GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or
create contextualized recommendations from source guidelines
and evidence syntheses

J 2024

GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses

KLUGAR, Miloslav, Tamara LOTFI, Andrea J DARZI, Marge REINAP, Jitka KLUGAROVA et. al.

Basic information

Original name

GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses

Authors

KLUGAR, Miloslav, Tamara LOTFI, Andrea J DARZI, Marge REINAP, Jitka KLUGAROVA, Lucia KANTOROVA, Jun XIA, Romina BRIGNARDELLO-PETERSEN, Andrea POKORNÁ (203 Czech Republic, belonging to the institution), Glen HAZLEWOOD, Zachary MUNN, Rebecca L MORGAN, Ingrid TOEWS, Ignacio NEUMANN, Patraporn BHATARASAKOON, Airton Tetelbom STEIN, Michael MCCAUL, Alexander G MATHIOUDAKIS, Kristen E D'ANCI, Grigorios I LEONTIADIS, Celeste NAUDE, Lenny T VASANTHAN, Joanne KHABSA, Malgorzata M BALA, Reem MUSTAFA, Karen DiValerio GIBBS, Robby NIEUWLAAT, Nancy SANTESSO, Dawid PIEPER, Saphia MOKRANE, Israa SOGHIER, Wanchai LERTWATTHANAWILAT, Wojtek WIERCIOCH, Shahnaz SULTAN, Jana ROZMARINOVA, Pavla DRAPACOVA, Yang SONG, Marwa AMER, Yasser S AMER, Shahab SAYFI, Ilse M VERSTIJNEN, Ein-Soon SHIN, Zuleika SAZ-PARKINSON, Kevin POTTIE, Alessandra RUSPI, Ana MARUSIC, K M SAIF-UR-RAHMAN, Maria X ROJAS, Elie A AKL and Holger J SCHUNEMANN

Edition

Journal of clinical epidemiology, New York, Elsevier, 2024, 0895-4356

Other information

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

References:

URL

Impact factor

Impact factor: 7.300 in 2023

RIV identification code

RIV/00216224:14110/24:00137433

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jclinepi.2024.111494

UT WoS

001333305700001

EID Scopus

2-s2.0-85203628708

Keywords in English

GRADE; Guidelines; Adaptation; Adoption; Adolopment; Systematic reviews; Contextualization; Global health; Research waste

Abstract

V originále

Background and Objective: The Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-ADOLOPMENT methodology has been widely used to adopt, adapt, or de novo develop recommendations from existing or new guideline and evidence synthesis efforts. The objective of this guidance is to refine the operationalization for applying GRADE-ADOLOPMENT. Methods: Through iterative discussions, online meetings, and email communications, the GRADE-ADOLOPMENT project group drafted the updated guidance. We then conducted a review of handbooks of guideline-producing organizations, and a scoping review of published and planned adolopment guideline projects. The lead authors refined the existing approach based on the scoping review findings and feedback from members of the GRADE working group. We presented the revised approach to the group in November 2022 (approximately 115 people), in May 2023 (approximately 100 people), and twice in September 2023 (approximately 60 and 90 people) for approval. Results: This GRADE guidance shows how to effectively and efficiently contextualize recommendations using the GRADEADOLOPMENT approach by doing the following: (1) showcasing alternative pathways for starting an adolopment effort; (2) elaborating on the different essential steps of this approach, such as building on existing evidence-to-decision (EtDs), when available or developing new EtDs, if necessary; and (3) providing examples from adolopment case studies to facilitate the application of the approach. We demonstrate how to use contextual evidence to make judgments about EtD criteria, and highlight the importance of making the resulting EtDs available to facilitate adolopment efforts by others. Conclusion: This updated GRADE guidance further operationalizes the application of GRADE-ADOLOPMENT based on over 6 years of experience. It serves to support uptake and application by end users interested in contextualizing recommendations to a local setting or specific reality in a short period of time or with limited resources. (c) 2024 Published by Elsevier Inc.

