Czech national guideline for COVID-19 treatment: methodological aspects of an adolopment from e-COVID-19 recommendation map



Year of publication 2022
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Description Background Guideline developers worldwide have been facing a global pandemic of COVID-19 for over two years and many have been developing recommendations. We can observe a higher need and use of adoption, adaptation, and adolopment approaches in guideline development by some organisations. Under the leadership of McMaster University, a worldwide collaboration of guideline developers and international organisations like Cochrane, G-I-N, GRADE Working Group, JBI, etc., developed a unique living eCOVID-19 recommendation map (RecMap). Objective We aim to demonstrate the adolopment, contextualisation and methodological aspects of the development of the Czech national COVID-19 guideline based on the adolopment from the RecMap. Methods We used the Czech national guideline methodology (based on GRADE) to adolop recommendations using the following processes: 1) Setting clinical areas, PICO and inclusion criteria, 2) Searching the RecMap, 3) Selecting relevant recommendations (Panel review), 4) Requesting adolopment from RecMap, 5) New evidence implementation, translation, contextualisation (using the “adolopment feature” of the adjusted GRADEpro software), 7) extraction of new and adoloped recommendations back on RecMap, 8) Guideline review and publication. Results We developed tutorials for the guideline panel on the use of Recmap and modified GRADEpro. We adoloped 80 recommendations/good practice statements (GPS) and developed 7 GPS de novo. Discussion The adolopment from RecMap was a very efficient time and resources saving approach to the development of a robust, methodologically sound and trustworthy guideline. As the RecMap is weekly updated, we are using this advantage to keep our guideline in living mode.

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