Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations

Objective: The aim of this study is to identify and describe the processes suggested for the formulation of healthcare recommendations in healthcare guidelines available in guidance documents. Methods: We searched international databases in May 2020 to retrieve guidance documents published by organi...

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Autores: Meneses-Echavez, JF, Bidonde, J, Yepes-Nunez, JJ, Pericic, TP, Puljak, L, Bala, MM, Storman, D, Swierz, MJ, Zajac, J, Montesinos-Guevara, C, Zhang, Y, Guapo, NC, Schunemann, H, Flottorp, S, Alonso-Coello, P
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p14939
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14939
https://ddd.uab.cat/record/284176
Access Level:acceso abierto
Palabra clave:Practice guidelines
Decision making
Evidence-based practice
Methods
Evidence-to-decision framework
Clinical practice guidelines
GRADE
Health recommendations
Certainty of evidence
Systematic reviews
Evidence synthesis
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spelling Evidence to decision frameworks enabled structured and explicit development of healthcare recommendationsMeneses-Echavez, JFBidonde, JYepes-Nunez, JJPericic, TPPuljak, LBala, MMStorman, DSwierz, MJZajac, JMontesinos-Guevara, CZhang, YGuapo, NCSchunemann, HFlottorp, SAlonso-Coello, PPractice guidelinesDecision makingEvidence-based practiceMethodsEvidence-to-decision frameworkClinical practice guidelinesGRADEHealth recommendationsCertainty of evidenceSystematic reviewsEvidence synthesisObjective: The aim of this study is to identify and describe the processes suggested for the formulation of healthcare recommendations in healthcare guidelines available in guidance documents. Methods: We searched international databases in May 2020 to retrieve guidance documents published by organizations dedicated to guideline development. Pairs of researchers independently selected and extracted data about the characteristics of the guidance document, including explicit or implicit recommendation-related criteria and processes considered, as well as the use of evidence to decision (EtD) frameworks. Results: We included 68 guidance documents. Most organizations reported a system for grading the strength of recommendations (88%), half of them being the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach. Two out of three guidance documents (66%) proposed the use of a framework to guide the EtD process. The GRADE-EtD framework was the most often reported framework (19 organizations, 42%), whereas 20 organizations (44%) proposed their own multicriteria frameworks. Using any EtD framework was related with a more comprehensive set of recommendation-related criteria compared to no framework, especially for criteria like values, equity, and acceptability. Conclusion: Although limited, the use of EtD frameworks was associated with the inclusion of relevant recommendation criteria. Among the EtD structured frameworks, the GRADE-EtD framework offers the most comprehensive perspective for evidence-informed decision-making processes. (C) 2022 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).ELSEVIER SCIENCE INC2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14939https://ddd.uab.cat/record/284176JOURNAL OF CLINICAL EPIDEMIOLOGYISSN: 08954356ISSNe: 18785921reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p149392026-06-14T12:41:47Z
dc.title.none.fl_str_mv Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
title Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
spellingShingle Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
Meneses-Echavez, JF
Practice guidelines
Decision making
Evidence-based practice
Methods
Evidence-to-decision framework
Clinical practice guidelines
GRADE
Health recommendations
Certainty of evidence
Systematic reviews
Evidence synthesis
title_short Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
title_full Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
title_fullStr Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
title_full_unstemmed Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
title_sort Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
dc.creator.none.fl_str_mv Meneses-Echavez, JF
Bidonde, J
Yepes-Nunez, JJ
Pericic, TP
Puljak, L
Bala, MM
Storman, D
Swierz, MJ
Zajac, J
Montesinos-Guevara, C
Zhang, Y
Guapo, NC
Schunemann, H
Flottorp, S
Alonso-Coello, P
author Meneses-Echavez, JF
author_facet Meneses-Echavez, JF
Bidonde, J
Yepes-Nunez, JJ
Pericic, TP
Puljak, L
Bala, MM
Storman, D
Swierz, MJ
Zajac, J
Montesinos-Guevara, C
Zhang, Y
Guapo, NC
Schunemann, H
Flottorp, S
Alonso-Coello, P
author_role author
author2 Bidonde, J
Yepes-Nunez, JJ
Pericic, TP
Puljak, L
Bala, MM
Storman, D
Swierz, MJ
Zajac, J
Montesinos-Guevara, C
Zhang, Y
Guapo, NC
Schunemann, H
Flottorp, S
Alonso-Coello, P
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Practice guidelines
Decision making
Evidence-based practice
Methods
Evidence-to-decision framework
Clinical practice guidelines
GRADE
Health recommendations
Certainty of evidence
Systematic reviews
Evidence synthesis
topic Practice guidelines
Decision making
Evidence-based practice
Methods
Evidence-to-decision framework
Clinical practice guidelines
GRADE
Health recommendations
Certainty of evidence
Systematic reviews
Evidence synthesis
description Objective: The aim of this study is to identify and describe the processes suggested for the formulation of healthcare recommendations in healthcare guidelines available in guidance documents. Methods: We searched international databases in May 2020 to retrieve guidance documents published by organizations dedicated to guideline development. Pairs of researchers independently selected and extracted data about the characteristics of the guidance document, including explicit or implicit recommendation-related criteria and processes considered, as well as the use of evidence to decision (EtD) frameworks. Results: We included 68 guidance documents. Most organizations reported a system for grading the strength of recommendations (88%), half of them being the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach. Two out of three guidance documents (66%) proposed the use of a framework to guide the EtD process. The GRADE-EtD framework was the most often reported framework (19 organizations, 42%), whereas 20 organizations (44%) proposed their own multicriteria frameworks. Using any EtD framework was related with a more comprehensive set of recommendation-related criteria compared to no framework, especially for criteria like values, equity, and acceptability. Conclusion: Although limited, the use of EtD frameworks was associated with the inclusion of relevant recommendation criteria. Among the EtD structured frameworks, the GRADE-EtD framework offers the most comprehensive perspective for evidence-informed decision-making processes. (C) 2022 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14939
https://ddd.uab.cat/record/284176
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=14939
https://ddd.uab.cat/record/284176
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv JOURNAL OF CLINICAL EPIDEMIOLOGY
ISSN: 08954356
ISSNe: 18785921
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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