Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise
Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise
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DOI：
10.1016/j.zefq.2021.01.009
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发表时间：
2021-06-11
影响因子：
1.1
通讯作者：
Schunemann, Holger J.
中科院分区：
文献类型：
--
作者：
Schuenemanna, Finn;Meerpohl, Joerg J.;Schunemann, Holger J.
背景：尽管存在多种评估医疗保健指南可信度的工具，但缺乏制定指南的实际步骤指导。我们系统地编制了一份与指南制定者可以考虑的相关资源和工具相关的综合项目清单，而不是期望每个指南都会涉及每个项目。方法：我们检索了数据源，包括国际指南制定者的手册、指南指南文献（重点是国际和国家机构以及专业协会的方法报告）以及最近提供系统指导的文章。我们重复审查了这些来源，使用敏感方法提取了清单中的项目，并制定了与指南相关的总体主题。在迭代过程中，我们审查了重复和遗漏的项目，并邀请指南制定专家对要添加的项目进行修订和建议。结果：我们开发了包含 18 个主题和 146 个项目的清单和一个网页，以方便指南开发人员使用。主题和收录项目涵盖了指南企业从指南的规划、制定到实施和评估的各个阶段。最终清单包括培训材料的链接以及包含应用这些项目的建议方法的资源。解释：该清单将作为指南开发人员的资源。对清单上项目的审议将支持指南的制定、实施和评估。我们将使用众包来修改清单并保持最新。
Background: Although several tools to evaluate the credibility of health care guidelines exist, guidance on practical steps for developing guidelines is lacking. We systematically compiled a comprehensive checklist of items linked to relevant resources and tools that guideline developers could consider, without the expectation that every guideline would address each item.Methods: We searched data sources, including manuals of international guideline developers, literature on guidelines for guidelines (with a focus on methodology reports from international and national agencies, and professional societies) and recent articles providing systematic guidance. We reviewed these sources in duplicate, extracted items for the checklist using a sensitive approach and developed overarching topics relevant to guidelines. In an iterative process, we reviewed items for duplication and omissions and involved experts in guideline development for revisions and suggestions for items to be added.Results: We developed a checklist with 18 topics and 146 items and a webpage to facilitate its use by guideline developers. The topics and included items cover all stages of the guideline enterprise, from the planning and formulation of guidelines, to their implementation and evaluation. The final checklist includes links to training materials as well as resources with suggested methodology for applying the items.Interpretation: The checklist will serve as a resource for guideline developers. Consideration of items on the checklist will support the development, implementation and evaluation of guidelines. We will use crowdsourcing to revise the checklist and keep it up to date.