GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT.
By H. Schünemann, W. Wiercioch, J. Brożek, I. Etxeandia-Ikobaltzeta, R. Mustafa, Veena Manja, R. Brignardello-Petersen, I. Neumann, M. Falavigna, W. Alhazzani and 17 more. Journal of Clinical Epidemiology, 2017
550 citations recorded by the source corpus.
BACKGROUND Guideline developers can: (1) adopt existing recommendations from others; (2) adapt existing recommendations to their own context; or (3) create recommendations de novo. Monetary and nonmonetary resources, credibility, maximization of uptake, as well as logical arguments should guide the choice of the approach and processes. OBJECTIVES To describe a potentially efficient model for guideline production based on adoption, adaptation, and/or de novo development of recommendations utilizing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks. STUDY DESIGN AND SETTING We applied the model in a new national guideline program producing 22 practice guidelines. We searched for relevant evidence that informs the direction and strength of a recommendation. We then produced GRADE EtDs for guideline panels to develop recommendations. RESULTS We produced a total of 80 EtD frameworks in approximately 4 months and 146 EtDs in approximately 6 months in two waves. Use of the EtD frameworks allowed panel members understand judgments of others about the criteria that bear on guideline recommendations and then make their own judgments about those criteria in a systematic approach. CONCLUSION The "GRADE-ADOLOPMENT" approach to guideline production combines adoption, adaptation, and, as needed, de novo development of recommendations. If developers of guidelines follow EtD criteria more widely and make their work publically available, this approach should prove even more useful.
Subfields: Economics and Econometrics, General Health Professions, Public Health, Environmental and Occupational Health
View Paper: https://www.semanticscholar.org/paper/492432de6fb5b7fe23fc33969070c0c96134f921
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Citations in the corpus
- Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19) (2020, unknown): “Recommendation formulation We used the principles outlined in the evidence to decision framework (EtD) to formulate recommendations, but because of the tight timelines we did not complete the online EtD tables [11].”
- American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients. (2018, background): “These adaptations should be based on the associated EtD frameworks.(174) The Agency for Healthcare Research and Quality in the United States provides a guide for implementing effective quality improvement in this patient population.”
- American Society of Hematology 2021 guidelines for management of venous thromboembolism: prevention and treatment in patients with cancer. (2021, background): “These adaptations should be based on the associated EtD frameworks.(400) The Agency for Healthcare Research and Quality in the United States provides a guide for implementing effective quality improvement in this patient population.”
- American Society of Hematology 2019 guidelines for immune thrombocytopenia. (2019, unknown): “These adaptations should be based on the associated EtD frameworks.(201)”
- GRADE guidelines 26: Informative statements to communicate the findings of systematic reviews of interventions. (2019, unknown): “is added to be consistent with GRADE’s Evidence to Decision frameworks [13-17]).”
- Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline (2020, background): “This will include the following: • Publication of the guideline and the underlying systematic reviews and position paper as an Open Access special issue of the Journal of Clinical Periodontology • Local uptake from national societies, either by Commentary, Adoption, or Adaptation (Schunemann et al.,”