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Table 1 Main attributes for redesigning the format of CPGs

From: How to improve the dissemination of clinical practice guidelines in the Brazilian Unified Health System? Report of a pilot project

Subdomain

Main attributes

Multiple versions of the guidelines

End users: health professionals

Document types:

 (1) Layout/format for the full protocol (dynamic/static)

 (2) Layout/summary format for the protocol (static)

 (3) Interactive algorithm, with field filling options (static/dynamic)

Form of delivery

Available on the CONITEC website in PDF version for download

Components of the document (subject to variation depending on the topic)

1. Introduction

2. International Statistical Classification of Diseases and Related Health Problems (ICD-10)

3. Diagnosis

 3.1 Clinical diagnosis

 3.2 Laboratory diagnosis

 3.3 Diagnosis by imaging examinations

 3.4 Other exams

4. Inclusion criteria

5. Exclusion criteria

6. Special cases

7. Reference centre

8. Treatment

 8.1 Non-drug treatment

 8.2 Drug treatment

 8.3 Drugs

 8.4 Management schemes

 8.5 Treatment time–interruption criteria

 8.6 Expected benefits

9. Monitoring

10. Post-treatment follow-up

11. Regulation/control/evaluation by the manager

12. Statement of clarification and responsibility

13. Bibliographic references

Appendix 1 Literature search and evaluation methodology

Presentation: structure and organization of the text; layout

CPG (full version):

 – Sources used: Calibri and Montserrat

 – Font size: 25 pt for titles; 13 pt for body; 9 pt for tables; 8 pt for footers; and 20 pt for the cover title

 – Colours used: four types of CPGs were diagrammed to identify the type of protocol (blue, green, yellow and purple)

 – Cover page with an image and graphic elements

 – Text formatted in two columns in the main body and one column in the annexes and appendixes

 – Structure—cover page, table of contents, summary, main content, references, appendix, annex and back cover

 – Tables and images with one column, regardless of location

 – Large tables presented in horizontal format

 – Internal graphic elements include the page number, name of the book, signature of the Ministry of Health and indicator for the end of each page

 – Text spacing configured for comfortable reading, with 15-pt line spacing

 – Titles break the sequence of two columns of paragraphs to facilitate the understanding of the reader

 – Tables with alternating row colours to facilitate visualization

 – Figure entries for the annex and appendix, with large font and the image in the background to break the text

 – Back cover with graphic elements, insignia of the Ministry of Health, address of the virtual library of the Ministry of Health and the International Standard Book Number

CPG (short version):

 – Maximum of four pages preferably

 – Elements of the cover page placed at the top of the first page to reduce the number of pages

 – A “summary CPG” logo placed at the top of each new document

 – Iconography created for each type of CPG in rounded blue colour with the icon in dark blue

 – Colours used: four types of CPGs were diagrammed to identify the type of protocol (blue, green, yellow and purple)

 – Font size: 13 pt for titles; 9 pt for the body; 8 pt for tables; 6 pt for footers; and 20 pt for the title

 – Sources used: Calibri and Montserrat

 – Several templates developed for short CPGs so that various styles of text and elements are available for use

  1. Source: the authors