The current study tested the feasibility of implementing these guidelines in an American clinical setting.
At the onset, the panel chose to focus on health-based recommendations and not to explicitly consider feasibility of implementing these guidelines.
By following all steps in the IM process, and with the help of 40 experts in the development of the instruments, performance indicators and training, we tried to achieve the practical feasibility of the guidelines for the IPs.
The feasibility of this guideline was tested in 12 patients with 41-B3 (Marsh et al. 2007) and Schatzker II (Schatzker et al. 1979) tibial plateau fractures, in order to determine whether the positioning of these beads was achievable and whether the resultant condition numbers were adequate.
Variables relating to gender, age, working hours per week, additional training in LBP and additional training in guideline-use for patients with LBP, the feasibility of the guideline LBP, registration in the quality register for manual therapy and group size were included at therapist and practice levels.
Some questions remain, however, about the setting in which follow-up and comprehensive assessments should be carried out (primary care versus memory clinics), as well as the feasibility and real impact of these guidelines.
Finally, this experience confirms the feasibility of practice guidelines to drive an evidence-based approach in orthopaedic surgery.
The case stories elicited discussions about how to handle clinical problems, the feasibility of clinical guidelines, checklists and evidence based medicine.
Under the Council Recommendation on strengthening cooperation against vaccine-preventable diseases(1), the Commission will examine the feasibility of establishing guidelines for a core EU vaccination schedule and of creating a common EU vaccination card.
