A comparison of clinical practice guidelines for proximal femoral fracture

Authors

  • R. J. Kearns,

    Consultant Anaesthetist, Corresponding author
    • Academic Unit of Anaesthesia, Pain & Critical Care Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
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  • L. Moss,

    Clinical Physicist and Honorary Lecturer
    1. Academic Unit of Anaesthesia, Pain & Critical Care Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
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  • J. Kinsella

    Head of Section
    1. Academic Unit of Anaesthesia, Pain & Critical Care Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK
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Correspondence to: R. Kearns

Email: rachelkearns@nhs.net

Summary

Clinical practice guidelines are designed to assist clinical decision-making by summarising evidence and forming recommendations. The number of available guidelines is vast and they vary in relevance and quality. We reviewed guidelines relevant to the management of a patient with a fractured neck of femur and explored similarities and conflicts between recommendations. As guidelines are often produced in response to an area of clinical uncertainty, recommendations differ. This can result in a situation where the management of a particular clinical problem will depend upon which guideline is followed. We explore the reasons for such differences.

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