Implementing the transparent and rigour evidence-based methodology of clinical practice guideline development in the Czech Republic

KLUGAROVÁ, Jitka, Tereza VRBOVÁ, Andrea POKORNÁ, Lucia KANTOROVÁ, Radim LÍČENÍK and Miloslav KLUGAR. Implementing the transparent and rigour evidence-based methodology of clinical practice guideline development in the Czech Republic. In GIN 2022, Toronto. 2022.

Basic information

• Original name: Implementing the transparent and rigour evidence-based methodology of clinical practice guideline development in the Czech Republic
• Authors: KLUGAROVÁ, Jitka, Tereza VRBOVÁ, Andrea POKORNÁ, Lucia KANTOROVÁ, Radim LÍČENÍK and Miloslav KLUGAR.
• Edition: GIN 2022, Toronto, 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
• Organization unit: Faculty of Medicine
• Keywords in English: Clinical practice guideline; Evidence-based healthcare; Czech Healthcare System; GRADE

Abstract

Objective The main aim of this project is to implement the transparent and rigour Evidence-based methodology of clinical practice guideline (CPG) development in the Czech Healthcare System. Methods Within the national guidelines project led by the Czech Health Research Council and the Ministry of Health and Institute of Health Information and Statistics of the Czech Republic, we settled the Czech National methodology of the CPG development based on the GRADE approach. This methodology has been implemented in the Czech Republic since 2018 using the JBI implementation model based on the clinical audits/feedback and GRiP (Getting Research into Practice) framework. The baseline audit was conducted in November 2017, and the follow-up audits in June 2019 and November 2020. Results A baseline audit identified 1909 clinical practice guidelines (CPGs) developed by 123 professional healthcare organisations. However, most of these CPGs were expert opinion or consensual based guidelines. There was no CPG developed based on the GRADE approach. The main obstacles to implementing the Czech national CPG methodology were: lack of knowledge of CPG development and missing motivation for trustworthy CPG development and its use. The implementation strategies involved organisation of workshops focused on the CPG development, including systematic review and GRADE, followed by the individual methodology support for teams developing CPGs. After the implementation phase, an increase in compliance in all set-up audit criteria has been verified. Discussion Implementation is a crucial part of the Evidence-Based Healthcare. Essential is to choose the suitable implementation model and especially get on board key stakeholders.