J 2022

An evaluation of the eCOVID19 Recommendation Map identified diverging Clinical and Public Health guidance

NASIR, Z. H., D. MERTZ, R. NIEUWLAAT, N. SANTESSO, T. LOTFI et. al.

Basic information

Original name

An evaluation of the eCOVID19 Recommendation Map identified diverging Clinical and Public Health guidance

Authors

NASIR, Z. H., D. MERTZ, R. NIEUWLAAT, N. SANTESSO, T. LOTFI, A. MOTILALL, L. MOJA, L. MBUAGBAW, Miloslav KLUGAR (203 Czech Republic, belonging to the institution), A. F. TURGEON, J. L. MATHEW, C. CANELO-AYBAR, K. POTTIE, O. DEWIDAR, M. W. LANGENDAM, A. IORIO, G. E. VIST, J. J. MEERPOHL, S. FLOTTORP, T. KREDO, T. PIGGOTT, M. MATHEWS, A. QASEEM, D. K. CHU, P. TUGWELL, Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution), H. NELSON, H. HUSSEIN, J. SUVADA, I. NEUMANN and H. J. SCHÜNEMANN (guarantor)

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/00216224:14110/22:00125668

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jclinepi.2022.03.008

UT WoS

000808123800005

Keywords in English

COVID-19; Divergence; Discordance; GRADE; Guidelines; Recommendations

Tags

14119612, 14119613, rivok

Tags

International impact, Reviewed
Změněno: 19/7/2022 08:28, Mgr. Tereza Miškechová

Abstract

V originále

Objective To describe divergence between actionable statements issued by COVID-19 guideline developers catalogued on the “COVID-19 Recommendations and Gateway to Contextualization” platform. Study Design and Setting We defined divergence as at least two comparable actionable statements with different explicit judgements of strength, direction or subgroup consideration of the population or intervention. We applied content analysis to compare guideline development methods for a sample of diverging statements and to evaluate factors associated with divergence. Results Of the 138 guidelines evaluated, 85 (62%) contained at least one statement that diverged from another guideline. We identified 223 diverging statements in these 85 guidelines. We grouped statements into 66 clusters. Each cluster addressed the same population, intervention, and comparator group or just similar interventions. Clinical practice statements were more likely to diverge in explicit judgment of strength or direction compared to public health statements (Cramer’s V = 0.7, Fisher’s exact test; P <0.001). Statements were more likely to diverge in strength than direction. Date of publication, utilized evidence, interpretation of evidence, and contextualization considerations were associated with divergence. Conclusion More than half of the assessed guidelines issued at least one diverging statement. This study helps understanding the types of differences between guidelines issuing comparable statements and factors associated with their divergence.
Displayed: 18/11/2024 18:25