Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Challenges in applying the GRADE approach in public health guidelines and systematic reviews: a concept article from the GRADE Public Health Group

M. Hilton Boon, H. Thomson, B. Shaw, EA. Akl, SK. Lhachimi, J. López-Alcalde, M. Klugar, L. Choi, Z. Saz-Parkinson, RA. Mustafa, MW. Langendam, O. Crane, RL. Morgan, E. Rehfuess, BC. Johnston, LY. Chong, GH. Guyatt, HJ. Schünemann, SV....

. 2021 ; 135 (-) : 42-53. [pub] 20210118

Jazyk angličtina Země Spojené státy americké

Typ dokumentu konsensus - konference, časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc22004145

Grantová podpora
MC_UU_12017/13 Medical Research Council - United Kingdom
SPHSU15 Chief Scientist Office - United Kingdom
SCAF/15/02 Chief Scientist Office - United Kingdom
MC_UU_00022/2 Medical Research Council - United Kingdom
MC_UU_12017/15 Medical Research Council - United Kingdom
SPHSU13 Chief Scientist Office - United Kingdom
MR/P027873/1 Medical Research Council - United Kingdom

E-zdroje Online Plný text

NLK ProQuest Central od 2003-01-01 do Před 2 měsíci
Nursing & Allied Health Database (ProQuest) od 2003-01-01 do Před 2 měsíci
Health & Medicine (ProQuest) od 2003-01-01 do Před 2 měsíci
Health Management Database (ProQuest) od 2003-01-01 do Před 2 měsíci
Public Health Database (ProQuest) od 2003-01-01 do Před 2 měsíci

BACKGROUND AND OBJECTIVE: This article explores the need for conceptual advances and practical guidance in the application of the GRADE approach within public health contexts. METHODS: We convened an expert workshop and conducted a scoping review to identify challenges experienced by GRADE users in public health contexts. We developed this concept article through thematic analysis and an iterative process of consultation and discussion conducted with members electronically and at three GRADE Working Group meetings. RESULTS: Five priority issues can pose challenges for public health guideline developers and systematic reviewers when applying GRADE: (1) incorporating the perspectives of diverse stakeholders; (2) selecting and prioritizing health and "nonhealth" outcomes; (3) interpreting outcomes and identifying a threshold for decision-making; (4) assessing certainty of evidence from diverse sources, including nonrandomized studies; and (5) addressing implications for decision makers, including concerns about conditional recommendations. We illustrate these challenges with examples from public health guidelines and systematic reviews, identifying gaps where conceptual advances may facilitate the consistent application or further development of the methodology and provide solutions. CONCLUSION: The GRADE Public Health Group will respond to these challenges with solutions that are coherent with existing guidance and can be consistently implemented across public health decision-making contexts.

Center for Evidence based Policy Oregon Health and Science University Portland OR 97201 USA

CIBER Epidemiology and Public Health

Clinical Biostatistics Unit Hospital Universitario Ramón y Cajal

Cochrane Associate Centre of Madrid Madrid Spain

Cochrane Public Health and Health Systems Network University of Oxford Oxford UK

Department for Health Services Research Institute of Public Health and Nursing Research University of Bremen Grazer Straße 4 28359 Bremen Germany

Department of Clinical Epidemiology Amsterdam University Medical Centres University of Amsterdam Biostatistics and Bioinformatics Amsterdam Public Health Research Institute Amsterdam the Netherlands

Department of Health Research Methods Evidence and Impact McMaster University 1280 Main Street W Hamilton Ontario L8S 4K1 Canada

Department of Health Research Methods Michael G DeGroote Cochrane Canada and McMaster GRADE Centres and WHO Collaborating Centre for Infectious Diseases Research Methods and Recommendations Evidence and Impact McMaster University Hamilton Ontario Canada

Department of Internal Medicine American University of Beirut Beirut Lebanon

Department of Nutrition Texas A and M University College Station TX USA

Department of Paediatrics Obstetrics and Gynaecology and Preventative Medicine Universitat Autònoma de Barcelona

Departments of Medicine and Biomedical and Health Informatics University of Missouri Kansas City Kansas City MO 66160 USA

