NGC - Complete Summary Description

Complete Summary

The National Guideline Clearinghouse™ (NGC), sponsored by the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, includes the following attributes in the Complete Summary. The table below provides descriptions of each guideline attribute and also represents NGC's Template of Guideline Attributes.

REGULATORY ALERT
Guideline Title	Identifies the complete title of the guideline.
Bibliographic Source(s)	Identifies the complete bibliographic source(s) for the published guideline as disseminated by the guideline developer(s). The number of references cited is included for each source. Links are provided to PubMed where applicable.
Guideline Status	Identifies whether the guideline is a revised or updated version of a previously issued document as well as whether an update is currently in progress.
FDA Warning/Regulatory Alert	Identifies important warnings and/or revised regulatory information released by the U.S. Food and Drug Administration (FDA) or other official regulatory body for a drug and/or device for which recommendations are provided in the original guideline document.
COMPLETE SUMMARY CONTENT
REGULATORY ALERT SCOPE METHODOLOGY - including Rating Scheme and Cost Analysis RECOMMENDATIONS EVIDENCE SUPPORTING THE RECOMMENDATIONS BENEFITS/HARMS OF IMPLEMENTING THE RECOMMENDATIONS CONTRAINDICATIONS QUALIFYING STATEMENTS IMPLEMENTATION OF THE GUIDELINE INSTITUTE OF MEDICINE (IOM) NATIONAL HEALTHCARE QUALITY REPORT CATEGORIES IDENTIFYING INFORMATION AND AVAILABILITY DISCLAIMER
SCOPE
Disease/Condition(s)	Identifies the major areas of clinical medicine or health care addressed in the guideline. Values are expressed using the natural language expressions found in the text of the guideline.
Guideline Category	Classifies the major focus of the guideline. Values are selected from the appropriate concepts in the NGC Classification Scheme.
Clinical Specialty	Classifies the clinical specialties that might use the guideline professionally. Values are selected from the appropriate concepts in the NGC Classification Scheme.
Intended Users	Classifies the groups intended to use the guideline. Values are selected from the appropriate concepts in the NGC Classification Scheme.
Guideline Objective(s)	Describes the objectives of the guideline, as specified in the guideline text by the developers.
Target Population	Describes the target population(s) addressed in the guideline. Identifies restrictions on guideline use such as within a managed care plan or geographic region.
Interventions and Practices Considered	Identifies the specific clinical interventions and practices considered in the guideline. Values are expressed using natural language expressions found in the text of the guideline.
Major Outcomes Considered	Describes the most important specific outcomes or performance measures considered in the guideline. Includes patient outcomes described in treatment guidelines and diagnostic test performance characteristics described in diagnosis or screening guidelines.
METHODOLOGY
Methods Used to Collect/Select the Evidence	Classifies the methods used to collect and select the evidence that was evaluated. Values are chosen from the appropriate concepts in the NGC Classification Scheme.
Description of Methods Used to Collect/Select the Evidence	Describes/summarizes the specific methods used to collect and select the evidence, as identified in the text of the guideline or by the guideline developer. Can include detailed search strategies, lists of journals scanned, keywords, database sources, inclusion and exclusion criteria, etc.
Number of Source Documents	Identifies the number of source documents that were identified by the methods described above under "Description of Methods used to Collect/Select the Evidence." The number of source documents is NOT the number of references.
Methods Used to Assess the Quality and Strength of the Evidence	Classifies the methods used by the guideline developer to determine what relative importance to give the evidence they obtained. Values are selected from the appropriate concepts in the NGC Classification Scheme.
Rating Scheme for the Strength of the Evidence	Presents rating scheme for strength of evidence, when given.
Methods Used to Analyze the Evidence	Classifies the methods used by the guideline developer to evaluate the data in the evidence they obtained. Values are chosen from the appropriate concepts in the NGC Classification Scheme.
Description of Methods Used to Analyze the Evidence	Describes the methods used to analyze the evidence. Presents additional definition for the values presented under "Methods to Analyze the Evidence" (for example, defines "systematic" or summarizes the details of the meta-analyses).
Methods Used to Formulate the Recommendations	Identifies the methods used to translate evidence into statements that will assist practitioners and patients make decisions about appropriate health care for specific clinical circumstances. Values are chosen from the appropriate concepts in the NGC Classification Scheme.
