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[CCAFU evidence-based Clinical Practice Guidelines 2016-2018].

Progrès en Urologie 2016 November
The purpose of this paper is to report the updating process of the CCAFU evidence-based Clinical Practice Guideline (CPG), on urinary and genital tracts management, which was edited in 2013. Updating of CPG is a continuous process based on systematic search of the scientific literature aiming to identify clinical questions to be updated. The CPGs were defined following the RPC methodology based on evidence synthesis and explicit and transparent experts'opinion and on the ADAPTE methodology when good quality guidelines were available. In summary, a literature search was performed in Medline® database and on EBM web sites, using a defined search strategy, to identify all available publications published since 2013 related to the specific topic. Papers were then selected and classified according to predefined selection criteria. Subsequently, critical appraisal of the new data were done and recommandations and their levels of evidence were updated according to the new conclusions and to the CCAFU members'opinion. This project results of a collaborative work with members from the CCAFU committee and other learned societies (urologists, oncologists, radiotherapists, radiologists, pathologists,…). The document was reviewed by independent experts and their comments were incorporated in the final version. These updated guidelines will be submitted to French cancer institute (INCa) for quality approbation and labelling after a national peer-reviewing process according to the AGREE grid. Implementation of the recommendations, their dissemination to practitioners, and assessment of their impact on clinical practice as well as their future actualisation (every 1 to 3 years) are all objectives that have to be achieved. © 2016 Elsevier Masson SAS. All rights reserved.

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