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June 24, 1992

An Annotated Algorithm Approach to Clinical Guideline Development

Author Affiliations

From RAND, Santa Monica, Calif (Dr Hadorn); the National Institutes of Health, National Institute on Aging, Geriatric Research Center, Baltimore, Md (Dr McCormick); and the William Beaumont Hospital, Royal Oak, Mich (Dr Diokno). Dr McCormick is now with the Agency for Health Care Policy and Research, Rockville, Md.

JAMA. 1992;267(24):3311-3314. doi:10.1001/jama.1992.03480240073037

The Urinary Incontinence in Adults Guideline Panel facilitated the ready elucidation of its guideline's management recommendations through the use of an annotated algorithm approach. The algorithms created as part of this guideline differ from previous algorithms in two ways: (1) they employ systematic annotation to link explicitly the algorithms' recommendations to the literature, and (2) they contain patient counseling and decision nodes to depict the major preference-dependent decision or branch points in the algorithm. We believe that these two innovations can help ensure the clinical validity of guidelines' algorithms while preserving appropriate clinical flexibility and respecting patient preferences.

(JAMA. 1992;267:3311-3314)

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