A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články
Grantová podpora
001
World Health Organization - International
PubMed
34562579
DOI
10.1016/j.jclinepi.2021.09.028
PII: S0895-4356(21)00314-0
Knihovny.cz E-zdroje
- Klíčová slova
- GRADE, Guidelines, Policy, Practice statements, Recommendations, Standards,
- MeSH
- COVID-19 * epidemiologie MeSH
- lidé MeSH
- publikace MeSH
- Světová zdravotnická organizace MeSH
- výzkumný projekt MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
OBJECTIVE: To propose a taxonomy and framework that identifies and presents actionable statements in guidelines. STUDY DESIGN AND SETTING: We took an iterative approach reviewing case studies of guidelines produced by the World Health Organization and the American Society of Hematology to develop an initial conceptual framework. We then tested it using randomly selected recommendations from published guidelines addressing COVID-19 from different organizations, evaluated its results, and refined it before retesting. The urgency and availability of evidence for development of these recommendations varied. We consulted with experts in research methodology and guideline developers to improve the final framework. RESULTS: The resulting taxonomy and framework distinguishes five types of actional statements: formal recommendations; research recommendations; good practice statements; implementation considerations, tools and tips; and informal recommendations. These statements should respond to a priori established criteria and require a clear structure and recognizable presentation in a guideline. Most importantly, this framework identifies informal recommendations that differ from formal recommendations by how they consider evidence and in their development process. CONCLUSION: The identification, standardization and explicit labelling of actionable statements according to the framework may support guideline developers to create actionable statements with clear intent, avoid informal recommendations and improve their understanding and implementation by users.
American College of Physicians Philadelphia PA USA
Department of Clinical Epidemiology and Public Health Institut d'Investigació Biomèdica Sant Pau
Department of Health Product Policy and Standards World Health Organization Geneva Switzerland
Department of Health Research Methods Evidence and Impact McMaster University Hamilton ON Canada
Department of Medicine McMaster University Hamilton ON Canada
European Commission Joint Research Centre Ispra Italy
Instituto de Salud Carlos 3 Agencia de Evaluación de Tecnologías Sanitarias Madrid Spain
Joanna Briggs Institute Faculty of Health and Medical Sciences The University of Adelaide Australia
National Institute for Health and Care Excellence United Kingdom
Norwegian Institute of Public Health Oslo Norway; University of Oslo Oslo Norway
Postgraduate Institute of Medical Education and Research Chandigarh India
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