Cite

KLUGAR, Miloslav, Tamara LOTFI, Andrea J DARZI, Marge REINAP, Jitka KLUGAROVA, Lucia KANTOROVA, Jun XIA, Romina BRIGNARDELLO-PETERSEN, Andrea POKORNÁ, Glen HAZLEWOOD, Zachary MUNN, Rebecca L MORGAN, Ingrid TOEWS, Ignacio NEUMANN, Patraporn BHATARASAKOON, Airton Tetelbom STEIN, Michael MCCAUL, Alexander G MATHIOUDAKIS, Kristen E D'ANCI, Grigorios I LEONTIADIS, Celeste NAUDE, Lenny T VASANTHAN, Joanne KHABSA, Malgorzata M BALA, Reem MUSTAFA, Karen DiValerio GIBBS, Robby NIEUWLAAT, Nancy SANTESSO, Dawid PIEPER, Saphia MOKRANE, Israa SOGHIER, Wanchai LERTWATTHANAWILAT, Wojtek WIERCIOCH, Shahnaz SULTAN, Jana ROZMARINOVA, Pavla DRAPACOVA, Yang SONG, Marwa AMER, Yasser S AMER, Shahab SAYFI, Ilse M VERSTIJNEN, Ein-Soon SHIN, Zuleika SAZ-PARKINSON, Kevin POTTIE, Alessandra RUSPI, Ana MARUSIC, K M SAIF-UR-RAHMAN, Maria X ROJAS, Elie A AKL and Holger J SCHUNEMANN. GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses. Journal of clinical epidemiology. New York: Elsevier, 2024, vol. 174, October 2024, p. 1-15. ISSN 0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2024.111494.

@article{2446259,
   author = {Klugar, Miloslav and Lotfi, Tamara and Darzi, Andrea J and Reinap, Marge and Klugarova, Jitka and Kantorova, Lucia and Xia, Jun and BrignardelloandPetersen, Romina and Pokorná, Andrea and Hazlewood, Glen and Munn, Zachary and Morgan, Rebecca L and Toews, Ingrid and Neumann, Ignacio and Bhatarasakoon, Patraporn and Stein, Airton Tetelbom and Mccaul, Michael and Mathioudakis, Alexander G and D'Anci, Kristen E and Leontiadis, Grigorios I and Naude, Celeste and Vasanthan, Lenny T and Khabsa, Joanne and Bala, Malgorzata M and Mustafa, Reem and Gibbs, Karen DiValerio and Nieuwlaat, Robby and Santesso, Nancy and Pieper, Dawid and Mokrane, Saphia and Soghier, Israa and Lertwatthanawilat, Wanchai and Wiercioch, Wojtek and Sultan, Shahnaz and Rozmarinova, Jana and Drapacova, Pavla and Song, Yang and Amer, Marwa and Amer, Yasser S and Sayfi, Shahab and Verstijnen, Ilse M and Shin, EinandSoon and SazandParkinson, Zuleika and Pottie, Kevin and Ruspi, Alessandra and Marusic, Ana and SaifandUrandRahman, K M and Rojas, Maria X and Akl, Elie A and Schunemann, Holger J},
   article_location = {New York},
   article_number = {October 2024},
   doi = {http://dx.doi.org/10.1016/j.jclinepi.2024.111494},
   keywords = {GRADE; Guidelines; Adaptation; Adoption; Adolopment; Systematic reviews; Contextualization; Global health; Research waste},
   language = {eng},
   issn = {0895-4356},
   journal = {Journal of clinical epidemiology},
   title = {GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses},
   url = {https://www.sciencedirect.com/science/article/pii/S0895435624002506?via%3Dihub},
   volume = {174},
   year = {2024}
}