European Commission Joint Research Centre Ispra Italy

Faculty of Health Sciences Universidad Francisco de Vitoria Madrid

Faculty of Medicine Czech National Centre for Evidence Based Healthcare and Knowledge Translation (Cochrane Czech Republic The Czech Republic Centre for Evidence Based Healthcare

Health Sciences Bremen University of Bremen 28359 Bremen Germany

Institute for Medical Informatics Biometry and Epidemiology Pettenkofer School of Public Health LMU Munich Munich Germany

JBI Centre of Excellence Masaryk University GRADE Centre) Institute of Biostatistics and Analyses Masaryk University 625 00 Brno Czechia

MRC CSO Social and Public Health Sciences Unit Berkeley Square 99 Berkeley Street University of Glasgow Glasgow G3 7HR UK

National Institute for Health and Care Excellence Level 1A City Tower Piccadilly Plaza Manchester M1 4BT UK

The Department of Vector Biology Partnership for Increasing the Impact of Vector Control Liverpool School of Tropical Medicine Liverpool UK

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22004145
003      
CZ-PrNML
005      
20220127145458.0
007      
ta
008      
220113s2021 xxu f 000 0|eng||
009      
AR
024    7_
$a 10.1016/j.jclinepi.2021.01.001 $2 doi
035    __
$a (PubMed)33476768
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxu
100    1_
$a Hilton Boon, Michele $u MRC/CSO Social and Public Health Sciences Unit, Berkeley Square, 99 Berkeley Street, University of Glasgow, Glasgow G3 7HR, UK. Electronic address: michele.hiltonboon@glasgow.ac.uk
245    10
$a Challenges in applying the GRADE approach in public health guidelines and systematic reviews: a concept article from the GRADE Public Health Group / $c M. Hilton Boon, H. Thomson, B. Shaw, EA. Akl, SK. Lhachimi, J. López-Alcalde, M. Klugar, L. Choi, Z. Saz-Parkinson, RA. Mustafa, MW. Langendam, O. Crane, RL. Morgan, E. Rehfuess, BC. Johnston, LY. Chong, GH. Guyatt, HJ. Schünemann, SV. Katikireddi, GRADE Working Group
520    9_
$a BACKGROUND AND OBJECTIVE: This article explores the need for conceptual advances and practical guidance in the application of the GRADE approach within public health contexts. METHODS: We convened an expert workshop and conducted a scoping review to identify challenges experienced by GRADE users in public health contexts. We developed this concept article through thematic analysis and an iterative process of consultation and discussion conducted with members electronically and at three GRADE Working Group meetings. RESULTS: Five priority issues can pose challenges for public health guideline developers and systematic reviewers when applying GRADE: (1) incorporating the perspectives of diverse stakeholders; (2) selecting and prioritizing health and "nonhealth" outcomes; (3) interpreting outcomes and identifying a threshold for decision-making; (4) assessing certainty of evidence from diverse sources, including nonrandomized studies; and (5) addressing implications for decision makers, including concerns about conditional recommendations. We illustrate these challenges with examples from public health guidelines and systematic reviews, identifying gaps where conceptual advances may facilitate the consistent application or further development of the methodology and provide solutions. CONCLUSION: The GRADE Public Health Group will respond to these challenges with solutions that are coherent with existing guidance and can be consistently implemented across public health decision-making contexts.
650    _2
$a medicína založená na důkazech $7 D019317
650    _2
$a systém GRADE $x metody $7 D000077002
650    12
$a směrnice jako téma $7 D017408
650    _2
$a lidé $7 D006801
650    _2
$a veřejné zdravotnictví $x metody $7 D011634
650    12
$a systematický přehled jako téma $7 D000078202
655    _2
$a konsensus - konference $7 D016446
655    _2
$a časopisecké články $7 D016428
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Thomson, Hilary $u MRC/CSO Social and Public Health Sciences Unit, Berkeley Square, 99 Berkeley Street, University of Glasgow, Glasgow G3 7HR, UK
700    1_
$a Shaw, Beth $u Center for Evidence-based Policy, Oregon Health & Science University, Portland, OR 97201 USA
