gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Evidence Based Medicine in wiki-format

Meeting Abstract

  • M. Ploegmakers - Association of Medical Specialists, Utrecht, The Netherlands
  • R. Ensink - Gelre ziekenhuizen, Zutphen, The Netherlands
  • H. Verschuur - Medisch Centrum Haaglanden, Den Haag, The Netherlands
  • T. van Barneveld - Association of Medical Specialists, Utrecht, The Netherlands

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP040

doi: 10.3205/12gin152, urn:nbn:de:0183-12gin1527

Veröffentlicht: 10. Juli 2012

© 2012 Ploegmakers et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Background: Timely revision of guidelines is important in order to bring new evidence into clinical practice quickly.

Context: By providing a Wikipedia-like enclosed website we aim to make new evidence available to clinicians. The website (wiKiNO) gives the opportunity to revise guidelines short cyclically. Also wiKiNO aims to take evidence based medicine (EBM) closer to clinical practice by inviting all otolaryngologists to participate.

Description of best practice: The Dutch Otolaryngology Association initiated this project in 2009. All otolaryngologists have access to the website and are invited to post new critically appraised topics (CATs). All CATs have the same structure and require a clinically relevant question, systematic literature research, summary of scientific findings, considerations and the answer to the question. There is a methodological editor and a group of content editors. The group of editors is stimulating the use of wiKiNO by organizing WiKiNO-workshops, awarding credit-points to otolaryngologists. Currently, the WiKiNO encompasses 300 approved CATs.

Lessons for guideline developers, adaptors, implementers, and/or users: The authors believe that WiKiNO is a very promising tool to update clinical guidelines short cyclically. To become a real success the content needs to be extended with more CATs covering all important otolaryngological topics. Involvement of residents is essential, because their effort makes the WiKiNO-system work.