الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The trend of the last decades has been to base clinical decision making more and more on sound scientific evidence i.e. evidence based medicine in practice this has led medical specialists to develop evidence based clinical practice guidelines(CPG) for promoting standards of medical care. Worldwide a number of organization such as SIGN (Scottish Intercollegiate Guidelines Network) and NICE (National Institute for Health Care and Excellence). In 2002 the Guidelines International Network was founded to promote systematic development of CPG through international collaboration.
One way to reduce the costs and time, avoid variations of institutions setting, such as type of practice and location, consider availability of resources, respect local policies and practice patterns is by relying on local adaptation of guidelines developed at the international level by expert groups.
Therefore clinical guidelines developed by the government agencies or medical specialty organizations at the national level usually need to be adapted to fit the local practice before they can be actually used by clinicians at specific institutions and successful guideline implementation has to be supported by organizational efforts.
Recently the AFM-CEBCPGs (Alexandria University Faculty of Medicine Center Evidence Based Clinical Practice Guidelines) in Egypt have been founded in 2009 to proceed with the same endeavors in the field of guidelines and become a member of the G-I-N.