Assessing equity in clinical practice guidelines

Antonio Miguel Dans, Leonila Dans, Andrew David Oxman, Vivian Robinson, Joselito Acuin, Peter Tugwell, Rodolfo Dennis, Deying Kang

Research output: Contribution to journalArticlepeer-review

52 Scopus citations


Recognition of the need for systematically developed clinical practice guidelines (CPGs) has increased dramatically over the past 20 years. CPGs have focused primarily on the effectiveness of interventions, explicitly or implicitly addressing the following question: Will adherence to a recommendation do more good than harm? At times they have also focused on the cost-effectiveness of interventions: Are the net benefits worth the costs? They rarely have focused on equity: Are the recommendations fair? The Knowledge Plus Project of the International Clinical Epidemiology Network attempts to improve the process of CPG development by formulating strategies to consider not just technical issues (effectiveness, and efficiency) but sociopolitical dimensions as well (equity and local appropriateness). This article discusses a proposed lens for users to evaluate how well CPGs address issues of equity.

Original languageEnglish (US)
Pages (from-to)540-546
Number of pages7
JournalJournal of Clinical Epidemiology
Issue number6
StatePublished - Jun 2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Epidemiology


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