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GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses
M. Klugar, T. Lotfi, AJ. Darzi, M. Reinap, J. Klugarová, L. Kantorová, J. Xia, R. Brignardello-Petersen, A. Pokorná, G. Hazlewood, Z. Munn, RL. Morgan, I. Toews, I. Neumann, P. Bhatarasakoon, AT. Stein, M. McCaul, AG. Mathioudakis, KE. D'Anci,...
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
Grantová podpora
001
World Health Organization - International
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 normy MeSH
- směrnice pro lékařskou praxi jako téma * normy MeSH
- systém GRADE normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND AND OBJECTIVE: The Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-ADOLOPMENT methodology has been widely used to adopt, adapt, or de novo develop recommendations from existing or new guideline and evidence synthesis efforts. The objective of this guidance is to refine the operationalization for applying GRADE-ADOLOPMENT. METHODS: Through iterative discussions, online meetings, and email communications, the GRADE-ADOLOPMENT project group drafted the updated guidance. We then conducted a review of handbooks of guideline-producing organizations, and a scoping review of published and planned adolopment guideline projects. The lead authors refined the existing approach based on the scoping review findings and feedback from members of the GRADE working group. We presented the revised approach to the group in November 2022 (approximately 115 people), in May 2023 (approximately 100 people), and twice in September 2023 (approximately 60 and 90 people) for approval. RESULTS: This GRADE guidance shows how to effectively and efficiently contextualize recommendations using the GRADE-ADOLOPMENT approach by doing the following: (1) showcasing alternative pathways for starting an adolopment effort; (2) elaborating on the different essential steps of this approach, such as building on existing evidence-to-decision (EtDs), when available or developing new EtDs, if necessary; and (3) providing examples from adolopment case studies to facilitate the application of the approach. We demonstrate how to use contextual evidence to make judgments about EtD criteria, and highlight the importance of making the resulting EtDs available to facilitate adolopment efforts by others. CONCLUSION: This updated GRADE guidance further operationalizes the application of GRADE-ADOLOPMENT based on over 6 years of experience. It serves to support uptake and application by end users interested in contextualizing recommendations to a local setting or specific reality in a short period of time or with limited resources.
Agency for Clinical Practice Guideline Korean Academy of Medical Sciences Seoul South Korea
Center for Health Services Research Brandenburg Medical School Rüdersdorf Germany
Chair of Epidemiology and Preventive Medicine Jagiellonian University Medical College Krakow Poland
China European Research Executive Agency European Commission Brussels Belgium
College of Medicine and Pharmacy Alfaisal University Riyadh Saudi Arabia
College of Medicine Nursing and Health Sciences University Galway Galway Ireland
Department of Anesthesia Faculty of Health Sciences McMaster University Hamilton Ontario Canada
Department of Health Sciences Faculty of Medicine Masaryk University Brno Czech Republic
Department of Internal Medicine American University of Beirut Medical Center Beirut Lebanon
Department of Medicine Cumming School of Medicine University of Calgary Calgary Alberta Canada
Department of Medicine Massachusetts General Brigham Salem Hospital Boston MA USA
Department of Medicine McMaster University 1280 Main Street West Hamilton L8S 4L8 Ontario Canada
Department of Pediatrics Baylor College of Medicine Houston TX USA
Department of Physical Medicine and Rehabilitation Christian Medical College Vellore India
Department of Primary Care Faculty of Medicine Université Libre de Bruxelles Brussels Belgium
Division of Gastroenterology Hepatology and Nutrition University of Minnesota Minneapolis MN USA
Division of Lifespan and Population Health The University of Nottingham Nottingham UK
Division of Nephrology and Hypertension University of Kansas Medical Center Kansas City MO USA
European Research Executive Agency European Commission Brussels Belgium
Evidence Synthesis Ireland and Cochrane Ireland University of Galway Galway Ireland
Iberoamerican Cochrane Centre Biomedical Research Institute Sant Pau Barcelona Spain
Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic
Krakow GRADE Centre Krakow Poland
Physiotherapy Unit Humanitas Clinical and Research Center IRCCS Rozzano Milan Italy
Research and Development National Health Care Institute Zorginstituut The Netherlands
School of Medicine Case Western Reserve University Cleveland OH USA
School of Medicine Universidad San Sebastian Santiago Chile
Sigma Health Consulting LLC McLean VA USA
Working group Development of Primary Care Guidelines Antwerpen Belgium
Citace poskytuje Crossref.org
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