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.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30304 Public and environmental health
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW 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
Tags 14119612, 14119613, rivok
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 19/7/2022 08:20.
Abstract
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.
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