Using evidence to decision frameworks led to guidelines of better quality and more credible and transparent recommendations
Por:
Meneses-Echavez J.F., Bidonde J., Montesinos-Guevara C., Amer Y.S., Loaiza-Betancur A.F., Tellez Tinjaca L.A., Fraile Navarro D., Poklepovic Pericic T., Tokalic R., Bala M.M., Storman D., Swierz M., Zajac J., Flórez I.D., Schünemann H., Flottorp S., Alonso-Coello P.
Publicada:
1 oct 2023
Ahead of Print:
29 jul 2023
Resumen:
BACKGROUND AND OBJECTIVES: To determine whether the use of Evidence to Decision (EtD) frameworks is associated to higher quality of both guidelines and individual recommendations. METHODS: We identified guidelines recently published by international organizations that have methodological guidance documents for their development. Pairs of researchers independently extracted information on the use of these frameworks, appraised the quality of the guidelines using the Appraisal of Guidelines, Research and Evaluation II Instrument (AGREE-II), and assessed the clinical credibility and implementability of the recommendations with the Appraisal of Guidelines for REsearch & Evaluation Recommendations Excellence (AGREE-REX) tool. We conducted both descriptive and inferential analyses. RESULTS: We included 66 guidelines from 17 different countries, published in the last 5 years. Thirty guidelines (45%) used an EtD framework to formulate their recommendations. Compared to those that did not use a framework, those using an EtD framework scored higher in all domains of both AGREE-II and AGREE-REX (P < 0.05). Quality scores did not differ between the use of the The Grading of Recommendations Assessment, Development and Evaluation-EtD framework (17 guidelines) or another EtD framework (13 guidelines) (P > 0.05). CONCLUSION: The use of EtD frameworks is associated with guidelines of better quality, and more credible and transparent recommendations. Endorsement of EtD frameworks by guideline developing organizations will likely increase the quality of their guidelines.
Filiaciones:
Meneses-Echavez J.F.:
Norwegian Institute of Public Health, Oslo, Norway
Facultad de Cultura Física, Deporte y Recreación, Universidad Santo Tomás, Bogotá, Colombia
Bidonde J.:
Norwegian Institute of Public Health, Oslo, Norway
School of Rehabilitation Science, College of Medicine, University of Saskatchewan, Saskatoon, Canada
Montesinos-Guevara C.:
Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Quito, Ecuador
Amer Y.S.:
Clinical Practice Guidelines and Quality Research Unit, Quality Management Department, Pediatrics Department, King Saud University Medical City, Research Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi Arabia
Loaiza-Betancur A.F.:
Instituto Universitario de Educación Física, Universidad de Antioquia, Medellín, Colombia
Grupo de Investigación en Entrenamiento Deportivo y Actividad Física para la Salud (GIEDAF), Universidad Santo Tomás, Tunja, Colombia
Tellez Tinjaca L.A.:
Grupo de Investigación en Entrenamiento Deportivo y Actividad Física para la Salud (GIEDAF), Universidad Santo Tomás, Tunja, Colombia
Fraile Navarro D.:
Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
Poklepovic Pericic T.:
Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia
Tokalic R.:
Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia
Bala M.M.:
Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Systematic Reviews Unit, Jagiellonian University Medical College, Krakow, Poland
Storman D.:
Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Systematic Reviews Unit, Department of Adult Psychiatry, University Hospital Jagiellonian University Medical College, Krakow, Poland
Swierz M.:
Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Systematic Reviews Unit, Jagiellonian University Medical College, Krakow, Poland
Zajac J.:
Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Systematic Reviews Unit, Jagiellonian University Medical College, Krakow, Poland
Flórez I.D.:
Department of Pediatrics, University of Antioquia, Calle 67 No. 53-108, Medellin, Colombia
School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
Pediatric Intensive Care Unit, Clínica Las Américas-AUNA, Medellín, Colombia
Schünemann H.:
Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
Flottorp S.:
Norwegian Institute of Public Health, Oslo, Norway
Institute of Health and Society, University of Oslo, Oslo, Norway
Alonso-Coello P.:
Iberoamerican Cochrane Centre, CIBERESP-IIB Sant Pau, Barcelona, Spain
hybrid, All Open Access; Hybrid Gold
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