Visual transformation for guidelines presentation of the
strength of recommendations and the certainty of evidence

J 2022

Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence

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

Basic information

Original name

Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence

Authors

KLUGAR, Miloslav (203 Czech Republic, guarantor, 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) and Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution)

Edition

Journal of Clinical Epidemiology, New York, Elsevier, 2022, 0895-4356

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 7.200

RIV identification code

RIV/00216224:14110/22:00125050

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jclinepi.2021.11.009

UT WoS

000742854500004

Keywords in English

GRADE; clinical practice guidelines; certainty of evidence; strength of recommendations; visual style; good practice statements

Abstract

V originále

Objective The objective of this paper is to propose an approach to visual unification of adapted guidelines and transformation of classifications of certainty of evidence (CoE) and strength of recommendations (SoR) into the approach suggested by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group. Study design and Setting 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 the chosen eight guidelines showed significant heterogeneity in the visual presentation of recommendations. Recommendations were often worded similarly to whether or not they were strong or conditional. Many guidelines contained "statements", almost all of which did not fulfill the good practice statement (GPS) criteria. 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. Conclusion Guideline developers should aim for unification in the formulation of recommendations to improve transferability.

Links

EF19_073/0016943, research and development project

Name: Interní grantová agentura Masarykovy univerzity

LTC20031, research and development project

Name: 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

MUNI/IGA/1068/2020, interní kód MU

Name: Methodological and practical aspects of the development of guidelines and rapid guidelines in public health (Acronym: RAPguidelines-public-health)

Investor: Masaryk University

Citovat

KLUGAR, Miloslav, Lucia KANTOROVÁ, Andrea POKORNÁ, Radim LÍČENÍK, Ladislav DUŠEK, Holger J . SCHÜNEMANN, Abanoub RIAD, Jiří KANTOR and Jitka KLUGAROVÁ. Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence. Journal of Clinical Epidemiology. New York: Elsevier, 2022, vol. 143, March 2022, p. 178-185. ISSN 0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2021.11.009.

@article{1803892,
   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},
   article_location = {New York},
   article_number = {March 2022},
   doi = {http://dx.doi.org/10.1016/j.jclinepi.2021.11.009},
   keywords = {GRADE; clinical practice guidelines; certainty of evidence; strength of recommendations; visual style; good practice statements},
   language = {eng},
   issn = {0895-4356},
   journal = {Journal of Clinical Epidemiology},
   title = {Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence},
   url = {https://www.sciencedirect.com/science/article/pii/S0895435621003619?via%3Dihub#!},
   volume = {143},
   year = {2022}
}

TY  - JOUR
ID  - 1803892
AU  - Klugar, Miloslav - Kantorová, Lucia - Pokorná, Andrea - Líčeník, Radim - Dušek, Ladislav - Schünemann, Holger J . - Riad, Abanoub - Kantor, Jiří - Klugarová, Jitka
PY  - 2022
TI  - Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence
JF  - Journal of Clinical Epidemiology
VL  - 143
IS  - March 2022
SP  - 178-185
EP  - 178-185
PB  - Elsevier
SN  - 08954356
KW  - GRADE
KW  - clinical practice guidelines
KW  - certainty of evidence
KW  - strength of recommendations
KW  - visual style
KW  - good practice statements
UR  - https://www.sciencedirect.com/science/article/pii/S0895435621003619?via%3Dihub#!
N2  - Objective The objective of this paper is to propose an approach to visual unification of adapted guidelines and transformation of classifications of certainty of evidence (CoE) and strength of recommendations (SoR) into the approach suggested by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group. Study design and Setting 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 the chosen eight guidelines showed significant heterogeneity in the visual presentation of recommendations. Recommendations were often worded similarly to whether or not they were strong or conditional. Many guidelines contained "statements", almost all of which did not fulfill the good practice statement (GPS) criteria. 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. Conclusion Guideline developers should aim for unification in the formulation of recommendations to improve transferability.
ER  -

KLUGAR, Miloslav, Lucia KANTOROVÁ, Andrea POKORNÁ, Radim LÍČENÍK, Ladislav DUŠEK, Holger J . SCHÜNEMANN, Abanoub RIAD, Jiří KANTOR and Jitka KLUGAROVÁ. Visual transformation for guidelines presentation of the strength of recommendations and the certainty of evidence. \textit{Journal of Clinical Epidemiology}. New York: Elsevier, 2022, vol.~143, March 2022, p.~178-185. ISSN~0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2021.11.009.

Detailed Information on Publication Record