TY  - JOUR
ID  - 2446259
AU  - Klugar, Miloslav - Lotfi, Tamara - Darzi, Andrea J - Reinap, Marge - Klugarova, Jitka - Kantorova, Lucia - Xia, Jun - Brignardello-Petersen, Romina - Pokorná, Andrea - Hazlewood, Glen - Munn, Zachary - Morgan, Rebecca L - Toews, Ingrid - Neumann, Ignacio - Bhatarasakoon, Patraporn - Stein, Airton Tetelbom - Mccaul, Michael - Mathioudakis, Alexander G - D'Anci, Kristen E - Leontiadis, Grigorios I - Naude, Celeste - Vasanthan, Lenny T - Khabsa, Joanne - Bala, Malgorzata M - Mustafa, Reem - Gibbs, Karen DiValerio - Nieuwlaat, Robby - Santesso, Nancy - Pieper, Dawid - Mokrane, Saphia - Soghier, Israa - Lertwatthanawilat, Wanchai - Wiercioch, Wojtek - Sultan, Shahnaz - Rozmarinova, Jana - Drapacova, Pavla - Song, Yang - Amer, Marwa - Amer, Yasser S - Sayfi, Shahab - Verstijnen, Ilse M - Shin, Ein-Soon - Saz-Parkinson, Zuleika - Pottie, Kevin - Ruspi, Alessandra - Marusic, Ana - Saif-Ur-Rahman, K M - Rojas, Maria X - Akl, Elie A - Schunemann, Holger J
PY  - 2024
TI  - GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses
JF  - Journal of clinical epidemiology
VL  - 174
IS  - October 2024
SP  - 1-15
EP  - 1-15
PB  - Elsevier
SN  - 08954356
KW  - GRADE
KW  - Guidelines
KW  - Adaptation
KW  - Adoption
KW  - Adolopment
KW  - Systematic reviews
KW  - Contextualization
KW  - Global health
KW  - Research waste
UR  - https://www.sciencedirect.com/science/article/pii/S0895435624002506?via%3Dihub
N2  - Background and Objective: The Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-ADOLOPMENT methodology has been widely used to adopt, adapt, or de novo develop recommendations from existing or new guideline and evidence synthesis efforts. The objective of this guidance is to refine the operationalization for applying GRADE-ADOLOPMENT. Methods: Through iterative discussions, online meetings, and email communications, the GRADE-ADOLOPMENT project group drafted the updated guidance. We then conducted a review of handbooks of guideline-producing organizations, and a scoping review of published and planned adolopment guideline projects. The lead authors refined the existing approach based on the scoping review findings and feedback from members of the GRADE working group. We presented the revised approach to the group in November 2022 (approximately 115 people), in May 2023 (approximately 100 people), and twice in September 2023 (approximately 60 and 90 people) for approval. Results: This GRADE guidance shows how to effectively and efficiently contextualize recommendations using the GRADEADOLOPMENT approach by doing the following: (1) showcasing alternative pathways for starting an adolopment effort; (2) elaborating on the different essential steps of this approach, such as building on existing evidence-to-decision (EtDs), when available or developing new EtDs, if necessary; and (3) providing examples from adolopment case studies to facilitate the application of the approach. We demonstrate how to use contextual evidence to make judgments about EtD criteria, and highlight the importance of making the resulting EtDs available to facilitate adolopment efforts by others. Conclusion: This updated GRADE guidance further operationalizes the application of GRADE-ADOLOPMENT based on over 6 years of experience. It serves to support uptake and application by end users interested in contextualizing recommendations to a local setting or specific reality in a short period of time or with limited resources. (c) 2024 Published by Elsevier Inc.
ER  -

KLUGAR, Miloslav, Tamara LOTFI, Andrea J DARZI, Marge REINAP, Jitka KLUGAROVA, Lucia KANTOROVA, Jun XIA, Romina BRIGNARDELLO-PETERSEN, Andrea POKORNÁ, Glen HAZLEWOOD, Zachary MUNN, Rebecca L MORGAN, Ingrid TOEWS, Ignacio NEUMANN, Patraporn BHATARASAKOON, Airton Tetelbom STEIN, Michael MCCAUL, Alexander G MATHIOUDAKIS, Kristen E D'ANCI, Grigorios I LEONTIADIS, Celeste NAUDE, Lenny T VASANTHAN, Joanne KHABSA, Malgorzata M BALA, Reem MUSTAFA, Karen DiValerio GIBBS, Robby NIEUWLAAT, Nancy SANTESSO, Dawid PIEPER, Saphia MOKRANE, Israa SOGHIER, Wanchai LERTWATTHANAWILAT, Wojtek WIERCIOCH, Shahnaz SULTAN, Jana ROZMARINOVA, Pavla DRAPACOVA, Yang SONG, Marwa AMER, Yasser S AMER, Shahab SAYFI, Ilse M VERSTIJNEN, Ein-Soon SHIN, Zuleika SAZ-PARKINSON, Kevin POTTIE, Alessandra RUSPI, Ana MARUSIC, K M SAIF-UR-RAHMAN, Maria X ROJAS, Elie A AKL and Holger J SCHUNEMANN. GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses. \textit{Journal of clinical epidemiology}. New York: Elsevier, 2024, vol.~174, October 2024, p.~1-15. ISSN~0895-4356. Available from: https://dx.doi.org/10.1016/j.jclinepi.2024.111494.

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