Good or best practice statements : Proposal for the operationalisation and implementation of GRADE guidance
Dewidar, Omar (University of Ottawa)
Lotfi, Tamara (McMaster University (Canadà))
Langendam, Miranda W. (Universiteit van Amsterdam)
Parmelli, Elena (Joint Research Centre. European Commission)
Saz-Parkinson, Zuleika (Instituto de Salud Carlos III)
Solo, Karla (McMaster University (Canadà))
Chu, Derek K. (McMaster University (Canadà))
Mathew, Joseph L. (Post Graduate Institute of Medical Education and Research)
Akl, Elie A. (American University of Beirut)
Brignardello-Petersen, Romina (McMaster University (Canadà))
Mustafa, Reem (University of Kansas)
Moja, Lorenzo (World Health Organization)
Iorio, Alfonso (McMaster University (Canadà))
Chi, Yuan (Cochrane Campbell Global Ageing Partnership)
Canelo Aybar, Carlos Gilberto (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Kredo, Tamara (Stellenbosch University)
Karpusheff, Justine (National Institute for Health and Care Excellence)
Turgeon, Alexis F. (Université Laval)
Alonso-Coello, Pablo (Institut d'Investigació Biomèdica Sant Pau)
Wiercioch, Wojtek (McMaster University (Canadà))
Gerritsen, Annette (Cochrane South Africa)
Klugar, Miloslav (Masaryk University)
Rojas-Reyes, Maria Ximena (Institut d'Investigació Biomèdica Sant Pau)
Tugwell, Peter (Ottawa Hospital Research Institute)
Welch, Vivian (University of Ottawa)
Pottie, Kevin (University of Ottawa)
Munn, Zachary (University of Adelaide)
Nieuwlaat, Robby (McMaster University (Canadà))
Ford, Nathan (World Health Organization (Gènova, Suïssa))
Stevens, Adrienne (McMaster University (Canadà))
Khabsa, Joanne (American University of Beirut)
Nasir, Zil (McMaster University (Canadà))
Leontiadis, Grigorios (McMaster University (Canadà))
Meerpohl, Joerg J. (University of Freiburg)
Piggott, Thomas (McMaster University (Canadà))
Qaseem, Amir (American College of Physicians)
Matthews, Micayla (McMaster University (Canadà))
Schünemann, Holger (Cochrane Canada)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	An evidence-based approach is considered the gold standard for health decision-making. Sometimes, a guideline panel might judge the certainty that the desirable effects of an intervention clearly outweigh its undesirable effects as high, but the body of supportive evidence is indirect. In such cases, the application of the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach for grading the strength of recommendations is inappropriate. Instead, the GRADE Working Group has recommended developing ungraded best or good practice statement (GPS) and developed guidance under which circumsances they would be appropriate. Through an evaluation of COVID-1- related recommendations on the eCOVID Recommendation Map (COVID-19. recmap. org), we found that recommendations qualifying a GPS were widespread. However, guideline developers failed to label them as GPS or transparently report justifications for their development. We identified ways to improve and facilitate the operationalisation and implementation of the GRADE guidance for GPS. Herein, we propose a structured process for the development of GPSs that includes applying a sequential order for the GRADE guidance for developing GPS. This operationalisation considers relevant evidence-to-decision criteria when assessing the net consequences of implementing the statement, and reporting information supporting judgments for each criterion. We also propose a standardised table to facilitate the identification of GPS and reporting of their development. This operationalised guidance, if endorsed by guideline developers, may palliate some of the shortcomings identified. Our proposal may also inform future updates of the GRADE guidance for GPS.
Drets:	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, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COVID-19 ; Evidence-Based Practice
Publicat a:	BMJ Evidence-Based Medicine, Vol. 28 Núm. 3 (january 2023) , p. 189-196, ISSN 2515-4478

DOI: 10.1136/bmjebm-2022-111962
PMID: 35428694

8 p, 582.8 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
Articles > Articles de recerca
Articles > Articles publicats