National Academies Press: OpenBook

Clinical Practice Guidelines: Directions for a New Program (1990)

Chapter: Screening for Breast Cancer

« Previous: REFERENCES
Suggested Citation:"Screening for Breast Cancer." Institute of Medicine. 1990. Clinical Practice Guidelines: Directions for a New Program. Washington, DC: The National Academies Press. doi: 10.17226/1626.
Page 141

Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

APPENDIX B 141 EXAMPLE 2 AMERICAN COLLEGE OF PHYSICIANS Screening for Breast Cancer The guideline on screening for breast cancer, approved April 1989, is a product of the Clinical Efficacy Assessment Project (CEAP), an internally funded practice evaluation activity of the American College of Physicians. This project has evaluated laboratory tests, other technologies, and medical procedures and practices and made recommendations in the form of statements or guidelines. A procedures manual for the project, published in 1986, describes 10 elements involved in the CEAP's guidelines development process: identification of technologies as candidates for evaluation, criteria for selecting technologies to be evaluated, selection of consultants, evaluation process, definition of terms, development of statement, review of statement, ratification process, dissemination of statement, and reconsideration of previously approved statements. The primary audience is the College's 68,000 members, who are specialists in internal medicine. The ACP publishes guidelines in freestanding form as shown below and also has published some sets of related guidelines in manual form. Eventually, the College will publish a comprehensive volume of guidelines, background papers, and other relevant materials. As the guideline shown below illustrates, the freestanding guidelines do not describe the CEAP process, nor do they cite the extensive scientific background papers that are a key element in the evaluation process. For the breast cancer screening guideline, the background paper was prepared by David M. Eddy and published (as are many such papers) in 1989 in the Annals of Internal Medicine.

Next: American College of Physicians »
Clinical Practice Guidelines: Directions for a New Program Get This Book
Buy Paperback | $50.00
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF
  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook,'s online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  6. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  7. ×

    View our suggested citation for this chapter.

    « Back Next »
  8. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!