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Improving the use of research evidence in guideline development: 14. Reporting guidelines
Andrew D Oxman1, Holger J Schünemann, Atle Fretheim
1Norwegian Knowledge Centre for the Health Services, Oslo, Norway. oxman@online.no
Health Research Policy and Systems
|December 13, 2006
Summary
The World Health Organization (WHO) needs standardized formats for health care recommendations to ensure they are based on the best evidence. Developing clear reporting guidelines improves decision-making and guideline quality.
Area of Science:
- Health Services Research
- Evidence-Based Practice
- Health Policy
Background:
- The World Health Organization (WHO) recognizes the need for rigorous processes to ensure health care recommendations are informed by research evidence.
- This review is part of a series providing background for WHO's Advisory Committee on Health Research.
Purpose of the Study:
- To review the literature on reporting guidelines and recommendations for health care.
- To provide advice to the WHO on achieving evidence-based health care recommendations.
Main Methods:
- Literature search of PubMed and methodological databases for systematic reviews and relevant research.
- Conclusions based on existing evidence, WHO's current practices, and logical arguments.
- No new systematic reviews were conducted.
Main Results:
- Limited empirical evidence exists regarding optimal reporting guidelines.
- WHO should develop standard formats for reporting recommendations and guidelines.
- Standardized formats should facilitate recognition, use, and quality assessment of guidelines by decision-makers.
Conclusions:
- WHO should create standardized formats for full guidelines, rapid assessments, and endorsed guidelines.
- These formats must detail methods used, what was not done, and include information for judging quality and applicability.
- Recommendations should be structured, clearly report evidence quality and strength, and include templates for incorporating context-specific evidence.
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