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Guideline methodology of the Society for Vascular Surgery including the experience with the GRADE framework

Mohammad Hassan Murad1, Victor M Montori, Anton N Sidawy

  • 1Knowledge and Encounter Research Unit, Mayo Clinic, Rochester, MN, USA. murad.mohammad@mayo.edu

Journal of Vascular Surgery
|May 18, 2011
PubMed

Insights

The Society for Vascular Surgery rigorously develops clinical practice guidelines using systematic reviews and the GRADE framework. This ensures evidence-based recommendations for vascular surgery decision-making.

Area of Science:

  • Vascular Surgery
  • Clinical Practice Guidelines
  • Evidence-Based Medicine

Background:

  • The Society for Vascular Surgery initiated clinical practice guideline development in 2006.
  • Guidelines aim to support clinician decision-making in vascular surgery.

Purpose of the Study:

  • To describe the methods and rigor of guideline development procedures.
  • To discuss future efforts to enhance guideline quality, adoption, and application.

Main Methods:

  • Selection of high-impact clinical questions.
  • Rigorous systematic reviews to evaluate evidence.
  • Application of the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework.
  • Inclusion of patient values, preferences, and surgical expertise.

Main Results:

  • The Society has established a robust, multidisciplinary process for guideline creation.
  • Four years of experience demonstrate the systematic and rigorous nature of the adopted procedures.

Conclusions:

  • The Society for Vascular Surgery employs a comprehensive methodology for developing high-quality clinical practice guidelines.
  • Continuous improvement efforts are necessary to optimize the impact and implementation of these guidelines.

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