Application of methodology for the visual transformation of the strength of recommendation and the certainty of evidence to GRADE in guideline adoption, adaptation and adolopment projects

KLUGAR, Miloslav, Lucia KANTOROVÁ, Andrea POKORNÁ, Tereza VRBOVÁ, Radim LÍČENÍK, Petra BÚŘILOVÁ, Jiří BÚŘIL, Tereza FRIESSOVÁ, Andrea GABRIELOVÁ, Dagmar TUČKOVÁ and Jitka KLUGAROVÁ. Application of methodology for the visual transformation of the strength of recommendation and the certainty of evidence to GRADE in guideline adoption, adaptation and adolopment projects. In GIN 2022. 2022.

Basic information

• Original name: Application of methodology for the visual transformation of the strength of recommendation and the certainty of evidence to GRADE in guideline adoption, adaptation and adolopment projects
• Authors: KLUGAR, Miloslav (203 Czech Republic, belonging to the institution), Lucia KANTOROVÁ (703 Slovakia, belonging to the institution), Andrea POKORNÁ (203 Czech Republic, belonging to the institution), Tereza VRBOVÁ (203 Czech Republic, belonging to the institution), Radim LÍČENÍK (203 Czech Republic, belonging to the institution), Petra BÚŘILOVÁ (203 Czech Republic, belonging to the institution), Jiří BÚŘIL (203 Czech Republic, belonging to the institution), Tereza FRIESSOVÁ (203 Czech Republic, belonging to the institution), Andrea GABRIELOVÁ (203 Czech Republic, belonging to the institution), Dagmar TUČKOVÁ and Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution).
• Edition: GIN 2022, 2022.

Other information

• Original language: English
• Type of outcome: Conference abstract
• Field of Study: 30230 Other clinical medicine subjects
• Country of publisher: Canada
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• RIV identification code: RIV/00216224:14110/22:00126836
• Organization unit: Faculty of Medicine
• Keywords in English: GRADE; adoption; adaptation; adolopment

Abstract

Background Guideline developers worldwide have been using a range of systems to rate the strength of recommendation (SoR) and certainty of evidence (CoE). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system has been increasingly adapted by many organizations; however, even when using GRADE, authors of guidelines have so far been left relatively free to choose from a few options for depicting the CoE and SoR and the visual form of presenting recommendations that best suit their needs. Objective Our aim is to demonstrate the application of an approach to visual unification of adopted, adapted or adoloped guidelines and the transformation of classifications of CoE and SoR into the approach suggested by the GRADE working group. Methods We applied the methodology of visual transformation1 to all developed guidelines in the Czech National Guideline Project (CNGP). Results Currently, on the CNPG portal are published 22 guidelines developed by several methodological approaches: adoption; adaptation; adolopment; and de novo, and their executive summaries, which all use the visual transformation methodology. Discussion We applied in CNPG an approach for transforming recommendations that use various classification systems for CoE and SoR into GRADE and a consistent visual style. We also used this approach retrospectively to unify the presentation of recommendations in all our guidelines, thus improving the clarity and understandability of guidelines to their Czech consumers.

Links

• LTC20031, research and development project: Name: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic

Investor: Ministry of Education, Youth and Sports of the CR, INTER-COST