4.6 Article

GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist

Journal

JOURNAL OF CLINICAL EPIDEMIOLOGY
Volume 90, Issue -, Pages 68-75

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jclinepi.2017.01.017

Keywords

Health equity; Disadvantaged; Underserved; Special populations; GRADE; Guidelines

Funding

  1. NRS Scottish Senior Clinical Fellowship [SCAF/15/02]
  2. Medical Research Council [MC_UU_12017/13, MC_UU_12017/15]
  3. Chief Scientist's Office [SPHSU13, SPHSU15]
  4. MRC [MC_UU_12017/13, MC_UU_12017/15] Funding Source: UKRI
  5. Chief Scientist Office [SPHSU15, SPHSU13] Funding Source: researchfish
  6. Medical Research Council [MC_UU_12017/15, MC_UU_12017/13] Funding Source: researchfish

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Objective: To provide guidance for guideline developers on how to consider health equity at key stages of the guideline development process. Study Design and Setting: Literature review followed by group discussions and consensus building. Results: The key stages at which guideline developers could consider equity include setting priorities, guideline group membership, identifying the target audience(s), generating the guideline questions, considering the importance of outcomes and interventions, deciding what evidence to include and searching for evidence, summarizing the evidence and considering additional information, wording of recommendations, and evaluation and use. We provide examples of how guidelines have actually considered equity at each of these stages. Conclusion: Guideline projects should consider the aforementioned suggestions for recommendation's, that are equity sensitive. (C) 2017 Elsevier Inc. All rights reserved.

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