Good or best practice statements: proposal for the
operationalisation and implementation of GRADE guidance

J 2023

Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance

DEWIDAR, O., T. LOTFI, M. W. LANGENDAM, E. PARMELLI, Z. SAZ PARKINSON et. al.

Basic information

Original name

Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance

Authors

DEWIDAR, O., T. LOTFI, M. W. LANGENDAM, E. PARMELLI, Z. SAZ PARKINSON, K. SOLO, D. K. CHU, J. L. MATHEW, E. A. AKL, R. BRIGNARDELLO-PETERSEN, R. A. MUSTAFA, L. MOJA, A. IORIO, Y. CHI, C. CANELO-AYBAR, T. KREDO, J. KARPUSHEFF, A. F. TURGEON, P. ALONSO-COELLO, W. WIERCIOCH, A. GERRITSEN, Miloslav KLUGAR (203 Czech Republic, belonging to the institution), M. X. ROJAS, P. TUGWELL, V. A. WELCH, K. POTTIE, Z. MUNN, R. NIEUWLAAT, N. FORD, A. STEVENS, J. KHABSA, Z. NASIR, G. LEONTIADIS, J. MEERPOHL, T. PIGGOTT, A. QASEEM, M. MATTHEWS and H. J. SCHÜNEMANN (guarantor)

Edition

BMJ EVIDENCE-BASED MEDICINE, London, BMJ PUBLISHING GROUP, 2023, 2515-446X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30230 Other clinical medicine subjects

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 5.800 in 2022

RIV identification code

RIV/00216224:14110/23:00129963

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1136/bmjebm-2022-111962

UT WoS

000783805700001

Keywords in English

COVID-19; Evidence-Based Practice

Abstract

V originále

An evidence-based approach is considered the gold standard for health decision-making. Sometimes, a guideline panel might judge the certainty that the desirable effects of an intervention clearly outweigh its undesirable effects as high, but the body of supportive evidence is indirect. In such cases, the application of the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach for grading the strength of recommendations is inappropriate. Instead, the GRADE Working Group has recommended developing ungraded best or good practice statement (GPS) and developed guidance under which circumsances they would be appropriate.Through an evaluation of COVID-1- related recommendations on the eCOVID Recommendation Map (COVID-19.recmap.org), we found that recommendations qualifying a GPS were widespread. However, guideline developers failed to label them as GPS or transparently report justifications for their development. We identified ways to improve and facilitate the operationalisation and implementation of the GRADE guidance for GPS.Herein, we propose a structured process for the development of GPSs that includes applying a sequential order for the GRADE guidance for developing GPS. This operationalisation considers relevant evidence-to-decision criteria when assessing the net consequences of implementing the statement, and reporting information supporting judgments for each criterion. We also propose a standardised table to facilitate the identification of GPS and reporting of their development. This operationalised guidance, if endorsed by guideline developers, may palliate some of the shortcomings identified. Our proposal may also inform future updates of the GRADE guidance for GPS.

Citovat

DEWIDAR, O., T. LOTFI, M. W. LANGENDAM, E. PARMELLI, Z. SAZ PARKINSON, K. SOLO, D. K. CHU, J. L. MATHEW, E. A. AKL, R. BRIGNARDELLO-PETERSEN, R. A. MUSTAFA, L. MOJA, A. IORIO, Y. CHI, C. CANELO-AYBAR, T. KREDO, J. KARPUSHEFF, A. F. TURGEON, P. ALONSO-COELLO, W. WIERCIOCH, A. GERRITSEN, Miloslav KLUGAR, M. X. ROJAS, P. TUGWELL, V. A. WELCH, K. POTTIE, Z. MUNN, R. NIEUWLAAT, N. FORD, A. STEVENS, J. KHABSA, Z. NASIR, G. LEONTIADIS, J. MEERPOHL, T. PIGGOTT, A. QASEEM, M. MATTHEWS and H. J. SCHÜNEMANN. Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance. BMJ EVIDENCE-BASED MEDICINE. London: BMJ PUBLISHING GROUP, 2023, vol. 28, No 3, p. 189-196. ISSN 2515-446X. Available from: https://dx.doi.org/10.1136/bmjebm-2022-111962.

