Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise
Holger J. Schünemann,Wojtek Wiercioch,Itziar Etxeandia,Maicon Falavigna,Maicon Falavigna,Nancy Santesso,Reem A. Mustafa,Reem A. Mustafa,Matthew Ventresca,Matthew Ventresca,Romina Brignardello-Petersen,Romina Brignardello-Petersen,Kaja-Triin Laisaar,Sergio Kowalski,Tejan Baldeh,Yuan Zhang,Ulla Raid,Ignacio Neumann,Ignacio Neumann,Susan L Norris,Judith Thornton,Robin Harbour,Shaun Treweek,Gordon H. Guyatt,Pablo Alonso-Coello,Marge Reinap,Jan Brozek,Jan Brozek,Andrew D Oxman,Elie A. Akl,Elie A. Akl,Elie A. Akl +31 more
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TLDR
A comprehensive checklist of items linked to relevant resources and tools that guideline developers could consider, without the expectation that every guideline would address each item, is compiled.Abstract:
Background: Although several tools to evaluate the credibility of health care guidelines exist, guidance on practical steps for developing guidelines is lacking. We systematically compiled a comprehensive checklist of items linked to relevant resources and tools that guideline developers could consider, without the expectation that every guideline would address each item. Methods: We searched data sources, including manuals of international guideline developers, literature on guidelines for guidelines (with a focus on methodology reports from international and national agencies, and professional societies) and recent articles providing systematic guidance. We reviewed these sources in duplicate, extracted items for the checklist using a sensitive approach and developed overarching topics relevant to guidelines. In an iterative process, we reviewed items for duplication and omissions and involved experts in guideline development for revisions and suggestions for items to be added. Results: We developed a checklist with 18 topics and 146 items and a webpage to facilitate its use by guideline developers. The topics and included items cover all stages of the guideline enterprise, from the planning and formulation of guidelines, to their implementation and evaluation. The final checklist includes links to training materials as well as resources with suggested methodology for applying the items. Interpretation: The checklist will serve as a resource for guideline developers. Consideration of items on the checklist will support the development, implementation and evaluation of guidelines. We will use crowdsourcing to revise the checklist and keep it up to date.read more
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Journal ArticleDOI
American Society of Hematology 2019 guidelines for immune thrombocytopenia
Cindy Neunert,Deirdra R. Terrell,Donald M. Arnold,George R. Buchanan,Douglas B. Cines,Nichola Cooper,Adam Cuker,Jenny M. Despotovic,James N. George,Rachael F. Grace,Thomas Kühne,David J. Kuter,Wendy Lim,Keith R. McCrae,Barbara Pruitt,Hayley Shimanek,Sara K. Vesely +16 more
TL;DR: There was a lack of evidence to support strong recommendations for various management approaches, and a large focus was placed on shared decision-making, especially with regard to second-line therapy.
OtherDOI
Interpreting results and drawing conclusions
Holger J. Schünemann,Gunn Elisabeth Vist,Julian P T Higgins,Nancy Santesso,Jonathan J Deeks,Paul Glasziou,Elie A. Akl,Gordon H. Guyatt +7 more
Journal ArticleDOI
Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research: A Cross-Sectional Study.
Matthew J. Page,Larissa Shamseer,Larissa Shamseer,Douglas G. Altman,Jennifer Tetzlaff,Margaret Sampson,Andrea C. Tricco,Andrea C. Tricco,Ferrán Catalá-López,Ferrán Catalá-López,Lun Li,Emma K. Reid,Rafael Sarkis-Onofre,David Moher,David Moher +14 more
TL;DR: Investigation of the epidemiological and reporting characteristics of a more recent cross-section of SRs suggests that more than 8,000 SRs are being indexed in MEDLINE annually, corresponding to a 3-fold increase over the last decade.
Journal ArticleDOI
GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 2: Clinical practice guidelines
Pablo Alonso-Coello,Pablo Alonso-Coello,Andrew D Oxman,Jenny Moberg,Romina Brignardello-Petersen,Elie A. Akl,Marina Davoli,Shaun Treweek,Reem A. Mustafa,Per Olav Vandvik,Joerg J Meerpohl,Gordon H. Guyatt,Holger J. Schünemann +12 more
TL;DR: Clinicians regularly face situations with two or more alternative actions, each of which often has different advantages and disadvantages, including differences in effectiveness, adverse effects, costs and other factors.
Journal ArticleDOI
American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients
Holger J. Schünemann,Mary Cushman,Allison Burnett,Susan R. Kahn,Jan Beyer-Westendorf,Frederick A. Spencer,Suely M. Rezende,Neil A. Zakai,Kenneth A. Bauer,Francesco Dentali,Jill Lansing,Sara Balduzzi,Andrea Darzi,Gian Paolo Morgano,Ignacio Neumann,Ignacio Neumann,Robby Nieuwlaat,Juan José Yepes-Nuñez,Yuan Zhang,Wojtek Wiercioch +19 more
TL;DR: These evidence-based guidelines from the American Society of Hematology intend to support patients, clinicians, and others in decisions about preventing VTE in medical inpatients and outpatients with minor injuries and long-distance travelers.
References
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GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Gordon H. Guyatt,Andrew D Oxman,Gunn Elisabeth Vist,Regina Kunz,Yngve Falck-Ytter,Pablo Alonso-Coello,Holger J. Schünemann +6 more
TL;DR: The advantages of the GRADE system are explored, which is increasingly being adopted by organisations worldwide and which is often praised for its high level of consistency.
Journal ArticleDOI
Grading quality of evidence and strength of recommendations.
David C. Atkins,Dana Best,Peter A. Briss,Martin P Eccles,Yngve Falck-Ytter,Signe Flottorp,Gordon H. Guyatt,Robin Harbour,Margaret C Haugh,David Henry,Suzanne Hill,Roman Jaeschke,Gillian Leng,Alessandro Liberati,Nicola Magrini,James Mason,Philippa Middleton,Jacek Mrukowicz,Dianne L. O'Connell,Andrew D Oxman,Bob Phillips,Holger J. Schünemann,Tessa Tan-Torres Edejer,H. Varonen,Gunn Elisabeth Vist,John W Williams,Stephanie Zaza +26 more
TL;DR: A system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts is developed, and a summary of the approach from the perspective of a guideline user is presented.
Journal ArticleDOI
AGREE II: advancing guideline development, reporting and evaluation in health care
Melissa C. Brouwers,Michelle E. Kho,George P. Browman,Jako S. Burgers,Francoise Cluzeau,Gene Feder,Béatrice Fervers,Ian D. Graham,Jeremy M. Grimshaw,Steven E. Hanna,Peter Littlejohns,Julie Makarski,Louise Zitzelsberger +12 more
TL;DR: A strategy was needed to differentiate among guidelines and ensure that those guidelines that vary widely in quality are distinguished.
Journal ArticleDOI
What is “quality of evidence” and why is it important to clinicians?
Gordon H. Guyatt,Andrew D Oxman,Regina Kunz,Gunn Elisabeth Vist,Yngve Falck-Ytter,Holger J. Schünemann +5 more
TL;DR: Guideline developers use a bewildering variety of systems to rate the quality of the evidence underlying their recommendations as mentioned in this paper, some are facile, some confused, and others sophisticated but complex.
Book
Clinical practice guidelines : directions for a new program
TL;DR: This clinical practice guidelines directions for a new program, it will really give you the good idea to be successful.