provide robust background on clinical process, procedure, or therapy; summaries of areas of consensus and persistent gaps;  formation of consensus statements when evidence may be limited

Yes

No

Sometimes

Yes

Reporting standards

Define a set of vocabulary for processes and outcomes to standardize comparison of data across multiple studies

No

No

No

Yes

Competence and training statements

Make recommendations on training and competencies required for a given clinical topic, procedure, or therapy

No

No

No

Yes

 

What is a CPG?

Clinical Practice Guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options (Clinical practice Guidelines We Can Trust, IOM Report 2011)

How is a CPG different than SIR’s other document types?

All of SIR’s evidence-based documents rely on scientific literature to inform recommendations. However, CPGs are based on systematic reviews of evidence focused on key clinical questions that include an assessment of the overall quality of the body of evidence.

What can CPGs be used for?

CPGs can go on to inform health care policy, quality improvement initiatives, and appropriate use criteria (AUCs). Guideline recommendations can also be incorporated into Clinical Decision Support systems to standardize care and reduce unnecessary variation in care.

Conflicts of interest

Read SIR's conflict of interest policy for CPG writing panels.

Disclaimer

The SIR develops and/or endorses clinical practice guidelines, standards, recommendations, statements, and other practice guidance and documents (collectively referred to as “Guidelines and Statements”) to provide educational resources to practicing providers to promote high quality outcomes and patient safety. These Guidelines and Statements are not fixed rules and are not intended to establish a legal standard of care.  Use of these Guidelines and Statements is voluntary and is not intended to substitute for a provider’s clinical judgment and experience, nor should they be the sole determinant of treatment choice, procedure selection, or course of management. The ultimate determination whether and how to use these resources is to be made by the provider in regard to factors such as each patient's clinical presentation, patient preferences, practice setting, available resources, and/or other circumstances, and in conjunction with other information sources as appropriate.

These Guidelines and Statements are provided “AS IS”, and the SIR does not warrant the accuracy, reliability, completeness, and/or timeliness of them.  The SIR is not liable for any direct, indirect, special, incidental, or consequential damages related to the use of the information contained herein. The SIR may modify or rescind the Guidelines and Statements at any time without notice.