Description of the Methods used to Formulate the Recommendations	Captures the details of the methods used to translate evidence into recommendation statements, if so provided in the guideline documents. Issues, such as cost, patient preference, and values, considered by the guideline developers during recommendation formulation are also captured.
Rating Scheme for the Strength of the Recommendations	Captures the weighted scheme used by the guideline developer to determine what relative strength or importance to give to the recommendations being made. The relative strength or importance may be derived from the quality and strength of the evidence upon which recommendations are based, from a strictly clinical perspective, or both.
Cost Analysis	Describes any formal cost analysis performed and any published cost analyses reviewed.
Method of Guideline Validation	Lists the method(s) used to validate the recommendations of the guideline. Validation is defined as "the results of any external review, comparison with guidelines from other groups or clinical testing of guideline use" (Hayward RSA, et al. More informative abstracts of articles describing clinical practice guidelines, Ann Intern Med 1993;118:731-737). Values are chosen from the appropriate concepts in the NGC Classification Scheme.
Description of Method of Guideline Validation	Captures the details of the method(s) used by the guideline developer to validate the guideline, if so provided in the guideline document.
RECOMMENDATIONS
Major Recommendations	Identifies the major recommendations, copied verbatim from the guideline, or supplied separately by the guideline developer.
Clinical Algorithm(s)	Identifies which of the recommendations are expressed in the form of clinical algorithm(s) and where the algorithm(s) are provided.
EVIDENCE SUPPORTING THE RECOMMENDATIONS
References Supporting the Major Recommendations	Lists the references of evidence supporting the recommendations when explicit recommendations are offered and when the references are supplied with those explicit recommendations. This field opens in a new window. Links are provided to PubMed where applicable.
Type of Evidence supporting the Recommendations	Describes the type of evidence supporting the recommendations.
BENEFITS/HARMS OF IMPLEMENTING THE RECOMMENDATIONS
Potential Benefits	Describes the anticipated benefits associated with implementing the guideline's recommendations, as stated in the guideline text, to target populations or intended users. Where applicable, the field also includes information on the major subgroup(s) of patients within the target population most likely to benefit from the guideline recommendations, as identified by the guideline developer.
Potential Harms	Description of the anticipated harms, potential risks or adverse consequences associated with the guideline's recommendations, as stated in the guideline text, to target populations or intended users. Where identified by the original guideline document, the major subgroup(s) of patients within the target population most likely to suffer harm/adverse consequences associated with the guideline recommendations will also be described.
CONTRAINDICATIONS
Contraindications	Identifies the instances (e.g., co-morbidities), as provided by the guideline developers, which might render the use of medications or procedures improper, undesirable, or inadvisable.
QUALIFYING STATEMENTS
Qualifying Statements	Presents qualifying statements or important caveats pertaining to the *major* recommendations of the guideline emphasized by the guideline developer. Identifies the area of uncertainty and presents a brief description of how the guideline developer addressed this uncertainty in developing the major recommendations of the guideline. Only caveats pertaining to the major recommendations are included. This attribute may also present information regarding uncertainty or controversies in the field identified by the guideline developer that prevents formulation of specific recommendations regarding important aspects within the guideline. Disclaimer-type statements are also captured in this field.
IMPLEMENTATION OF THE GUIDELINE
Description of the Implementation Strategy	Describes specific strategies, aims, performance measures, or plans for implementing the guideline recommendations, if presented in the guideline or supplied by the guideline developer.
Implementation Tools	Classifies the types of implementation tools provided by the guideline developer to facilitate the implementation of their guideline. Values are selected from the appropriate concepts in the NGC Classification Scheme
Related Measures in the National Quality Measures Clearinghouse™	Identifies link(s) to related quality measures or measure sets in the National Quality Measures Clearinghouse™ (NQMC).
Related Tools in the QualityTools™ Clearinghouse	Identifies link(s) to related quality tools on the QualityTools™ Web site.
INSTITUTE OF MEDICINE (IOM) NATIONAL HEALTHCARE QUALITY REPORT CATEGORIES
IOM Care Need	Classifies the guideline into one of four Institute of Medicine (IOM) care need classifications: End of life care; Getting better; Living with illness; Staying healthy.
IOM Domain	Classifies the guideline into one or more of the four Institute of Medicine (IOM) care domains: Effectiveness; Patient centeredness; Safety; Timeliness.
IDENTIFYING INFORMATION AND AVAILABILITY
