4.5 Editorial Material

Guideline groups should make recommendations even if the evidence is considered insufficient

期刊

CANADIAN MEDICAL ASSOCIATION JOURNAL
卷 192, 期 2, 页码 E23-E24

出版社

CMA-CANADIAN MEDICAL ASSOC
DOI: 10.1503/cmaj.190144

关键词

-

向作者/读者索取更多资源

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Letter Health Care Sciences & Services

Challenges with need to improve the reference standard in diagnosis paper 4: response to reed

Reem A. Mustafa, Holger J. Schunemann

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

Improving grading of recommendations assessment, development, and evaluation evidence tables part 4: a three-arm noninferiority randomized trial demonstrates improved understanding of content in summary of findings tables with a new format

Rebecca L. Morgan, Juan Jose Yepes-Nuneza, Joycelyne Ewusie, Lawrence Mbuagbaw, Stephanie Chang, Tejan Baldeh, Susanne Hempel, Mark Helfand, Paul Shekelle, Timothy J. Wilt, Holger J. Schunemann

Summary: This study evaluated different formats of summary of findings (SoF) tables for single comparison with multiple outcomes. The alternative GRADE SoF table was found to be superior in terms of understanding, accessibility, satisfaction, and preference compared to the current GRADE SoF table and the adapted EPC SoF table. Participants reported increased satisfaction when SoF tables included information such as number needed to treat (NNT), anticipated absolute effect differences, and narrative syntheses. The alternative GRADE SoF table format was preferred by participants.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

The impact of climate change on health needs structured evidence assessment and an evidence to action framework to make decisions: a proposal to adopt the GRADE approach

Ignacio Neumann, Josep M. Anto, Jean Bousqueth, Holger J. Schunemann

Summary: This article highlights how using the GRADE approach increases transparency in understanding the certainty of evidence on the impact of climate change on health outcomes, and how it can enhance communication and decision-making on adaptation and mitigation strategies. Structured approaches like GRADE help define specific questions, summarize evidence, assess uncertainty, provide a systematic framework for action and recommendations, adapt recommendations to specific settings, and assess the certainty of modeled evidence.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

Decision criteria for selecting essential medicines and their connection to guidelines: an interpretive descriptive qualitative interview study

Thomas Piggott, Lorenzo Moja, Elie A. Akl, John N. Lavis, Graham Cooke, Tamara Kredo, Hans Hogerzeil, Benedikt Huttner, Pablo Alonso-Coello, Holger Schuenemann

Summary: This study aimed to identify criteria and considerations for making decisions regarding the inclusion, retention, or removal of medicines from essential medicine lists (EMLs) based on guideline recommendations. The study also explored opportunities for improving organizational processes to support evidence-based health decision-making. The findings revealed significant overlap and opportunities for alignment between guideline and EML decision processes, suggesting the need for enhanced collaboration between guideline and EML developers.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Urology & Nephrology

GRADE Reporting in Systematic Reviews Published in the Urological Literature (2009-2021)

Brett Norling, Jae Hung Jung, Eu Chang Hwang, Mi Ah Han, Sari Khaleel, Holger J. Schunemann, Philipp Dahm

Summary: This study evaluates the reporting of the GRADE approach in systematic reviews published in the urological literature. The results indicate that only 13.0% of the 522 systematic reviews included in the study met the criteria for reporting the use of GRADE. There is a need for improved training and a reporting checklist to enhance the quality of reporting on GRADE in urological literature.

JOURNAL OF UROLOGY (2023)

Article Health Care Sciences & Services

GRADE concept 6: a novel application of external indirect evidence into GRADE ratings of evidence certainty in network meta-analysis

Qiukui Hao, Ya Gao, Yunli Zhao, M. Hassan Murad, Reem Mustafa, Mohammed T. Ansari, Holger J. Schunemann, David M. Rind, Romina Brignardello-Petersen, Gordon Guyatt

Summary: This study describes the important role of considering external evidence in determining the certainty of evidence, using a network meta-analysis as an example. Through discussions and formal logical analysis, the certainty of network estimates was evaluated.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

A multimethods randomized trial found that plain language versions improved parents'understanding of health recommendations

Sarah A. Elliott, Shannon D. Scott, Rana Charide, Lisa Patterson-Stallwood, Shahab Sayfi, Ashley Motilall, Ami Baba, Tamara Lotfi, Jozef Suvada, Miloslav Klugar, Tamara Kredo, Joseph L. Mathew, Dawn P. Richards, Nancy J. Butcher, Martin Offringa, Kevin Pottie, Holger J. Schunemann, Lisa Hartling

Summary: This study assessed the effectiveness of plain language compared with standard language versions of COVID-19 recommendations specific to child health. The study was conducted online and involved 295 parents. The results showed that parents preferred plain language versions and had better understanding of the recommendations compared to standard language versions. Therefore, guideline developers should strive to use plain language to improve understanding and implementation of health recommendations by the public.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Editorial Material Health Care Sciences & Services

Prospective collaborative recommendation development: a novel model for more timely and trustworthy guidelines

Elie A. Akl, Adam Cuker, Reem A. Mustafa, Robby Nieuwlaat, Adrienne Stevens, Holger J. Schunemann

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

GRADE concept 4: rating the certainty of evidence when study interventions or comparators differ from PICO targets

