-
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....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu konsensus - konference, časopisecké články, práce podpořená grantem
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
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
- MeSH
- lidé MeSH
- medicína založená na důkazech MeSH
- směrnice jako téma * MeSH
- systém GRADE metody MeSH
- systematický přehled jako téma * MeSH
- veřejné zdravotnictví metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- konsensus - konference MeSH
- práce podpořená grantem MeSH
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 of Internal Medicine American University of Beirut Beirut Lebanon
Department of Nutrition Texas A and M University College Station TX USA
European Commission Joint Research Centre Ispra Italy
Faculty of Health Sciences Universidad Francisco de Vitoria Madrid
Health Sciences Bremen University of Bremen 28359 Bremen Germany
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