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Topic · Public Health, Environmental and Occupational Health

Clinical practice guidelines implementation

Clinical practice guidelines implementation is a research topic within Public Health, Environmental and Occupational Health. Science Explorer counts 32k research works in it since 1950. 10.3% of them reached the world's top 10% most cited for their field and year.

This cluster of papers focuses on the development, evaluation, and implementation of clinical practice guidelines in healthcare. It covers topics such as the quality assessment of guidelines, evidence-based medicine, international collaboration in guideline development, and the impact of pathways on patient outcomes.

  • Clinical Guidelines
  • Guideline Development
  • Quality Assessment
  • Practice Recommendations
  • Healthcare Evaluation
  • Evidence-Based Medicine
  • AGREE II Instrument
  • Pathway Implementation
  • International Collaboration
  • Patient Outcomes
Research works
32k
fractional, since 1950
In the world top 10%
3.3k
per year above
Top-10% rate
10.3%
share of its works in the world top 10%
Growth, 2018-21 → 2022-25
-6%
the tick is no change
Largest producer
United States
30% of the 10 largest, 2022-now
Clinical practice guidelines implementation

This ranks research output and citation impact. It says nothing about the quality of diagnosis, treatment or care.

Which countries lead Clinical practice guidelines implementation research?

By volume, the United States and the United Kingdom publish the most (1.1k and 635 works in 2022-now).

By volume, 2022-now

  1. 1 United States 1.1k works
  2. 2 United Kingdom 635 works
  3. 3 Germany 510 works
  4. 4 China 287 works
  5. 5 Canada 257 works
  6. 6 France 208 works
  7. 7 Australia 205 works
  8. 8 Netherlands 173 works
  9. 9 Japan 125 works
  10. 10 Italy 98 works

How concentrated that is

The same countries as shares of everything the list above accounts for. A node where two countries do two thirds of the work and one spread evenly across twelve read alike as a ranking and not at all alike here.

United States: 29.6%United Kingdom: 17.9%Germany: 14.4%China: 8.1%6 others listed: 30.0%30%largest
United States1,050 · 29.6%United Kingdom635 · 17.9%Germany510 · 14.4%China287 · 8.1%6 others listed1,066 · 30.0%

Shares of the rows listed above, not of the whole node.

Which institutions lead Clinical practice guidelines implementation research?

By volume in 2022-now, Harvard University publishes the most Clinical practice guidelines implementation research, followed by University of Toronto and University of Michigan.

By volume, 2022-now

  1. 1 Harvard UniversityUnited States 39 works
  2. 2 University of TorontoCanada 31 works
  3. 3 University of MichiganUnited States 30 works
  4. 4 University of North Carolina at Chapel HillUnited States 25 works
  5. 5 University College LondonUnited Kingdom 24 works
  6. 6 InsermFrance 23 works
  7. 7 McMaster UniversityCanada 21 works
  8. 8 Chinese Academy of Medical Sciences & Peking Union Medical CollegeChina 20 works
  9. 9 The University of SydneyAustralia 20 works
  10. 10 United States Department of Veterans AffairsUnited States 19 works

Who are the leading researchers in Clinical practice guidelines implementation?

The most-cited researchers publishing on Clinical practice guidelines implementation include David Moher, Douglas G. Altman and Jennifer Tetzlaff.

  1. 1 David Moher Canada 898k citations
  2. 2 Douglas G. Altman United Kingdom 862k citations
  3. 3 Jennifer Tetzlaff Canada 495k citations
  4. 4 Theo Vos United States 439k citations
  5. 5 George Davey Smith United Kingdom 435k citations
  6. 6 Julian P. T. Higgins United Kingdom 390k citations
  7. 7 Zulfiqar Ahmed Bhutta Pakistan 371k citations
  8. 8 John J.V. McMurray United Kingdom 349k citations
  9. 9 Hermann Brenner Germany 343k citations
  10. 10 Cyrus Cooper United Kingdom 342k citations

Ranked by citations received across their whole record, among researchers with at least three works on this topic.

What are the most cited papers in Clinical practice guidelines implementation?

The most cited paper in Clinical practice guidelines implementation is "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement" (David Moher, Alessandro Liberati, Jennifer Tetzlaff et al., 2009), with 65,199 citations. Next come "GRADE: an emerging consensus on rating quality of evidence and strength of recommendations" (23,388) and "The National Comprehensive Cancer Network" (16,882).

