Clinical Practice Guidelines (CPG) and systematic reviews are both critical tools in evidence-based medicine, but they serve distinct purposes and differ in their structure, objectives, and applications.
Clinical Practice Guidelines
The purpose is to generate actionable recommendations for clinicians to guide care delivery (e.g., improve outcomes, reduce variability)
Integrate evidence with clinical expertise, patient values and resource considerations
Often developed by multidisciplinary panels, including clinicians, researchers and patients
Systematic Reviews (with or without meta-analysis)
The purpose is to summarize and synthesize all relevant research on a specific and narrow question or topic by providing a detailed and structured summary of evidence (e.g., forest plots, evidence tables, meta-analysis) on that specific topic
Focus on evaluating the quality and reliability of the evidence, identifying knowledge gaps, and informing further research
Rigorously conducted by researchers/clinicians using predefined protocols (e.g., pre-registered in PROSPERO) and guidelines (e.g., PRISMA)
The discussion section and future research narratives in Clinical Pratice Gudielines can serve as a resource for directing needs for specific systematic review topics. As part of the preparation process, I recommend reading 1-2 clinical practice guidelines (tip: ask research mentor for recommendations/titles) sourced from journals in your specialty/sub-specialty areas (e.g., anesthesia, ENT).
In the meantime, two examples of systematic reviews in critical care topics are included as samples:
Sample Clinical Practice Guidelines
Many of these publications are freely accessible via PubMed. Full-text PDFs of publications are provided here for personal use and not for distribution. Publications are posted with the intent to increase accessibility to science.
Evans, L., Rhodes, A., Alhazzani, W., Antonelli, M., Coopersmith, C. M., French, C., . . . Levy, M. (2021). Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Critical Care Medicine10.1097/CCM.0000000000005337
Honarmand, K., Wax, R. S., Penoyer, D., Lighthall, G., Danesh, V., Rochwerg, B., . . . Sebat, F. (2024). Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023. Critical Care Medicine, 52(2), 314-330. 10.1097/ccm.0000000000006072