Developing trustworthy recommendations as part of an urgent response (1-2 weeks): a GRADE concept paper

Autoři	AKL E. A. MORGAN R. L. ROONEY A. A. BEVERLY B. KATIKREDDI S. V. AGARWAL A. ALPER B. S. ALVA-DIAZ C. AMATO L. ANSARI M. T. BROZEK J. CHU D. K. DAHM P. DARZI A. J. FALAVIGNA M. GARTLEHNER G. PARDO-HERNANDEZ H. KING V. KLUGAROVÁ Jitka LANGENDAM M. W. M. LOCKWOOD C. MAMMEN M. MATHIOUDAKIS A. G. MCCAUL M. MEERPOHL J. J. MINOZZI S. MUSTAFA R. A. NONINO F. PIGGOTT T. QASEEM A. RIVA J. RODIN R. SEKERCIOGLU N. SKOETZ N. TRAVERSY G. THAYER K. SCHUNEMANN H.
Rok publikování	2021
Druh	Článek v odborném periodiku
Časopis / Zdroj	JOURNAL OF CLINICAL EPIDEMIOLOGY
Fakulta / Pracoviště MU	Lékařská fakulta
Citace
www	https://www.sciencedirect.com/science/article/pii/S0895435620311239
Doi	http://dx.doi.org/10.1016/j.jclinepi.2020.09.037
Klíčová slova	GRADE; Urgent recommendation; Pandemic; Trustworthy guideline
Popis	Objectives: The aim of this study is to propose an approach for developing trustworthy recommendations as part of urgent responses (1-2 week) in the clinical, public health, and health systems fields. Study Design and Setting: We conducted a review of the literature, outlined a draft approach, refined the concept through iterative discussions, a workshop by the Grading of Recommendations Assessment, Development and Evaluation Rapid Guidelines project group, and obtained feedback from the larger Grading of Recommendations Assessment, Development and Evaluation working group. Results: A request for developing recommendations within 2 week is the usual trigger for an urgent response. Although the approach builds on the general principles of trustworthy guideline development, we highlight the following steps: (1) assess the level of urgency; (2) assess feasibility; (3) set up the organizational logistics; (4) specify the question(s); (5) collect the information needed; (6) assess the adequacy of identified information; (7) develop the recommendations using one of the 4 potential approaches: adopt existing recommendations, adapt existing recommendations, develop new recommendations using existing adequate systematic review, or develop new recommendations using expert panel input; and (8) consider an updating plan. Conclusion: An urgent response for developing recommendations requires building a cohesive, skilled, and highly motivated multidisciplinary team with the necessary clinical, scientific, and methodological expertise; adapting to shifting needs; complying with the principles of transparency; and properly managing conflicts of interest. (C) 2020 The Author(s). Published by Elsevier Inc.