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(Chest. 2003;123:3S-6S.)
© 2003 American College of Chest Physicians

Overview of Methodology for Lung Cancer Evidence Review and Guideline Development*

Douglas C. McCrory, MD, MHS; Gene L. Colice, MD, FCCP; Sandra Zelman Lewis, PhD; W. Michael Alberts, MD, FCCP and Sydney Parker, PhD

* From the Department of Medicine (Dr. McCrory), Duke University Medical Center, Durham, NC; Pulmonary, Critical Care, and Respiratory Services (Dr. Colice), Washington Hospital Center, Washington, DC; the American College of Chest Physicians (Drs. Lewis and Parker), Northbrook, IL; and the H. Lee Moffitt Cancer Center and Research Institute (Dr. Alberts), Tampa, FL.

Correspondence to: Douglas McCrory, MD, MHS, Duke Center for Clinical Health Policy Research, 2200 W Main St, Suite 220, Durham, NC 27705; e-mail: douglas.mccrory{at}duke.edu

A multidisciplinary panel was convened by the American College of Chest Physicians (ACCP) to develop clinical practice guidelines for lung cancer prevention, diagnosis, and treatment. The ACCP Expert Panel on Lung Cancer Guidelines produced 20 guidelines, each related to a distinct set of management decisions. This article describes the approach used to develop the guidelines, including identifying, evaluating, and synthesizing evidence, assessing the strength of evidence pertinent to individual guidelines, and grading guideline recommendations.

Key Words: advisory committees • evidence-based medicine • lung neoplasms • practice guidelines







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