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

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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

Location: Deutsche Nationalbibliothek Frankfurt am Main

Extent: Online-Ressource

Language: Englisch

Notes: Journal of clinical epidemiology. - 81 (2017) , 101-110, ISSN: 0895-4356

Event: Veröffentlichung

(where): Freiburg

(who): Universität

(when): 2020

Creator: Schünemann, Holger J.
Bollig, Claudia
Meerpohl, Jörg J.
Akl, Elie A.

DOI: 10.1016/j.jclinepi.2016.09.009

URN: urn:nbn:de:bsz:25-freidok-1746775

Rights: Der Zugriff auf das Objekt ist unbeschränkt möglich.

Last update: 25.03.2025, 1:51 PM CET

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Associated

Schünemann, Holger J.
Bollig, Claudia
Meerpohl, Jörg J.
Akl, Elie A.
Universität

Time of origin

2020

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

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Other Objects (12)

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