Methodological systematic review identifies major limitations in prioritization processes for updating
Por:
Garcia, LM, Pardo-Hemandez, H, Superchi, C, de Guzman, EN, Ballesteros, M, Roteta, NI, McFarlane, E, Posso, M, Figuls, MRI, del Campo, RR, Sanabria, AJ, Selva, A, Sola, I, Vernooij, RWM, Alonso-Coello, P
Publicada:
1 jun 2017
Resumen:
Objectives: The aim of the study was to identify and describe strategies to prioritize the updating of systematic reviews (SRs), health technology assessments (HTAs), or clinical guidelines (CGs).
Study Design and Setting: We conducted an SR of studies describing one or more methods to prioritize SRs, HTAs, or CGs for updating. We searched MEDLINE (PubMed, from 1966 to August 2016) and The Cochrane Methodology Register (The Cochrane Library, Issue 8 2016). We hand searched abstract books, reviewed reference lists, and contacted experts. Two reviewers independently screened the references and extracted data.
Results: We included 14 studies. Six studies were classified as descriptive (6 of 14, 42.9%) and eight as implementation studies (8 of 14, 57.1%). Six studies reported an updating strategy (6 of 14, 42.9%), six a prioritization process (6 of 14, 42.9%), and two a prioritization criterion (2 of 14, 14.2%). Eight studies focused on SRs (8 of 14, 57.1%), six studies focused on CGs (6 of 14, 42.9%), and none were about HTAs. We identified 76 prioritization criteria that can be applied when prioritizing documents for updating. The most frequently cited criteria were as follows: available evidence (19 of 76, 25.0%), clinical relevance (10 of 76; 13.2%), and users' interest (10 of 76; 13.2%).
Conclusion: There is wide variability and suboptimal reporting of the methods used to develop and implement processes to prioritize updating of SRs, HTAs, and CGs. (C) 2017 Elsevier Inc. All rights reserved.
Filiaciones:
Garcia, LM:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Pardo-Hemandez, H:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Superchi, C:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
de Guzman, EN:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Ballesteros, M:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Roteta, NI:
Basque Govt, Basque Off Hlth Technol Assessment Osteba, Dept Hlth & Consumer Affairs, Calle Donostia 1, ES-01010 Vitoria, Spain
McFarlane, E:
Natl Inst Hlth & Care Excellence, Level 1A City Tower,Piccadilly Plaza, Manchester M1 4BT, Lancs, England
Posso, M:
Hosp Santa Creu & Sant Pau, Serv Clin Epidemiol & Publ Hlth, C Sant Antoni Maria Claret 167,Pavello 18, Barcelona 08025, Spain
Figuls, MRI:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
del Campo, RR:
Osakidetza Basque Hlth Serv, Alza Hlth Ctr, Avda Larratxo S-N, Donostia San Sebastian 20013, Spain
Sanabria, AJ:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Corp Sanitaria Parc Tauli Sabadell, Clin Epidemiol & Canc Screening, Parc Tauli S-N, Sabadell 08208, Spain
Selva, A:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Sola, I:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Vernooij, RWM:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
Alonso-Coello, P:
Hosp Santa Creu & Sant Pau, Iberoamer Cochrane Ctr, C St Antoni Maria Claret 167,Pavello 18,Planta 0, Barcelona 08025, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
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