Table 1.
Inclusion Criteria for Guidelines Receiving Further Evaluation
| Criterion | Definition | Source |
|---|---|---|
| A guideline | “Systematically developed statements that assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” | Based on literature9 |
| Evidence-based, peer-reviewed | Interpreted to mean based, at a minimum, on a systematic review of literature published in medical journals included in MEDLINE | Specified in legislation16–18 |
| Nationally recognized | Interpreted to mean accepted by the National Guidelines Clearinghouse; published in a peer-reviewed U.S. medical journal; developed, endorsed, or disseminated by an organization based in two or more U.S. states; currently used by one or more U.S. state governments; or in wide use in two or more U.S. states | Specified in legislation16–18 |
| Cover common and costly tests and therapies for disorders of spine, arm, and leg | Guidelines that covered several of the most common and costly tests and therapies in the California workers’ compensation system: magnetic resonance imaging of the spine, spinal injections, spinal surgery, physical therapy, chiropractic manipulation, surgery for nerve compression syndromes, shoulder surgery, and knee surgery19 | Selected with policymakers20 |
| Reviewed or updated at least every 3 yrs | Reviewed or updated between June 2001 and June 2004, and we confirmed a plan for updating at 3-yr intervals or less | Based on literature,43 selected with policymakers20 |
| Developed by a multidisciplinary clinical team | A clinical team including at least 3 major types of providers that care for injured workers | Based on literature,9,11 selected with policymakers20 |
| Cost less than $500 per individual user in California | Developed with policymakers20 |