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：
10.1503/cmaj.131237
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发表时间：
2014-02-18
影响因子：
14.6
通讯作者：
Akl, Elie A.
中科院分区：
文献类型：
--
作者：
Schuenemann, Holger J.;Wiercioch, Wojtek;Akl, Elie A.
背景资料：虽然有几种工具来评估医疗保健指南的可信度，但缺乏关于制定指南的实际步骤的指导。我们系统地编制了一份与相关资源和工具相关的项目综合清单，供指南制定者考虑，而不期望每个指南都能解决每个项目。方法：我们检索了数据源，包括国际指南制定者手册，指南的文献，（重点是国际和国家机构以及专业协会的方法报告）和提供系统指导的最新文章。我们对这些来源进行了一式两份的审查，使用敏感的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。在一个迭代的过程中，我们审查了重复和遗漏的项目，并邀请专家参与指南制定的修订和建议项目address.Results：我们开发了一个清单，18个主题和146个项目和一个网页，以方便指南开发人员使用。主题和包含的项目涵盖了指南企业的所有阶段，从计划和制定指南，到实施和评估。最后的检查表包括培训材料的链接，以及应用项目的建议方法的资源。解释：检查表将作为指南制定者的资源。审议清单上的项目将有助于制定、实施和评价准则。我们将利用众包来修订清单，并使其不断更新。
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.