Most cited papers
#PaperReleasedCitations
1 Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement David Moher, Alessandro Liberati, Jennifer Tetzlaff et al. · PLoS Medicine ReviewOpen access 20 Jul 2009 65,199
2 GRADE: an emerging consensus on rating quality of evidence and strength of recommendations Gordon Henry Guyatt, Andrew David Oxman, Gunn Elisabeth Vist et al. · BMJ Open access 24 Apr 2008 23,388
3 The National Comprehensive Cancer Network William T. McGivney · Cancer 15 May 1998 16,882
4 Evidence based medicine: what it is and what it isn't David L. Sackett, William Rosenberg, J. A. Muir Gray et al. · BMJ Open access 13 Jan 1996 15,892
5 CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials the CONSORT Group, Kenneth F. Schulz, Douglas G. Altman et al. · BMC Medicine Open access 24 Mar 2010 13,628
All 97 most cited papers, with filters and sorting

Where is Clinical practice guidelines implementation research done?

The largest centres of Clinical practice guidelines implementation research in 2022-now are London (United Kingdom), Beijing (China), Paris (France) and Berlin (Germany). Among places with at least 20 works in it, it is an unusually large share of all research in Hamilton and Utrecht.

Largest cities, 2022-now

  1. 1 LondonUnited Kingdom 156 works
  2. 2 BeijingChina 83 works
  3. 3 ParisFrance 67 works
  4. 4 BerlinGermany 60 works
  5. 5 MelbourneAustralia 59 works
  6. 6 New YorkUnited States 59 works
  7. 7 TorontoCanada 57 works
  8. 8 BostonUnited States 43 works
  9. 9 SydneyAustralia 42 works
  10. 10 DublinIreland 39 works

Where it is the local speciality

  1. HamiltonCA · 21.9 works7.9×
  2. UtrechtNL · 38.7 works7.5×
← less than its size predicts1×more →

Location quotient: how much more of its research is in Clinical practice guidelines implementation than the world average.

See Clinical practice guidelines implementation on the map

Where is the best place to study Clinical practice guidelines implementation?

Among universities, judged by research, McMaster University, Harvard University and University of Ottawa score highest, combining excellence, specialisation, size, growth and international reach. Research strength is one signal when choosing where to study; it does not measure teaching.

0%10%20%30%mean 17.24%fractional works in this field (log) →share of work in the world top 10% →McMaster UniversityUniversity of OttawaUniversity of TorontoHarvard University
above the meannear itbelow it

One dot per university in the first ten of the table below, at the default weights. The upper left is the interesting corner: small places doing unusually strong work.

Excellenceshare of its work in the world top 10%, 2022-now and all time averaged
40%
Specialisationhow much of its work is in this field, counted up to 10× the world share
10%
Sizeits output in this field, on a log scale
30%
Growthoutput growth, counted from -20% to +20%
10%
Internationalshare of its work with a co-author abroad
10%
Each slider sets a weight; the share it gets of the score is beside it.
#UniversityScoreTop 10%SpecialisationWorksGrowth
1McMaster UniversityCanada 73.726.4%8.9×21 -29.4%
2Harvard UniversityUnited States 65.814.7%3.0×39 -4.4%
3University of OttawaCanada 61.817.1%6.8×18 -18.1%
4University of TorontoCanada 59.915.2%3.8×31 -22.8%
5Monash UniversityAustralia 58.325.6%4.0×16 -9.3%
6University of MichiganUnited States 55.07.5%4.8×30 +36.1%
7The University of SydneyAustralia 52.914.8%4.0×20 +1.1%
8University College LondonUnited Kingdom 52.011.8%3.8×24 -13.9%
9Johns Hopkins UniversityUnited States 50.619.9%2.2×14 +11.0%
10Erasmus University RotterdamNetherlands 49.619.4%6.1×13 -8.6%

Universities only. The score blends excellence (40%), size (30%), specialisation (10%), growth (10%), international reach (10%), 2022-now; growth compares 2018-21 with 2022-25 and counts up to +20%, since a jump from a small base is mostly noise.

Every institution in Clinical practice guidelines implementation, country by country

Is Clinical practice guidelines implementation research growing?

Output in 2022-2025 was 6% lower than in 2018-2021, peaking in 2013.

still counting19801990200020102020
grewheldshrank

The same series as a ribbon: one cell per year, darker for more. The line above answers how much; this answers when.

Its share of all research

Growing output can still be a shrinking share: all of science grows. This is Clinical practice guidelines implementation as a percentage of every work published that year, 0.022% in 2024.

still counting0.020%0.040%0.060%Clinical practice guidelines implementation0.019% in 202519801990200020102020

Fractional works of Clinical practice guidelines implementation over all fractional works that year. How the balance of science has shifted.

How much of it reaches the world top 10%

Year by year.

still counting5%10%15%Clinical practice guidelines implementation10.1% in 2025200020102020

Of each year's works in it, the share that reached the world's 10% most cited for their field and year. A field is the world for its own topics, so there is no other line to hold it against.

Which topics inside it are moving

Growth and decline on one axis around a shared zero. Two lists side by side hide the thing that matters: whether the growth dwarfs the decline, or the other way round.

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