DEWIDAR, O., T. LOTFI, M. 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. I. LEONTIADIS, J. J. MEERPOHL, T. PIGGOTT, A. QASEEM, M. MATTHEWS and H. J. SCHÜNEMANN. Which actionable statements qualify as good practice statements In Covid-19 guidelines? A systematic appraisal. BMJ EVIDENCE-BASED MEDICINE. London: BMJ PUBLISHING GROUP, 2022, vol. 27, No 6, p. 361-369. ISSN 2515-446X. Available from: https://dx.doi.org/10.1136/bmjebm-2021-111866.
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Basic information
Original name Which actionable statements qualify as good practice statements In Covid-19 guidelines? A systematic appraisal
Authors DEWIDAR, O., T. LOTFI, M. 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. I. LEONTIADIS, J. J. MEERPOHL, T. PIGGOTT, A. QASEEM, M. MATTHEWS and H. J. SCHÜNEMANN (guarantor).
Edition BMJ EVIDENCE-BASED MEDICINE, London, BMJ PUBLISHING GROUP, 2022, 2515-446X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30218 General and internal medicine
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 5.800
RIV identification code RIV/00216224:14110/22:00126087
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1136/bmjebm-2021-111866
UT WoS 000783808300001
Keywords in English COVID-19; Evidence-Based Practice; Health Services Research
Tags 14119612, 14119613, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 16/1/2023 14:28.
Abstract
Objectives To evaluate the development and quality of actionable statements that qualify as good practice statements (GPS) reported in COVID-19 guidelines. Design and setting Systematic review . We searched MEDLINE, MedSci, China National Knowledge Infrastructure (CNKI), databases of Grading of Recommendations Assessment, Development and Evaluation (GRADE) Guidelines, NICE, WHO and Guidelines International Network (GIN) from March 2020 to September 2021. We included original or adapted recommendations addressing any COVID-19 topic. Main outcome measures We used GRADE Working Group criteria for assessing the appropriateness of issuing a GPS: (1) clear and actionable; (2) rationale necessitating the message for healthcare practice; (3) practicality of systematically searching for evidence; (4) likely net positive consequences from implementing the GPS and (5) clear link to the indirect evidence. We assessed guideline quality using the Appraisal of Guidelines for Research and Evaluation II tool. Results 253 guidelines from 44 professional societies issued 3726 actionable statements. We classified 2375 (64%) as GPS; of which 27 (1%) were labelled as GPS by guideline developers. 5 (19%) were labelled as GPS by their authors but did not meet GPS criteria. Of the 2375 GPS, 85% were clear and actionable; 59% provided a rationale necessitating the message for healthcare practice, 24% reported the net positive consequences from implementing the GPS. Systematic collection of evidence was deemed impractical for 13% of the GPS, and 39% explained the chain of indirect evidence supporting GPS development. 173/2375 (7.3%) statements explicitly satisfied all five criteria. The guidelines' overall quality was poor regardless of the appropriateness of GPS development and labelling. Conclusions Statements that qualify as GPS are common in COVID-19 guidelines but are characterised by unclear designation and development processes, and methodological weaknesses.
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