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Transferable evidence in support of reaching a consensus
Edmund Neugebauer1, Roseanne Wilkinson, Henrik Kehlet
1Faculty of Medicine, Institute for Research in Operative Medicine, University of Witten/Herdecke, Cologne, Germany. sekretariat-neugebauer@ifom-uni-wh.de
Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung
|April 27, 2007
Summary
Consensus recommendations can be strengthened by using transferable evidence from similar situations. Critically assessing this evidence ensures its relevance and proper weighting in clinical practice guidelines.
Area of Science:
- Clinical Practice Guidelines
- Evidence-Based Medicine
Background:
- Consensus recommendations are crucial for clinical practice improvement.
- Limitations in high-quality, specific evidence can restrict their value.
- Transferable evidence from comparable situations can supplement specific findings.
Purpose of the Study:
- To discuss the application of transferable evidence in developing clinical recommendations.
- To highlight the importance of critically assessing transferable evidence for relevance and differentiation.
- To inform grading systems for recommendations considering diverse evidence types.
Main Methods:
- The PROSPECT Working Group's approach to using transferable evidence is examined.
- Methodology for critically assessing the relevance of transferable evidence is discussed.
- Strategies for differentiating transferable from specific evidence are outlined.
Main Results:
- Transferable evidence can enhance recommendations when specific evidence is scarce.
- Proper assessment ensures transferable evidence adds valid information.
- Appropriate grading systems must account for different evidence origins.
Conclusions:
- Careful use of transferable evidence can improve the robustness of consensus recommendations.
- Distinguishing between transferable and specific evidence is vital for accurate grading.
- This approach supports evidence-based clinical decision-making in areas like postoperative pain management.
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