Marius Goldkuhle, Gordon H. Guyatt, Nina Kreuzberger, Elie A. Akl, Philipp Dahm, Elvira C. van Dalen, Lars G. Hemkens, Miloslav Klugar, Reem A. Mustafa, Francesco Nonino, Holger J. Schunemann, Marialene Trivella, Nicole Skoetz

Summary: This article provides guidance on addressing situations of indirectness in randomized trials, where interventions or comparators differ from those in the target population, interventions, comparators, and outcomes. Trials can provide unbiased estimates of the effects of interventions in certain conditions. However, differences between the target interventions and comparators and those implemented in trials should be considered as issues of indirectness.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Editorial Material Health Care Sciences & Services

The development methods of official GRADE articles and requirements for claiming the use of GRADE - A statement by the GRADE guidance group

Holger J. Schunemann, Sue Brennan, Elie A. Akl, Monica Hultcrantz, Pablo Alonso-Coello, Jun Xia, Marina Davoli, Maria Ximena Rojas, Joerg J. Meerpohl, Signe Flottorp, Gordon Guyatt, Reem A. Mustafa, Miranda Langendam, Philipp Dahm

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

Equity issues rarely addressed in the development of COVID-19 formal recommendations and good practice statements: a cross-sectional study

Omar Dewidar, Mostafa Bondok, Leenah Abdelrazeq, Khadija Aliyeva, Karla Solo, Vivian Welch, Romina Brignardello-Petersen, Joseph L. Mathew, Glen Hazlewood, Kevin Pottie, Lisa Hartling, Dina Sami Khalifa, Stephanie Duda, Maicon Falavigna, Joanne Khabsa, Tamara Lotfi, Jennifer Petkovic, Sarah Elliot, Yuan Chi, Roses Parker, Elizabeth Kristjansson, Alison Riddle, Andrea J. Darzi, Olivia Magwood, Ammar Saad, Gabriel Radav, Ignacio Neumann, Mark Loeb, Ludovic Reveiz, Dominik Mertz, Thomas Piggott, Alexis F. Turgeon, Holger Schunemann, Peter Tugwell

Summary: Equity issues were rarely explicitly considered in the development of COVID-19 formal recommendations focused on specific disadvantaged populations. Guidance is needed to support the consideration of health equity in guideline development.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Health Care Sciences & Services

Using evidence to decision frameworks led to guidelines of better quality and more credible and transparent recommendations

Jose F. Meneses-Echavez, Julia Bidonde, Camila Montesinos-Guevara, Yasser S. Amer, Andres Felipe Loaiza-Betancur, Luis Andres Tellez Tinjaca, David Fraile Navarro, Tina Poklepovic Pericic, Malgorzata M. Bala, Dawid Storman, Mateusz Swierz, Joanna Zajac, Ivan D. Florez, Holger Schunemann, Signe Flottorp, Pablo Alonso-Coellor

Summary: This study aimed to determine if the use of Evidence to Decision (EtD) frameworks is associated with higher quality guidelines and recommendations. Analysis of 66 guidelines showed that those using an EtD framework scored higher in quality domains. This suggests that endorsement of EtD frameworks by guideline developing organizations can improve the quality of their guidelines.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Review Behavioral Sciences

Prevalence of co-occurring conditions in children and adults with autism spectrum disorder: A systematic review and meta-analysis

Martina Micai, Laura Maria Fatta, Letizia Gila, Angela Caruso, Tommaso Salvitti, Francesca Fulceri, Antonio Ciaramella, Roberto D'Amico, Cinzia Del Giovane, Marco Bertelli, Giovanna Romano, Holger Jens Schunemann, Maria Luisa Scattoni

Summary: This systematic review estimated the prevalence of co-occurring conditions (CCs) in individuals with autism. The study found developmental coordination disorder, sleep-wake problem, gastrointestinal problem, ADHD, anxiety disorder, overweight/obesity, feeding and eating disorder, elimination disorder, disruptive behavior, and somatic symptoms and related disorder to be the most frequent CCs. The prevalence varied depending on age group and study design. Understanding specific CCs linked to autism can aid professionals in conducting investigations and interventions for better outcomes.

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS (2023)

Article Pediatrics

Plain Language vs Standard Format for Youth Understanding of COVID-19 Recommendations A Randomized Clinical Trial

Lisa Stallwood, Adrian Sammy, Matthew Prebeg, Jacqueline Relihan, Ami Baba, Rana Charide, Shahab Sayfi, Sarah A. Elliott, Lisa Hartling, Matthew Munan, Dawn P. Richards, Joseph L. Mathew, Tamara Kredo, Lawrence Mbuagbaw, Ashley Motilall, Shannon D. Scott, Miloslav Klugar, Tamara Lotfi, Adrienne L. Stevens, Kevin Pottie, Holger J. Schunemann, Nancy J. Butcher, Martin Offringa

Summary: In this randomized clinical trial, a digital plain language recommendation (PLR) was compared with the standard language version (SLV) of a health recommendation. The results showed no significant difference in understanding scores between the PLR and SLV groups. However, youths ranked the PLR higher in terms of accessibility, usability, and satisfaction, suggesting that it may be preferred for communicating health recommendations to youths. Interviews provided suggestions for further improving the PLR format.

JAMA PEDIATRICS (2023)

暂无数据