Bibliographic Source(s)	Identifies the complete bibliographic source(s) for the published guideline as disseminated by the guideline developer(s). The number of references cited is included for each source. Links are provided to PubMed where applicable.
Adaptation	Identifies that the guideline has been adapted *from* another guideline and identifies the source document.
Date Released	Identifies the date the guideline was released to the public.
Guideline Developer(s)	Identifies the organization(s) responsible for the development of the guideline. Each organization is classified by the major designation or function (derived from the Organization Type attribute), such as "Medical Specialty Society" or "Professional Association".
Guideline Developer Comment	If the guideline developer is a consortium or represents a group of organizations, this attribute identifies the individual organizations by name.
Source(s) of Funding	Identifies source(s) of financial support for guideline development, as identified in the guideline text or by the guideline developer. Lists any grant numbers associated with funding, as identified in the guideline text or by the guideline developer.
Guideline Committee	Identifies formal name, if any, of committee/subcommittee within the guideline developer organization(s) responsible for developing the guideline.
Composition of Group that Authored the Guideline	Describes the composition of the group/committee that authored the guideline, including professional degrees and affiliations, and lists the names of individual committee members, where given.
Financial Disclosures/Conflicts of Interest	Captures relationships between individuals of the guideline development committee/group and for-profit and not-for-profit companies or organizations that could potentially influence that individual's contribution to the guideline's development.
Endorser(s)	Identifies organization(s) that have endorsed the guideline, as identified in the text of the guideline document or explicitly by the guideline developer. Each organization is classified by the major designation or function (derived from the Organization Type attribute), such as "Medical Specialty Society" or "Professional Association".
Guideline Status	Identifies whether the guideline is a revised or updated version of a previously issued document as well as whether an update is currently in progress.
Guideline Availability	Identifies information about the availability of the guideline. Provides, where possible, information regarding electronic (including hypertext links to the full-text) copies and ordering information for print copies.
Availability of Companion Documents	Identifies the companion documents produced by the guideline developer that are considered relevant to the guideline. These companion documents are not necessarily available within NGC. For example, Quick Reference Guides and Technical Reports, all of which would be listed here, accompany guidelines produced by the Agency for Healthcare Research and Quality (AHRQ) (formerly the Agency for Health Care Policy and Research [AHCPR]).
Patient Resources	Identifies patient resources that are directly related (i.e., derived and/or prepared from the guideline by the guideline developer) to the guideline included in NGC. The patient information is not reviewed by NGC to establish whether or not it accurately reflects the original guideline's content.
NGC Status	Identifies when the guideline was completed or revised by ECRI, and verified by the submitting organization(s).
Copyright Statement	Provides the copyright statement of the organization that submitted the guideline.
DISCLAIMER
Disclaimer	Provides disclaimer information about the relationship between NGC (including its sponsoring Agency AHRQ, and its contractor ECRI) and the guidelines and guideline developers represented on the Web site.

Indexing Attribute

Guideline Summaries are also indexed for the following attributes to support Detailed Searches, and Disease/Condition and Treatment/Intervention Browsing of the database.

Age of the Target Population	Describes the age group(s) represented by the target population, enabling users to restrict their searches to a particular age group(s).
Sex of the Target Population	Classifies the sex(es) represented by the target population, enabling users to restrict their searches to a particular gender.
Disease/Condition(s)	NGC uses Medical Subject Headings (MeSH) produced by the U.S. National Library of Medicine (NLM), along with other controlled vocabularies, such as the International Classification of Diseases (ICD), incorporated into NLM's Unified Medical Language System (UMLS) to classify disease concepts related to NGC guidelines.
Treatment/Intervention	NGC uses Medical Subject Headings (MeSH) produced by the U.S. National Library of Medicine (NLM), along with other controlled vocabularies, such as the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System and ECRI's Universal Medical Device Nomenclature System (UMDNS), incorporated into NLM's Unified Medical Language System (UMLS) to classify treatment/intervention concepts related to NGC guidelines.

Complete Summary

Indexing Attribute

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