@article{1849263,
   author = {Dewidar, O. and Lotfi, T. and Langendam, M. W. and Parmelli, E. and Saz Parkinson, Z. and Solo, K. and Chu, D. K. and Mathew, J. L. and Akl, E. A. and BrignardelloandPetersen, R. and Mustafa, R. A. and Moja, L. and Iorio, A. and Chi, Y. and CaneloandAybar, C. and Kredo, T. and Karpusheff, J. and Turgeon, A. F. and AlonsoandCoello, P. and Wiercioch, W. and Gerritsen, A. and Klugar, Miloslav and Rojas, M. X. and Tugwell, P. and Welch, V. A. and Pottie, K. and Munn, Z. and Nieuwlaat, R. and Ford, N. and Stevens, A. and Khabsa, J. and Nasir, Z. and Leontiadis, G. and Meerpohl, J. and Piggott, T. and Qaseem, A. and Matthews, M. and Schünemann, H. J.},
   article_location = {London},
   article_number = {3},
   doi = {http://dx.doi.org/10.1136/bmjebm-2022-111962},
   keywords = {COVID-19; Evidence-Based Practice},
   language = {eng},
   issn = {2515-446X},
   journal = {BMJ EVIDENCE-BASED MEDICINE},
   title = {Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance},
   url = {https://ebm.bmj.com/content/early/2022/04/24/bmjebm-2022-111962},
   volume = {28},
   year = {2023}
}

TY  - JOUR
ID  - 1849263
AU  - Dewidar, O. - Lotfi, T. - Langendam, M. W. - Parmelli, E. - Saz Parkinson, Z. - Solo, K. - Chu, D. K. - Mathew, J. L. - Akl, E. A. - Brignardello-Petersen, R. - Mustafa, R. A. - Moja, L. - Iorio, A. - Chi, Y. - Canelo-Aybar, C. - Kredo, T. - Karpusheff, J. - Turgeon, A. F. - Alonso-Coello, P. - Wiercioch, W. - Gerritsen, A. - Klugar, Miloslav - Rojas, M. X. - Tugwell, P. - Welch, V. A. - Pottie, K. - Munn, Z. - Nieuwlaat, R. - Ford, N. - Stevens, A. - Khabsa, J. - Nasir, Z. - Leontiadis, G. - Meerpohl, J. - Piggott, T. - Qaseem, A. - Matthews, M. - Schünemann, H. J.
PY  - 2023
TI  - Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance
JF  - BMJ EVIDENCE-BASED MEDICINE
VL  - 28
IS  - 3
SP  - 189-196
EP  - 189-196
PB  - BMJ PUBLISHING GROUP
SN  - 2515446X
KW  - COVID-19
KW  - Evidence-Based Practice
UR  - https://ebm.bmj.com/content/early/2022/04/24/bmjebm-2022-111962
N2  - An evidence-based approach is considered the gold standard for health decision-making. Sometimes, a guideline panel might judge the certainty that the desirable effects of an intervention clearly outweigh its undesirable effects as high, but the body of supportive evidence is indirect. In such cases, the application of the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach for grading the strength of recommendations is inappropriate. Instead, the GRADE Working Group has recommended developing ungraded best or good practice statement (GPS) and developed guidance under which circumsances they would be appropriate.Through an evaluation of COVID-1- related recommendations on the eCOVID Recommendation Map (COVID-19.recmap.org), we found that recommendations qualifying a GPS were widespread. However, guideline developers failed to label them as GPS or transparently report justifications for their development. We identified ways to improve and facilitate the operationalisation and implementation of the GRADE guidance for GPS.Herein, we propose a structured process for the development of GPSs that includes applying a sequential order for the GRADE guidance for developing GPS. This operationalisation considers relevant evidence-to-decision criteria when assessing the net consequences of implementing the statement, and reporting information supporting judgments for each criterion. We also propose a standardised table to facilitate the identification of GPS and reporting of their development. This operationalised guidance, if endorsed by guideline developers, may palliate some of the shortcomings identified. Our proposal may also inform future updates of the GRADE guidance for GPS.
ER  -

DEWIDAR, O., T. LOTFI, M. W. LANGENDAM, E. PARMELLI, Z. SAZ PARKINSON, K. SOLO, D. K. CHU, J. L. MATHEW, E. A. AKL, R. BRIGNARDELLO-PETERSEN, R. A. MUSTAFA, L. MOJA, A. IORIO, Y. CHI, C. CANELO-AYBAR, T. KREDO, J. KARPUSHEFF, A. F. TURGEON, P. ALONSO-COELLO, W. WIERCIOCH, A. GERRITSEN, Miloslav KLUGAR, M. X. ROJAS, P. TUGWELL, V. A. WELCH, K. POTTIE, Z. MUNN, R. NIEUWLAAT, N. FORD, A. STEVENS, J. KHABSA, Z. NASIR, G. LEONTIADIS, J. MEERPOHL, T. PIGGOTT, A. QASEEM, M. MATTHEWS and H. J. SCHÜNEMANN. Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance. \textit{BMJ EVIDENCE-BASED MEDICINE}. London: BMJ PUBLISHING GROUP, 2023, vol.~28, No~3, p.~189-196. ISSN~2515-446X. Available from: https://dx.doi.org/10.1136/bmjebm-2022-111962.

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