Continuous surveillance of a pregnancy clinical guideline

To date there is no consensus about the optimal strategy for keeping clinical guidelines (CGs) up-to-date. The aims of this study were (1) to develop a continuous surveillance and updating strategy for CGs and (2) to test the strategy in a specific CG. The main steps were as follows: (1) recruiting...

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Detalles Bibliográficos
Autores: Martínez García, Laura|||0000-0003-0126-8706, Pardo-Hernandez, Hector|||0000-0003-3714-0309, Sanabria, Andrea Juliana, Alonso-Coello, Pablo|||0000-0002-8001-8504, Aceituno-Velasco, Longinos, Araya, Ignacio, Muñoz, Emilia Bailon, Díaz del Campo, Petra, Etxeandia-Ikobaltzeta, Itziar|||0000-0001-6606-649X, Fillol Crespo, Manuel, Fuertes Luis, Lucía, García Álvarez, Elvira, García Carrascosa, Laura, Gómez Gómez, Natalia, Herrera Crerizo, Blanca, Landa Goñi, Jacinta, López, Dario, Louro González, Arturo|||0000-0002-8334-9210, Martínez-Romero, María Dolores, Martín-López, Juliana Ester, Montejo Ráez, Adoración, Osorio, Dimelza|||0000-0001-6166-647X, Roman Romera, Isabel, Salcedo-Fernandez, Flavia, Selva, Anna|||0000-0002-2754-3158, Solà Arnau, Ivan|||0000-0003-0078-3706, Strivens, Helen, Torrejón Cardoso, Rafael|||0000-0001-8472-8290, Trujillo Martín, Mar, Vernooij, Robin W. M.|||0000-0001-5734-4566
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:289302
Acceso en línea:https://ddd.uab.cat/record/289302
https://dx.doi.org/urn:doi:10.1186/s13643-017-0506-7
Access Level:acceso abierto
Palabra clave:Diffusion of innovation
Dissemination and implementation
Evidence-based medicine
Methodology
Practice guidelines
Updating
Descripción
Sumario:To date there is no consensus about the optimal strategy for keeping clinical guidelines (CGs) up-to-date. The aims of this study were (1) to develop a continuous surveillance and updating strategy for CGs and (2) to test the strategy in a specific CG. The main steps were as follows: (1) recruiting members for the CG Updating Working Group, (2) mapping the CG, (3) identifying new evidence from the CG Updating Working Group, (4) designing and running restricted literature searches, (5) reviewing drugs and medical devices alerts, (6) screening and assessing the new evidence, (7) reviewing and, if necessary, modifying clinical questions and recommendations, and (8) updating the CG document. The Pregnancy CG Updating Working Group consisted of 29 members, including clinicians, patients and caregivers, and clinical guideline methodology experts. We selected 69 clinical questions (123 recommendations) from the "Assistance during pregnancy" section. For the first update cycle (32-month duration), 9710 references were identified. Of these, 318 were pertinent, 289 were relevant, and 55 were classified as potential key references. For the second and third update cycles (6-month duration each), 2160 and 2010 references were retrieved, respectively. The continuous surveillance and updating strategy has not yet been completely implemented. Further resources are needed in updating the CG field, both for implementing updating strategies and for developing methodological research.

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