Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence

. 2022 Mar ; 143 () : 178-185. [epub] 20211112

Jazyk angličtina Země Spojené státy americké Médium print-electronic

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/pmid34774986
Odkazy

PubMed 34774986
DOI 10.1016/j.jclinepi.2021.11.009
PII: S0895-4356(21)00361-9
Knihovny.cz E-zdroje

OBJECTIVE: The objective of this paper is to propose an approach to visual unification of adapted guidelines and transformation of classifications of certainty of evidence (CoE) and strength of recommendations (SoR) into the approach suggested by the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) working group. STUDY DESIGN AND SETTING: We carried out a literature search in MEDLINE and Epistemonikos, an analysis of selected guidelines, and an iterative discussion to decide on a consistent visual presentation and CoE and SoR depictions. RESULTS: The results of the literature search suggested this issue had not been addressed yet. The analysis of the chosen eight guidelines showed significant heterogeneity in the visual presentation of recommendations. Recommendations were often worded similarly to whether or not they were strong or conditional. Many guidelines contained "statements," almost all of which did not fulfill the good practice statement (GPS) criteria. We proposed an approach for transforming recommendations that are being adapted and which use various classification systems for CoE and SoR into GRADE and a consistent visual style. CONCLUSION: Guideline developers should aim for unification in the formulation of recommendations to improve transferability.

Department of Health Research Methods Evidence and Impact McMaster University Hamilton Ontario Canada

The Center of Evidence based Education and Arts Therapies A JBI Affiliated Group Faculty of Education Palacky University Olomouc Czech Republic; Institute of Special Education Studies Faculty of Education Olomouc Czech Republic

The Czech National Centre for Evidence Based Healthcare and Knowledge Translation Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic

The Czech National Centre for Evidence Based Healthcare and Knowledge Translation Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic; Czech Health Research Council Prague Czech Republic

The Czech National Centre for Evidence Based Healthcare and Knowledge Translation Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic; Czech Health Research Council Prague Czech Republic; Institute of Health Information and Statistics of the Czech Republic Prague Czech Republic

The Czech National Centre for Evidence Based Healthcare and Knowledge Translation Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic; Czech Health Research Council Prague Czech Republic; Institute of Health Information and Statistics of the Czech Republic Prague Czech Republic; Department of Health Sciences Faculty of Medicine Masaryk University Brno Czech Republic

The Czech National Centre for Evidence Based Healthcare and Knowledge Translation Institute of Biostatistics and Analyses Faculty of Medicine Masaryk University Brno Czech Republic; Institute of Health Information and Statistics of the Czech Republic Prague Czech Republic

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