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

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.

Basic information

Original name

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

Authors

LOTFI, T., A. HAJIZADEH, L. MOJA, E. A. AKL, T. PIGGOTT, T. KREDO, M. W. LANGENDAM, A. IORIO, Miloslav KLUGAR (203 Czech Republic, belonging to the institution), Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution), 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 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/00216224:14110/22:00126090

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jclinepi.2021.09.028

UT WoS

000821354900006

Keywords in English

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

Abstract

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.

Citovat

LOTFI, T., A. HAJIZADEH, L. MOJA, E. A. AKL, T. PIGGOTT, T. KREDO, M. W. LANGENDAM, A. IORIO, Miloslav KLUGAR, Jitka KLUGAROVÁ, 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 and H. J. SCHÜNEMANN. A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations. Journal of clinical epidemiology. New York: Elsevier, 2022, vol. 141, January 2022, p. 161-171. ISSN 0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2021.09.028.

@article{1861923,
   author = {Lotfi, T. and Hajizadeh, A. and Moja, L. and Akl, E. A. and Piggott, T. and Kredo, T. and Langendam, M. W. and Iorio, A. and Klugar, Miloslav and Klugarová, Jitka and Neumann, I. and Wiercioch, W. and Leontiadis, G. I. and Mbuagbaw, L. and Turgeon, A. F. and Meerpohl, J. and Stevens, A. and Brozek, J. and Santesso, N. and Pottie, K. and Dewidar, O. and Flottorp, S. A. and Karpusheff, J. and SazandParkinson, Z. and Rojas, M. X. and Parmelli, E. and Chu, D. K. and Tugwell, P. and Welch, V. and Avey, M. T. and BrignardelloandPetersen, R. and Mathew, J. L. and Munn, Z. and Nieuwlaat, R. and Ford, N. and Qaseem, A. and Askie, L. M. and Schünemann, H. J.},
   article_location = {New York},
   article_number = {January 2022},
   doi = {http://dx.doi.org/10.1016/j.jclinepi.2021.09.028},
   keywords = {Guidelines; Standards; Recommendations; GRADE; Practice statements; Policy},
   language = {eng},
   issn = {0895-4356},
   journal = {Journal of clinical epidemiology},
   title = {A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations},
   url = {https://www.jclinepi.com/article/S0895-4356(21)00314-0/fulltext#relatedArticles},
   volume = {141},
   year = {2022}
}

TY  - JOUR
ID  - 1861923
AU  - Lotfi, T. - Hajizadeh, A. - Moja, L. - Akl, E. A. - Piggott, T. - Kredo, T. - Langendam, M. W. - Iorio, A. - Klugar, Miloslav - Klugarová, Jitka - Neumann, I. - Wiercioch, W. - Leontiadis, G. I. - Mbuagbaw, L. - Turgeon, A. F. - Meerpohl, J. - Stevens, A. - Brozek, J. - Santesso, N. - Pottie, K. - Dewidar, O. - Flottorp, S. A. - Karpusheff, J. - Saz-Parkinson, Z. - Rojas, M. X. - Parmelli, E. - Chu, D. K. - Tugwell, P. - Welch, V. - Avey, M. T. - Brignardello-Petersen, R. - Mathew, J. L. - Munn, Z. - Nieuwlaat, R. - Ford, N. - Qaseem, A. - Askie, L. M. - Schünemann, H. J.
PY  - 2022
TI  - A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations
JF  - Journal of clinical epidemiology
VL  - 141
IS  - January 2022
SP  - 161-171
EP  - 161-171
PB  - Elsevier
SN  - 08954356
KW  - Guidelines
KW  - Standards
KW  - Recommendations
KW  - GRADE
KW  - Practice statements
KW  - Policy
UR  - https://www.jclinepi.com/article/S0895-4356(21)00314-0/fulltext#relatedArticles
N2  - 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.
ER  -

LOTFI, T., A. HAJIZADEH, L. MOJA, E. A. AKL, T. PIGGOTT, T. KREDO, M. W. LANGENDAM, A. IORIO, Miloslav KLUGAR, Jitka KLUGAROVÁ, 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 and H. J. SCHÜNEMANN. A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations. \textit{Journal of clinical epidemiology}. New York: Elsevier, 2022, vol.~141, January 2022, p.~161-171. ISSN~0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2021.09.028.

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