J 2022

A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations

LOTFI, T., A. HAJIZADEH, L. MOJA, E. A. AKL, T. PIGGOTT et. al.

Základní údaje

Originální název

A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations

Autoři

LOTFI, T., A. HAJIZADEH, L. MOJA, E. A. AKL, T. PIGGOTT, T. KREDO, M. W. LANGENDAM, A. IORIO, Miloslav KLUGAR (203 Česká republika, domácí), Jitka KLUGAROVÁ (203 Česká republika, domácí), I. NEUMANN, W. WIERCIOCH, G. I. LEONTIADIS, L. MBUAGBAW, A. F. TURGEON, J. MEERPOHL, A. STEVENS, J. BROZEK, N. SANTESSO, K. POTTIE, O. DEWIDAR, S. A. FLOTTORP, J. KARPUSHEFF, Z. SAZ-PARKINSON, M. X. ROJAS, E. PARMELLI, D. K. CHU, P. TUGWELL, V. WELCH, M. T. AVEY, R. BRIGNARDELLO-PETERSEN, J. L. MATHEW, Z. MUNN, R. NIEUWLAAT, N. FORD, A. QASEEM, L. M. ASKIE a H. J. SCHÜNEMANN (garant)

Vydání

Journal of clinical epidemiology, New York, Elsevier, 2022, 0895-4356

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 7.200

Kód RIV

RIV/00216224:14110/22:00126090

Organizační jednotka

Lékařská fakulta

UT WoS

000821354900006

Klíčová slova anglicky

Guidelines; Standards; Recommendations; GRADE; Practice statements; Policy

Štítky

Změněno: 19. 7. 2022 08:20, Mgr. Tereza Miškechová

Anotace

V originále

Objective To propose a taxonomy and framework that identifies and presents actionable statements in guidelines. Study design and setting We took an iterative approach reviewing case studies of guidelines produced by the World Health Organization and the American Society of Hematology to develop an initial conceptual framework. We then tested it using randomly selected recommendations from published guidelines addressing COVID-19 from different organizations, evaluated its results, and refined it before retesting. The urgency and availability of evidence for development of these recommendations varied. We consulted with experts in research methodology and guideline developers to improve the final framework. Results The resulting taxonomy and framework distinguishes five types of actional statements: formal recommendations; research recommendations; good practice statements; implementation considerations, tools and tips; and informal recommendations. These statements should respond to a priori established criteria and require a clear structure and recognizable presentation in a guideline. Most importantly, this framework identifies informal recommendations that differ from formal recommendations by how they consider evidence and in their development process. Conclusion The identification, standardization and explicit labelling of actionable statements according to the framework may support guideline developers to create actionable statements with clear intent, avoid informal recommendations and improve their understanding and implementation by users.