Clinical Practice Guidelines MayoClinic Content

1. Clinical Practice GuidelinesMayoClinic.com Content Martha Grogan, MD Consultant Cardiovascular Diseases Medical Editor, MayoClinic.com Institute of Medicine Next Steps: Implementation Workshop on Standards for Systematic Reviews and Clinical Practice Guidelines May 10-11, 2011 CP1282124-1

2. MayoClinic.com • Launched 1995 • Health information for general public • Independent of the clinical practice • Practice site: MayoClinic.org • Goal: Help users • Assess symptoms • Understand diagnosis • Manage their health

3. MayoClinic.comTop 5 Reasons Users Visit • Specific info: recent diagnosis • Look up a symptom • Specific info: chronic condition • Wellness Information • Browse general health info

4. MayoClinic.comApril 2011 Statistics • Unique Visitors: 17,019,517 • Total Visits: 22,470,932 • Page Views: 79,882,497 61% of adults look online for health information

5. Country of Residence United States Other country

6. Age 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85 and older

7. Gender Female Male

8. Education Less than a high school diploma Completed high school Some college/trade school/Associate’s degree Bachelor’s degree Some graduate work or graduate degree DK/DA

9. MayoClinic.com • Professional Writers, Managing Editors • Research Staff and Librarians • Physician Editors • Three for new content • General Internists provide perspective • Sources Documented • Scheduled update every two years Interim update if needed

10. MayoClinic.comAdvertising • Stringent standards • Clearly labeled • Advertisers - no input into site content

11. MayoClinic.comPractice Guidelines • Struggled with methodology • Recognition of conflict of interest • Tiered approach • ICSI • USPSTF, Natl Guideline Clearinghouse • Major Medical Associations, Societies • Acknowledge controversy – discuss with care provider