Procedure for updating procedure
The speed with which information becomes outdated is a fundamental problem in developing and updating CPGs.
The effect of the passing of time on the validity of both CPGs, has been evaluated in individual studies that serve as guides on the subject.
The popularity of CPGs is increasing and the number of institutions developing and updating them independently is growing.
For more mainstream subjects, there often are many international CPGs and several others within a particular country or even region.
The number will, in fact, determine the number of CPGs which the organization can reasonably develop and maintain.As an alternative to developing completely new CPGs (ex novo), adaptation encourages the use of quality CPGs, it also reduces redundancy and duplication of effort, increases efficiency and encourages the incorporation of quality recommendations, is not excessively complex and does not necessarily compromise quality.Despite the fact there is little literature available on this subject, a structured methodology has recently been deveoped (ADAPTE).Adaptation is an alternative to developing a completely new CPG or an option for making and existing CPG suitable for the local context.
Organizations with fewer resources may be overwhelmed by the huge task of developing and updating CPGs.Organizations whitout staff experienced in CPG development will find it difficult to develop CPGs and keep them updated.