KLUGAR, Miloslav, Lucia KANTOROVÁ, Andrea POKORNÁ, Radim LÍČENÍK, Ladislav DUŠEK, Holger J SCHÜNEMANN, Abanoub RIAD, Jiří KANTOR and 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.
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Basic information
Original name Visual presentation of clinical practice guidelines, representations of the strength of recommendations and the certainty of evidence and their transformation to GRADE
Authors KLUGAR, Miloslav (203 Czech Republic, belonging to the institution), Lucia KANTOROVÁ (703 Slovakia, belonging to the institution), Andrea POKORNÁ (203 Czech Republic, belonging to the institution), Radim LÍČENÍK (203 Czech Republic, belonging to the institution), Ladislav DUŠEK (203 Czech Republic, belonging to the institution), Holger J SCHÜNEMANN, Abanoub RIAD (818 Egypt, belonging to the institution), Jiří KANTOR (203 Czech Republic, belonging to the institution) and Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution).
Edition GIN Conference 2021, 2021.
Other information
Original language English
Type of outcome Presentations at conferences
Field of Study 30304 Public and environmental health
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/21:00122797
Organization unit Faculty of Medicine
Keywords in English GRADE; Clinical practice guidelines; certainty of evidence
Changed by Changed by: Mgr. Bc. Alena Langaufová, Ph.D., učo 63919. Changed: 25/11/2021 11:32.
Abstract
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.
Links
LTC20031, research and development projectName: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic
Investor: Ministry of Education, Youth and Sports of the CR, INTER-COST
2019-1-CZ01-KA202-061350, interní kód MUName: Strategic Partnership in Innovation and Development of Evidence-Based Healthcare (Acronym: SPIDER)
Investor: European Union, Strategic Partnerships in the field of education, training and youth
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