External Review of Guidelines

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BC health care professionals and relevant stakeholders are invited to participate as external reviewers for the draft version of BC Guidelines. Peer review is a critical component of the guideline development process. New and existing guidelines that have undergone substantive changes are subject to external review to make sure they are clearly written, practical and free of errors.

Guidelines Currently in External Review:

 

New Prostate Cancer Guideline -  External Review closed

The draft Prostate Cancer: Diagnosis, Referral and Follow-up in Primary Care, a new BC Guideline developed in collaboration with BC Cancer’s Provincial Primary Care Program, Family Practice Oncology Network, provides recommendations for primary care providers to guide the investigation and management of adult male patients (≥19 years of age) who present with signs or symptoms that could lead to a diagnosis of prostate cancer.

The guideline addresses:

  • clinical assessment;
  • management of prostate specific antigen (PSA) test results;
  • appropriate referral of the patient to a specialist;
  • post-treatment follow-up;
  • management of the numerous side-effects associated with the treatment of prostate cancer; and
  • how to detect and refer cases of possible recurrence

The external review is now closed. Thank you to all who provided feedback - we appreciate your participation in the external review.

The draft guideline was revised as a collaboration between the Guidelines and Protocols Advisory Committee (GPAC) and the BC Centre for Disease Control. It outlines the use of laboratory tests to diagnose acute and chronic viral hepatitis in adults (≥19 years) in the primary care setting. It provides screening recommendations for certain population groups disproportionately affected by hepatitis C virus infection. It also includes a recommendation for one-time birth cohort testing for those born between 1945-1965.

Key updates to the 2012 version of the guideline include:

  1. a new table to assist with diagnosis by providing testing recommendations based on risk factors;
  2. an appendix of recommended tests for individuals already diagnosed with viral hepatitis; and
  3. a patient hand out called “Hepatitis C: should you get tested?”.

We appreciate your participation in the external review.

Step 1: Download the draft guideline for review (PDF):

Step 2: Complete the online questionnaire by July 15th, 2019  at: 

Any additional comments on the guideline can be submitted by:

This guideline is a revision of the 2010 version. The purpose of the guideline is to provide recommendations for primary care physicians on appropriate vitamin D testing and supplementation. The key recommendations remain the same. Updates include:

  • optimal serum concentration of vitamin D;
  • current test fees;
  • section on the recommended daily amounts of vitamin D and dietary sources of vitamin D;
  • links to Perinatal Services BC recommendations for prenatal women and infants; and
  • controversies in care section briefly explaining the current evidence on vitamin D and chronic illness.

We appreciate your participation in the external review.

Step 1: Download the draft guideline for review (PDF):

Step 2: Complete the online questionnaire by July 26th, 2019  at: 

Any additional comments on the guideline can be submitted by:

 

Chronic Kidney Disease - Open for External Review until July 26th, 2019 (click to open)

The guideline was drafted by a working group of practicing BC nephrologists and family physicians that reviewed the evidence and then developed recommendations in a concise and applicable format. The guideline provides recommendations to primary care providers for the identification, evaluation and management of chronic kidney disease in adults.

This guideline is a revision of the 2014 guideline. Updates include:

  • Focus on rapid real-time communication between providers and specialists
  • Clinical judgment for patients with multiple comorbidities, instead of universal fixed targets
  • Clarifications on eGFR and CrCl interpretation
  • New appendix re: drug modifications in the presence of acute kidney injury

We appreciate your participation in the external review.

Step 1: Download the draft guideline for review (PDF):

Step 2: Complete the online questionnaire by July 26th, 2019 at:

Any additional comments on the guideline can be submitted by:

The Appropriate Imaging for Common Situations in Primary and Emergency Care guideline was drafted by a working group of practicing BC physicians that reviewed the evidence and then developed recommendations in a concise and applicable format. The working group included representatives of radiology, family medicine, and emergency medicine.

The purpose of this guideline is to communicate best practice for imaging in five common situations in primary and emergency care. The recommendations in this guideline were agreed to by a provincial expert advisory group on medical imaging. The recommendations were developed by consensus to decrease the rate of inappropriate medical imaging and promote appropriate use of imaging resources in BC.

We appreciate your participation in the external review.

Step 1: Download the draft guideline for review (PDF):

Step 2: Complete the online questionnaire by August 22nd, 2019 at:

Any additional comments on the guideline can be submitted by:

 

We depend on B.C. health care professionals to review our draft guidelines. Our external review involves 1) regular mail sent to a random sample of B.C. physicians and relevant specialists, and 2) emails to a group of key partners in areas such as pharmacy, laboratory procedures, health authorities, public health, and  professional colleges and associations. All feedback received is reviewed by the GPAC guideline working group. For more information on our external review process, please see the GPAC Handbook.

Earning Credit for Continuing Professional Development

Physicians who act as external reviewers for BC Guidelines may be eligible to receive credit towards continuing professional development or continuing medical education. For more information, see Continuing Professional Development (CPD) Credits.