gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

A model for living guidelines

Meeting Abstract

  • J. Von Dincklage - Cancer Council Australia, Sydney, Australia
  • I. Olver AM - Cancer Council Australia, Sydney, Australia
  • C. Vuletich - Cancer Council Australia, Sydney, Australia

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP071

doi: 10.3205/12gin183, urn:nbn:de:0183-12gin1831

Published: July 10, 2012

© 2012 Von Dincklage et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Cancer Council Australia has been looking into new ways of doing guideline to address the problems and challenges in clinical practice guideline development. Cancer Council Australia has developed a methodology and web-based platform to support 'living, up-to-date guidelines'. The model for living guidelines represents the key steps and is aimed to help understand the concept of living guidelines.

Context:Cancer Council Australia, Australia's peak national non-government cancer control organisation, has been developing clinical practice cancer care guidelines for over 16 years.

Description: The model for living guidelines visualises the key steps of this methodology as well as key features of the integrated technological solution, that Cancer Council Australia has developed to support guideline development, publishing and updating.

Key steps are:

Establishing guideline objectives & scope
Developing key clinical questions
Developing search strategy
Searching and recording the literature
Critically appraise and extract key data of the literature
Assessing the body of evidence
Developing content, including evidence-based recommendations and/or practice points
Stakeholder consultation
Guideline dissemination
Guideline implementation
Ongoing literature and content updates and consultation.

Lessons: Importance of a clear description of methodology and processes. Willingness to try, learn, fail and iterate. Effective use of new technologies is essential to improve guideline development.