Which actionable statements qualify as good practice statements In Covid-19 guidelines? A systematic appraisal

Article Medicine, General & Internal

Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance

Omar Dewidar et al.

Summary: An evidence-based approach is the gold standard for health decision-making, but the use of the GRADE approach for strong recommendations is inappropriate in cases where the evidence is indirect. We found widespread use of GPS in COVID-19 related recommendations, but guideline developers failed to transparently report their development process. We propose improvements to the operationalization of the GRADE guidance for GPS, including a structured process and standardized reporting.

BMJ EVIDENCE-BASED MEDICINE (2023)

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Article Health Care Sciences & Services

A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations

Tamara Lotfi et al.

Summary: This study proposes a taxonomy and framework to identify and present actionable statements in guidelines. By reviewing case studies and testing the framework using COVID-19 guidelines, the study distinguishes five types of actionable statements. The results suggest that the framework can help guideline developers create actionable statements with clear intent, avoid informal recommendations, and improve understanding and implementation by users.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2022)

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Article Health Care Sciences & Services

Getting trustworthy guidelines into the hands of decision-makers and supporting their consideration of contextual factors for implementation globally: recommendation mapping of COVID-19 guidelines

Tamara Lotfi et al.

Summary: Published research on COVID-19 is rapidly increasing and being integrated into guidelines, with the trustworthiness of guidelines depending on various factors such as methods used to evaluate evidence. A global consortium has created a living project, the COVID19 map of recommendations, providing structured access to high quality guidance in the field. The map allows stakeholders to access and adapt evidence-informed recommendations, filling the long-standing need for decision-makers, guideline developers, and the public.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2021)

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Editorial Material Health Care Sciences & Services