GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT

Holger J. Schünemann, Wojtek Wiercioch, Jan Brozek, Itziar Etxeandia-Ikobaltzeta, Reem A. Mustafa, Veena Manja, Romina Brignardello-Petersen, Ignacio Neumann, Maicon Falavigna, Waleed Alhazzani, Nancy Santesso, Yuan Zhang, Jörg J. Meerpohl, Rebecca L. Morgan, Bram Rochwerg, Andrea Darzi, Maria Ximenas Rojas, Alonso Carrasco-Labra, Yaser Adi, Zulfa AlRayeesJohn Riva, Claudia Bollig, Ainsley Moore, Juan José Yepes-Nuñez, Carlos Cuello, Reem Waziry, Elie A. Akl

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Background Guideline developers can: (1) adopt existing recommendations from others; (2) adapt existing recommendations to their own context; or (3) create recommendations de novo. Monetary and nonmonetary resources, credibility, maximization of uptake, as well as logical arguments should guide the choice of the approach and processes. Objectives To describe a potentially efficient model for guideline production based on adoption, adaptation, and/or de novo development of recommendations utilizing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks. Study Design and Setting We applied the model in a new national guideline program producing 22 practice guidelines. We searched for relevant evidence that informs the direction and strength of a recommendation. We then produced GRADE EtDs for guideline panels to develop recommendations. Results We produced a total of 80 EtD frameworks in approximately 4 months and 146 EtDs in approximately 6 months in two waves. Use of the EtD frameworks allowed panel members understand judgments of others about the criteria that bear on guideline recommendations and then make their own judgments about those criteria in a systematic approach. Conclusion The “GRADE-ADOLOPMENT” approach to guideline production combines adoption, adaptation, and, as needed, de novo development of recommendations. If developers of guidelines follow EtD criteria more widely and make their work publically available, this approach should prove even more useful.

Original languageEnglish (US)
Pages (from-to)101-110
Number of pages10
JournalJournal of Clinical Epidemiology
Volume81
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

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Guidelines
Practice Guidelines

Keywords

  • Adaptation
  • Clinical practice guidelines
  • Evidence to Decision framework
  • Evidence-based medicine
  • GRADE
  • Recommendation

ASJC Scopus subject areas

  • Epidemiology

Cite this

GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations : GRADE-ADOLOPMENT. / Schünemann, Holger J.; Wiercioch, Wojtek; Brozek, Jan; Etxeandia-Ikobaltzeta, Itziar; Mustafa, Reem A.; Manja, Veena; Brignardello-Petersen, Romina; Neumann, Ignacio; Falavigna, Maicon; Alhazzani, Waleed; Santesso, Nancy; Zhang, Yuan; Meerpohl, Jörg J.; Morgan, Rebecca L.; Rochwerg, Bram; Darzi, Andrea; Rojas, Maria Ximenas; Carrasco-Labra, Alonso; Adi, Yaser; AlRayees, Zulfa; Riva, John; Bollig, Claudia; Moore, Ainsley; Yepes-Nuñez, Juan José; Cuello, Carlos; Waziry, Reem; Akl, Elie A.

In: Journal of Clinical Epidemiology, Vol. 81, 01.01.2017, p. 101-110.

