Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
Meneses-Echavez, Jose F. (Universidad Santo Tomás. Facultad de Cultura Física. Deporte y Recreación)
Bidonde, Julia (School of Rehabilitation Science. College of Medicine. University of Saskatchewan)
Yepes-Nuñez, Juan Jose (Fundación Santa Fe de Bogotá University Hospital. Pulmonology Service. Internal Medicine Section)
Poklepović Peričić, Tina (University of Split School of Medicine. Department of Research in Biomedicine and Health)
Puljak, Livia (Center for Evidence-Based Medicine and Health Care. Catholic University of Croatia)
Bala, Malgorzata M. (Chair of Epidemiology and Preventive Medicine. Department of Hygiene and Dietetics. Systematic Reviews Unit. Jagiellonian University Medical College)
Storman, Dawid (Chair of Epidemiology and Preventive Medicine. Department of Hygiene and Dietetics. Systematic Reviews Unit. Department of Adult Psychiatry. University Hospital Jagiellonian University Medical College)
Swierz, Mateusz J. (Chair of Epidemiology and Preventive Medicine. Department of Hygiene and Dietetics. Systematic Reviews Unit. Jagiellonian University Medical College)
Zając, Joanna (Chair of Epidemiology and Preventive Medicine. Department of Hygiene and Dietetics. Systematic Reviews Unit. Jagiellonian University Medical College)
Montesinos-Guevara, Camila (Centro de Investigación en Salud Pública y Epidemiología Clínica. Facultad de Ciencias de la Salud Eugenio Espejo. Universidad UTE)
Zhang, Yuan (Department of Health Research Methods. Evidence. and Impact. McMaster University)
Chavez Guapo, Nathaly (Universidad de la Sabana. Facultad de Enfermería y Rehabilitación. Programa de Fisioterapia)
Schünemann, Holger (Department of Health Research Methods. Evidence and Impact. McMaster University)
Flottorp, Signe (Institute of Health and Society. University of Oslo)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)

Date:	2022
Abstract:	Objective: The aim of this study is to identify and describe the processes suggested for the formulation of healthcare recommendations in healthcare guidelines available in guidance documents. Methods: We searched international databases in May 2020 to retrieve guidance documents published by organizations dedicated to guideline development. Pairs of researchers independently selected and extracted data about the characteristics of the guidance document, including explicit or implicit recommendation-related criteria and processes considered, as well as the use of evidence to decision (EtD) frameworks. Results: We included 68 guidance documents. Most organizations reported a system for grading the strength of recommendations (88%), half of them being the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach. Two out of three guidance documents (66%) proposed the use of a framework to guide the EtD process. The GRADE-EtD framework was the most often reported framework (19 organizations, 42%), whereas 20 organizations (44%) proposed their own multicriteria frameworks. Using any EtD framework was related with a more comprehensive set of recommendation-related criteria compared to no framework, especially for criteria like values, equity, and acceptability. Conclusion: Although limited, the use of EtD frameworks was associated with the inclusion of relevant recommendation criteria. Among the EtD structured frameworks, the GRADE-EtD framework offers the most comprehensive perspective for evidence-informed decision-making processes.
Note:	Altres ajuts: Universidad Santo Tomás, Bogotá, Colombia (FODEIN project code: 2115005).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Subject:	Practice guidelines ; Decision making ; Evidence-based practice ; Methods ; Evidence-to-decision framework ; Clinical practice guidelines ; GRADE ; Health recommendations ; Certainty of evidence ; Systematic reviews ; Evidence synthesis
Published in:	Journal of clinical epidemiology, Vol. 150 (october 2022) , p. 51-62, ISSN 1878-5921

DOI: 10.1016/j.jclinepi.2022.06.004
PMID: 35710054

12 p, 854.9 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles