American College of Obstetricians and Gynecologists Practice Bulletins: Original versus Revised

Patricia Perfetto; Danish Siddiqui; Amy Niederhauser; Everett F Magann; James Hill; Suneet P Chauhan

doi:10.1055/s-0030-1249363

American Journal of Perinatology, Table of Contents

Am J Perinatol 2010; 27(8): 611-618
DOI: 10.1055/s-0030-1249363

American College of Obstetricians and Gynecologists Practice Bulletins: Original versus Revised

Patricia Perfetto¹ , Danish Siddiqui¹ , Amy Niederhauser² , Everett F. Magann² , James Hill² , Suneet P. Chauhan¹

¹Aurora Health Care, Milwaukee, Wisconsin
²Naval Hospital, Portsmouth, Virginia

Abstract

ABSTRACT

We compared the types (A, B, or C) of recommendations and levels (I, II, III, or others) of references in the original versus revised practice bulletins (PBs). American College of Obstetricians and Gynecologists (ACOG) compendiums and Web site were used to obtain the PBs. Chi-square test for trend or Wilcoxon matched-pairs tests were used. From December 1998 to December 2008, ACOG published 78 PBs, of which 24% (19) have been revised. Neither the median numbers of recommendations per PB (8 to 10; p = 0.235) nor the type (p = 0.155) increased significantly. Additionally, the level of references (p = 0.130) and the type of journals they were published in did not vary significantly (p = 0.554). In 10 years, approximately one in four PBs has been revised and the number of recommendations per PB has increased, but the types of suggestions and level of references has not improved appreciably.

KEYWORDS

Practice bulletin - national guidelines - levels of recommendations - types of references

Full Text

References

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Suneet P ChauhanM.D.

Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health

945 N 12th Street, Milwaukee, WI 53233

Email: suneet.chauhan@aurora.org