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AAFP-Endorsement of Evidence-based Clinical Practice Guidelines Developed by External Organizations

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 RESERVATIONS– the AAFP endorses the guideline or portions of the guideline with reservations. The reservations 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.
BELOW IS A LIST OF CURRENT AAFP ENDORSED CLINICAL PRACTICE GUIDELINES:
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)
AAO-HNS Clinical Practice Guideline: Cerumen Impaction -- (Endorsed June 2008)
(21-page PDF file; About PDFs)
AAO-HNS Clinical Practice Guideline: Hoarseness -- (Endorsed June 2010)
(31-page PDF file; About PDFs)
Diagnosis Attention-Deficit/Hyperactivity -- American Academy of Pediatrics (Endorsed May 2000)
Diagnosis and Management of Bronchiolitis -- American Academy of Pediatrics (Endorsed October 2006)
Treatment of School Aged Child with Attention-Deficit/Hyperactivity Disorder -- Treatment of School Aged Child with ADHD--(Endorsed May 2000)
(12-page PDF file; About PDFs)
BELOW IS A LIST OF CURRENT CLINICAL PRACTICE GUIDELINES AAFP ENDORSED WITH RESERVATIONS:
Prevention of Perinatal Group B Streptococcal (GBS)-- Disease-Centers for Disease Control and Prevention (CDC) (Endorsed with Reservations* April 2010)
{*Reservations 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.}
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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