In February 2009, the AAFP Board of Directors approved a process for endorsement of clinical practice guidelines developed by external organizations. Clinical practice guidelines that are relevant to family medicine may be reviewed by the AAFP and categorized as:
(1) ENDORSED– the AAFP fully endorses the guideline;
(2) ENDORSED WITH QUALIFICATIONS– the AAFP endorses the guideline or portions of the guideline with qualifications. The qualifications are described (e.g. target populations not sufficiently specified, an evidence report with minor methodological flaw, etc.)
(3) NOT ENDORSED – the AAFP does not endorse the guideline and the reasons are stated.
All clinical practice guidelines considered for endorsement by the AAFP go through a structured review process [AAFP Guidelines Assessment form] by the AAFP’s Commission on Health of the Public and Science with Board approval.
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AAFP-Endorsement of Evidence-based Clinical Practice Guidelines Developed by External Organizations
BELOW IS A LIST OF CURRENT AAFP ENDORSED CLINICAL PRACTICE GUIDELINES:
ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment, American Academy of Pediatrics (Endorsed May 2012) -- "The AAFP's endorsement applies to the AAP's ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment. The AAP has developed a supplemental implementation document which may be of value but has not been reviewed by the AAFP."
(18-page PDF file; About PDFs)
(18-page PDF file; About PDFs)
American College of Physicians (ACP): Hormonal Testing and Pharmacologic Treatment of Erectile Dysfunction -- (Endorsed August 17, 2011)
(12-page PDF file; About PDFs)
(12-page PDF file; About PDFs)
Pain Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline -- Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline--American College of Physicians and American Pain Society (Endorsed May 2011)
(17-page PDF file; About PDFs)
(17-page PDF file; About PDFs)
AAO-HNS Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo -- (Endorsed February 2010)
(35-page PDF file; About PDFs)
(35-page PDF file; About PDFs)
AAO-HNS Clinical Practice Guideline: Cerumen Impaction -- (Endorsed June 2008)
(21-page PDF file; About PDFs)
(21-page PDF file; About PDFs)
AAO-HNS Clinical Practice Guideline: Hoarseness -- (Endorsed June 2010)
(31-page PDF file; About PDFs)
(31-page PDF file; About PDFs)
Clinical Practice Guideline: Treating Tobacco Use and Dependence -- (Endorsed December 2007)
(276-page PDF file; About PDFs)
(276-page PDF file; About PDFs)
Diagnosis and Management of Bronchiolitis
-- American Academy of Pediatrics (Endorsed February 2012)
BELOW IS A LIST OF CURRENT CLINICAL PRACTICE GUIDELINES AAFP ENDORSED WITH QUALIFICATIONS:
- Prevention of Perinatal Group B Streptococcal (GBS), Disease-Centers for Disease Control and Prevention (CDC) (Endorsed with Qualifications* April 2010) {*Qualifications are: 1. an evidence report was not conducted and the literature search strategy and the literature rating was not described and 2. there was no conflict of interest policy described.}
- Tonsillectomy in Children, American Academy of Otolaryngology--Head and Neck Surgery (31-page PDF. About PDFs) (Endorsed with Qualifications* January 2013) {*Qualifications is: four of the ten recommendations were upgraded based on lower-level evidence. These include recommendations 4, 5, 6 and 10 in the guideline.}
- Venous Thromboembolism Prophylaxis in Hospitalized Patients, American College of Physicians (9-page PDF. About PDFs) (Endorsed with Qualifications* January 2013) {Qualifications are: 1. there are three recommendations in the guideline and all three are upgraded based on lower-level evidence and 2. reviewers were concerned that for the first recommendation an assessment tool is needed and one is not provided.}
These guidelines are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient’s family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These guidelines are only one element in the complex process of improving the health of America. To be effective, the guidelines must be implemented.
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