Research output: Contribution to journalArticle

Schünemann, HJ, Wiercioch, W, Brozek, J, Etxeandia-Ikobaltzeta, I, Mustafa, RA, Manja, V, Brignardello-Petersen, R, Neumann, I, Falavigna, M, Alhazzani, W, Santesso, N, Zhang, Y, Meerpohl, JJ, Morgan, RL, Rochwerg, B, Darzi, A, Rojas, MX, Carrasco-Labra, A, Adi, Y, AlRayees, Z, Riva, J, Bollig, C, Moore, A, Yepes-Nuñez, JJ, Cuello, C, Waziry, R & Akl, EA 2017, 'GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT', Journal of Clinical Epidemiology, vol. 81, pp. 101-110. https://doi.org/10.1016/j.jclinepi.2016.09.009
Schünemann, Holger J. ; Wiercioch, Wojtek ; Brozek, Jan ; Etxeandia-Ikobaltzeta, Itziar ; Mustafa, Reem A. ; Manja, Veena ; Brignardello-Petersen, Romina ; Neumann, Ignacio ; Falavigna, Maicon ; Alhazzani, Waleed ; Santesso, Nancy ; Zhang, Yuan ; Meerpohl, Jörg J. ; Morgan, Rebecca L. ; Rochwerg, Bram ; Darzi, Andrea ; Rojas, Maria Ximenas ; Carrasco-Labra, Alonso ; Adi, Yaser ; AlRayees, Zulfa ; Riva, John ; Bollig, Claudia ; Moore, Ainsley ; Yepes-Nuñez, Juan José ; Cuello, Carlos ; Waziry, Reem ; Akl, Elie A. / GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations : GRADE-ADOLOPMENT. In: Journal of Clinical Epidemiology. 2017 ; Vol. 81. pp. 101-110.
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abstract = "Background Guideline developers can: (1) adopt existing recommendations from others; (2) adapt existing recommendations to their own context; or (3) create recommendations de novo. Monetary and nonmonetary resources, credibility, maximization of uptake, as well as logical arguments should guide the choice of the approach and processes. Objectives To describe a potentially efficient model for guideline production based on adoption, adaptation, and/or de novo development of recommendations utilizing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks. Study Design and Setting We applied the model in a new national guideline program producing 22 practice guidelines. We searched for relevant evidence that informs the direction and strength of a recommendation. We then produced GRADE EtDs for guideline panels to develop recommendations. Results We produced a total of 80 EtD frameworks in approximately 4 months and 146 EtDs in approximately 6 months in two waves. Use of the EtD frameworks allowed panel members understand judgments of others about the criteria that bear on guideline recommendations and then make their own judgments about those criteria in a systematic approach. Conclusion The “GRADE-ADOLOPMENT” approach to guideline production combines adoption, adaptation, and, as needed, de novo development of recommendations. If developers of guidelines follow EtD criteria more widely and make their work publically available, this approach should prove even more useful.",
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T2 - GRADE-ADOLOPMENT

AU - Schünemann, Holger J.

AU - Wiercioch, Wojtek

AU - Brozek, Jan

AU - Etxeandia-Ikobaltzeta, Itziar

AU - Mustafa, Reem A.

AU - Manja, Veena

AU - Brignardello-Petersen, Romina

AU - Neumann, Ignacio

AU - Falavigna, Maicon

AU - Alhazzani, Waleed

AU - Santesso, Nancy

AU - Zhang, Yuan

AU - Meerpohl, Jörg J.

AU - Morgan, Rebecca L.

AU - Rochwerg, Bram

AU - Darzi, Andrea

AU - Rojas, Maria Ximenas

AU - Carrasco-Labra, Alonso

AU - Adi, Yaser

AU - AlRayees, Zulfa

AU - Riva, John

AU - Bollig, Claudia

AU - Moore, Ainsley

AU - Yepes-Nuñez, Juan José

AU - Cuello, Carlos

AU - Waziry, Reem

AU - Akl, Elie A.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background Guideline developers can: (1) adopt existing recommendations from others; (2) adapt existing recommendations to their own context; or (3) create recommendations de novo. Monetary and nonmonetary resources, credibility, maximization of uptake, as well as logical arguments should guide the choice of the approach and processes. Objectives To describe a potentially efficient model for guideline production based on adoption, adaptation, and/or de novo development of recommendations utilizing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks. Study Design and Setting We applied the model in a new national guideline program producing 22 practice guidelines. We searched for relevant evidence that informs the direction and strength of a recommendation. We then produced GRADE EtDs for guideline panels to develop recommendations. Results We produced a total of 80 EtD frameworks in approximately 4 months and 146 EtDs in approximately 6 months in two waves. Use of the EtD frameworks allowed panel members understand judgments of others about the criteria that bear on guideline recommendations and then make their own judgments about those criteria in a systematic approach. Conclusion The “GRADE-ADOLOPMENT” approach to guideline production combines adoption, adaptation, and, as needed, de novo development of recommendations. If developers of guidelines follow EtD criteria more widely and make their work publically available, this approach should prove even more useful.

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KW - Adaptation

KW - Clinical practice guidelines

KW - Evidence to Decision framework

KW - Evidence-based medicine

KW - GRADE

KW - Recommendation

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