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In addition, 8% (8/105) of the organizations reported not to engage in any updating practices.
We believe that this is the first survey to examine updating practices of organizations engaged in knowledge synthesis.
The objective was to describe the updating practices and policies of agencies that sponsor or conduct SRs.
Despite this recognition, updating practices are not regular, and many organizations lack a formal written policy for updating SRs.
A minority of respondents (35/105; 33%) reported regular updating, whereas 59% (62/105) reported updating practices as irregular.
Several groups (62/105; 59%) reported updating practices as irregular, and over half (53/103) of organizational respondents estimated that more than 50% of their respective SRs were likely out of date.
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A large body of research on guideline implementation [ 8, 12, 37] identifies the most effective forms and channels of information when updating practice [ 12, 60].
However, the study design was criticized because time lags in updating practicing status in the data source (the Physician Masterfile) took much longer than the time span investigated [ 50].
The total cost of practice and patient recruitment was £4246, comprising £153 of fixed costs (designing and preparing leaflets and posters, creating and updating practice tables, meeting with practice nurses) plus £4093 of variable costs (46 practices with mean (variable) cost per practice of £88.98).
Recently updated practice guidelines give specific recommendations on surveillance and management of dysplasia in patients with ulcerative colitis.
In addition, it would facilitate knowledge transfer since it could be readily adapted to updated practice guidelines.
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