The American Association for Thoracic Surgery/Society of Thoracic Surgeons position statement on developing clinical practice documents  Faisal G. Bakaeen,

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The American Association for Thoracic Surgery/Society of Thoracic Surgeons position statement on developing clinical practice documents  Faisal G. Bakaeen, MD, Lars G. Svensson, MD, PhD, John D. Mitchell, MD, Shaf Keshavjee, MD, G. Alexander Patterson, MD, Richard D. Weisel, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 153, Issue 4, Pages 999-1005 (April 2017) DOI: 10.1016/j.jtcvs.2017.01.003 Copyright © 2017 The American Association for Thoracic Surgery and The Society of Thoracic Surgeons Terms and Conditions

Figure 1 Characteristics of various types of clinical practice documents. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 999-1005DOI: (10.1016/j.jtcvs.2017.01.003) Copyright © 2017 The American Association for Thoracic Surgery and The Society of Thoracic Surgeons Terms and Conditions

Figure 2 Document pathway: Development process for the 3 types of documents. AATS, The American Association for Thoracic Surgery; STS, The Society of Thoracic Surgeons; GC, Guidelines Committee; WFEBS, Workforce on Evidence Based Surgery; IOM, Institute of Medicine; ACC, American College of Cardiology; AHA, American Heart Association; CPG, clinical practice guidelines. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 999-1005DOI: (10.1016/j.jtcvs.2017.01.003) Copyright © 2017 The American Association for Thoracic Surgery and The Society of Thoracic Surgeons Terms and Conditions

Figure 3 Updated American College of Cardiology/American Heart Association table of class of recommendation (COR) and level of evidence (LOE). RCT, Randomized controlled trial. Reprinted with permission from: Jacobs AK, Anderson JL, Halperin JL. The evolution and future of ACC/AHA clinical practice guidelines: a 30-year journey: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;64:1373-84. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 999-1005DOI: (10.1016/j.jtcvs.2017.01.003) Copyright © 2017 The American Association for Thoracic Surgery and The Society of Thoracic Surgeons Terms and Conditions

Class of recommendations and levels of evidence used for clinical practice guidelines. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 999-1005DOI: (10.1016/j.jtcvs.2017.01.003) Copyright © 2017 The American Association for Thoracic Surgery and The Society of Thoracic Surgeons Terms and Conditions