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Practice Guideline
. 2025 Feb;39(2):716-720.
doi: 10.1007/s00464-025-11525-7. Epub 2025 Jan 13.

Society of American Gastrointestinal and Endoscopic Surgeons guidelines development: Clinical Practice Guideline Update Standard Operating Procedure

Elisa C Calabrese  1   2   3 , Sunjay S Kumar  4 , Geoffrey P Kohn  5 , Guy Maddern  2   3 , Wendy Babidge  2   3 , Bethany J Slater  6 , Tammy L Kindel  7
Affiliations
Practice Guideline

Society of American Gastrointestinal and Endoscopic Surgeons guidelines development: Clinical Practice Guideline Update Standard Operating Procedure

Elisa C Calabrese et al. Surg Endosc. 2025 Feb.

Abstract

Introduction: The SAGES Guidelines Committee creates evidence-based clinical practice guidelines (CPGs). Updates which incorporate new evidence into the guidelines are necessary to maintain relevance for clinical use. A description of our standard operating procedure for this process is described here, which contributes to SAGES' commitment to producing high-quality clinical recommendations.

Methods: This paper outlines the SAGES Clinical Practice Guideline Update Standard Operating Procedure in order to incorporate regular updates to our guideline development process.

Results: SAGES has developed an evidence-based, standardized approach in updating current clinical practice guidelines to ensure that physicians and patients have access to the most appropriate recommendations.

Conclusion: Societies that promote guidelines within their organization must make an intentional effort to regularly evaluate the relevance of their recommendations. The SAGES Guidelines Update Standard Operating Procedure aims to provide a framework to reliably and systematically review existing guidelines and update them as needed.

Keywords: Clinical practice guidelines; Current guideline; Guideline update; Living guidelines; Protocol; Standard operating procedure.

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Conflict of interest statement

Declarations. Disclosures: Elisa C. Calabrese is on a SAGE-ASERNIPS Evidence Guidance Research Scholarship. Bethany J. Slater is the SAGES Guidelines Committee chair and has received consulting fees from Hologic. Geoffrey P. Kohn has been paid for expert testimony by Avant Law. Tammy L. Kindel has grants with the NHLBI, NIA, and American College of Surgeons. She has received consulting fees from Ethicon J&J, leadership position at Treo Foundation, and patents (No. 63/505,036). Sunjay S. Kumar, Guy Maddern, and Wendy Babidge have no conflicts of interest to disclose.

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