Visual presentation of clinical practice guidelines,
representations of the strength of recommendations and the
certainty of evidence and their transformation to GRADE

k 2021

Visual presentation of clinical practice guidelines, representations of the strength of recommendations and the certainty of evidence and their transformation to GRADE

KLUGAR, Miloslav, Lucia KANTOROVÁ, Andrea POKORNÁ, Radim LÍČENÍK, Ladislav DUŠEK et. al.

Základní údaje

Originální název

Visual presentation of clinical practice guidelines, representations of the strength of recommendations and the certainty of evidence and their transformation to GRADE

Autoři

KLUGAR, Miloslav (203 Česká republika, domácí), Lucia KANTOROVÁ (703 Slovensko, domácí), Andrea POKORNÁ (203 Česká republika, domácí), Radim LÍČENÍK (203 Česká republika, domácí), Ladislav DUŠEK (203 Česká republika, domácí), Holger J SCHÜNEMANN, Abanoub RIAD (818 Egypt, domácí), Jiří KANTOR (203 Česká republika, domácí) a Jitka KLUGAROVÁ (203 Česká republika, domácí)

Vydání

GIN Conference 2021, 2021

Další údaje

Jazyk

angličtina

Typ výsledku

Prezentace na konferencích

Obor

30304 Public and environmental health

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/21:00122797

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

GRADE; Clinical practice guidelines; certainty of evidence

Změněno: 25. 11. 2021 11:32, Mgr. Bc. Alena Langaufová, Ph.D.

Anotace

V originále

Background Organizations dedicated to the development of clinical practice guidelines from around the world have been using a range of systems to rate the certainty of evidence (CoE) and strength of recommendations (SoR), each of which has its own symbols and overall visual form. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system has been increasingly adapted by these organizations, however, even when using GRADE, authors of guidelines have so far been left free to choose from a few options for depicting the CoE and SoR and the visual form of presenting recommendations that best suit their needs. Objective The objective of this paper is to propose an approach to visual unification of adapted guidelines and transformation of classifications of CoE and SoR into the approach suggested by the GRADE working group. Methods We carried out a literature search in MEDLINE and Epistemonikos, an analysis of selected guidelines, and an iterative discussion to decide on a consistent visual presentation and CoE and SoR depictions. Results The results of the literature search suggested this issue had not been addressed yet. The analysis of eight selected guidelines showed significant heterogeneity in the visual presentation of recommendations. Recommendations were often worded similarly to whether or not they were strong or conditional. Discussion We proposed an approach for transforming recommendations that are being adapted and which use various classification systems for CoE and SoR into GRADE and a consistent visual style.

Návaznosti

LTC20031, projekt VaV

Název: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic, INTER-COST

2019-1-CZ01-KA202-061350, interní kód MU

Název: Strategic Partnership in Innovation and Development of Evidence-Based Healthcare (Akronym: SPIDER)

Investor: Evropská unie, Strategic Partnership in Innovation and Development of Evidence-Based Healthcare, Strategická partnerství v oblasti vzdělávání, odborné přípravy a mládeže

Citovat

KLUGAR, Miloslav, Lucia KANTOROVÁ, Andrea POKORNÁ, Radim LÍČENÍK, Ladislav DUŠEK, Holger J SCHÜNEMANN, Abanoub RIAD, Jiří KANTOR a Jitka KLUGAROVÁ. Visual presentation of clinical practice guidelines, representations of the strength of recommendations and the certainty of evidence and their transformation to GRADE. In GIN Conference 2021. 2021.

@proceedings{1802265,
   author = {Klugar, Miloslav and Kantorová, Lucia and Pokorná, Andrea and Líčeník, Radim and Dušek, Ladislav and Schünemann, Holger J and Riad, Abanoub and Kantor, Jiří and Klugarová, Jitka},
   booktitle = {GIN Conference 2021},
   keywords = {GRADE; Clinical practice guidelines; certainty of evidence},
   language = {eng},
   title = {Visual presentation of clinical practice guidelines, representations of the strength of recommendations and the certainty of evidence and their transformation to GRADE},
   year = {2021}
}

TY  - CONF
ID  - 1802265
AU  - Klugar, Miloslav - Kantorová, Lucia - Pokorná, Andrea - Líčeník, Radim - Dušek, Ladislav - Schünemann, Holger J - Riad, Abanoub - Kantor, Jiří - Klugarová, Jitka
PY  - 2021
TI  - Visual presentation of clinical practice guidelines, representations of the strength of recommendations and the certainty of evidence and their transformation to GRADE
KW  - GRADE
KW  - Clinical practice guidelines
KW  - certainty of evidence
N2  - Background Organizations dedicated to the development of clinical practice guidelines from around the world have been using a range of systems to rate the certainty of evidence (CoE) and strength of recommendations (SoR), each of which has its own symbols and overall visual form. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system has been increasingly adapted by these organizations, however, even when using GRADE, authors of guidelines have so far been left free to choose from a few options for depicting the CoE and SoR and the visual form of presenting recommendations that best suit their needs. Objective The objective of this paper is to propose an approach to visual unification of adapted guidelines and transformation of classifications of CoE and SoR into the approach suggested by the GRADE working group. Methods We carried out a literature search in MEDLINE and Epistemonikos, an analysis of selected guidelines, and an iterative discussion to decide on a consistent visual presentation and CoE and SoR depictions. Results The results of the literature search suggested this issue had not been addressed yet. The analysis of eight selected guidelines showed significant heterogeneity in the visual presentation of recommendations. Recommendations were often worded similarly to whether or not they were strong or conditional. Discussion We proposed an approach for transforming recommendations that are being adapted and which use various classification systems for CoE and SoR into GRADE and a consistent visual style.
ER  -

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