700    1_
$a Akl, Elie A $u Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, Hamilton, Ontario L8S 4K1, Canada; Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
700    1_
$a Lhachimi, Stefan K $u Department for Health Services Research, Institute of Public Health and Nursing Research, University of Bremen, Grazer Straße 4, 28359 Bremen, Germany; Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany
700    1_
$a López-Alcalde, Jesús $u Department of Paediatrics, Obstetrics & Gynaecology and Preventative Medicine, Universitat Autònoma de Barcelona; Faculty of Health Sciences, Universidad Francisco de Vitoria (UFV)-Madrid; Clinical Biostatistics Unit, Hospital Universitario Ramón y Cajal (IRYCIS); CIBER Epidemiology and Public Health; Cochrane Associate Centre of Madrid, Madrid, Spain
700    1_
$a Klugar, Miloslav $u Faculty of Medicine, Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, The Czech Republic Centre for Evidence-Based Healthcare; JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Masaryk University, 625 00 Brno, Czechia
700    1_
$a Choi, Leslie $u The Department of Vector Biology, Partnership for Increasing the Impact of Vector Control, Liverpool School of Tropical Medicine, Liverpool, UK
700    1_
$a Saz-Parkinson, Zuleika $u European Commission, Joint Research Centre, Ispra, Italy
700    1_
$a Mustafa, Reem A $u Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, Hamilton, Ontario L8S 4K1, Canada; Departments of Medicine and Biomedical & Health Informatics, University of Missouri-Kansas City, Kansas City, MO 66160 USA
700    1_
$a Langendam, Miranda W $u Department of Clinical Epidemiology, Amsterdam University Medical Centres, University of Amsterdam, Biostatistics and Bioinformatics, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
700    1_
$a Crane, Olivia $u National Institute for Health and Care Excellence (NICE), Level 1A, City Tower, Piccadilly Plaza, Manchester M1 4BT, UK
700    1_
$a Morgan, Rebecca L $u Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, Hamilton, Ontario L8S 4K1, Canada
700    1_
$a Rehfuess, Eva $u Institute for Medical Informatics, Biometry and Epidemiology, Pettenkofer School of Public Health, LMU Munich, Munich, Germany
700    1_
$a Johnston, Bradley C $u Department of Nutrition, Texas A&M University, College Station, TX, USA
700    1_
$a Chong, Lee Yee $u Cochrane Public Health and Health Systems Network, University of Oxford, Oxford, UK
700    1_
$a Guyatt, Gordon H $u Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, Hamilton, Ontario L8S 4K1, Canada
700    1_
$a Schünemann, Holger J $u Department of Health Research Methods, Michael G DeGroote Cochrane Canada and McMaster GRADE Centres, and WHO Collaborating Centre for Infectious Diseases, Research Methods and Recommendations, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada
700    1_
$a Katikireddi, Srinivasa Vittal $u MRC/CSO Social and Public Health Sciences Unit, Berkeley Square, 99 Berkeley Street, University of Glasgow, Glasgow G3 7HR, UK
710    2_
$a GRADE Working Group
773    0_
$w MED00002583 $t Journal of clinical epidemiology $x 1878-5921 $g Roč. 135, č. - (2021), s. 42-53
856    41
$u https://pubmed.ncbi.nlm.nih.gov/33476768 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20220113 $b ABA008
991    __
$a 20220127145455 $b ABA008
999    __
$a ok $b bmc $g 1751571 $s 1155294
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2021 $b 135 $c - $d 42-53 $e 20210118 $i 1878-5921 $m Journal of clinical epidemiology $n J Clin Epidemiol $x MED00002583
GRA    __
$a MC_UU_12017/13 $p Medical Research Council $2 United Kingdom
GRA    __
$a SPHSU15 $p Chief Scientist Office $2 United Kingdom
GRA    __
$a SCAF/15/02 $p Chief Scientist Office $2 United Kingdom
GRA    __
$a MC_UU_00022/2 $p Medical Research Council $2 United Kingdom
GRA    __
$a MC_UU_12017/15 $p Medical Research Council $2 United Kingdom
GRA    __
$a SPHSU13 $p Chief Scientist Office $2 United Kingdom
GRA    __
$a MR/P027873/1 $p Medical Research Council $2 United Kingdom
LZP    __
$a Pubmed-20220113

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...