Dynamic Updating

Evidence-based clinical practice guidelines (CPGs) are important to promote evidence-based practice at the point of care. Methodological literature on the development of CPGs is growing, but less research has been done on the subject of guideline updates. 

Literature monitoring consumes great resources, and optimal strategies for balancing the workload of this process with the risks of overlooking important new evidence are not established. We seek to inform future guideline update strategies through developing and evaluating a method for dynamic update of evidence-based CPGs. 

We will evaluate the performance of different literature monitoring strategies in a guideline update setting, in order to assess the validity of less work-intensive approaches and the risk of overlooking key references with such restricted strategies. 

We aim to assess the frequency with which literature updates trigger changes in guideline recommendations, as well as characterizing the type of change elicited. Updates will be published electronically through a novel structured guideline format. We wish to evaluate the feasibility of dynamic updates of CPGs when supported by new technological solutions.