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Strategies to assess the validity of recommendations: a study protocol
Laura Martínez García1, Andrea Juliana Sanabria, Ignacio Araya
1Iberoamerican Cochrane Centre- Biomedical Research Institute Sant Pau IIB Sant Pau, Barcelona, Spain. laura.martinez.garcia@cochrane.es
Clinical practice guidelines (CPGs) quickly become outdated. This study assesses recommendation obsolescence and evaluates efficient search strategies for updating CPGs, aiming to improve evidence-based healthcare.
Area of Science:
- Health Services Research
- Evidence-Based Medicine
- Clinical Guideline Development
Background:
- Clinical practice guidelines (CPGs) require regular updates to remain valid.
- Limited research exists on CPG recommendation obsolescence and efficient updating strategies.
- This study addresses critical questions regarding CPG validity and maintenance.
Purpose of the Study:
- Determine the average time for CPG recommendations to become outdated.
- Compare the performance of two restricted search strategies for updating CPGs.
- Evaluate the feasibility of regular monitoring and updating strategies.
Main Methods:
- Analysis of 14 CPGs developed between 2008-2009, stratified by topic and year.
- Development of a validity assessment strategy including expert surveys and updated literature searches.
- Implementation and comparison of two novel search strategies: McMaster PLUS and Restrictive Search (ReSe).
Main Results:
- Survival analysis using Kaplan-Meier method to assess recommendation obsolescence.
- Log-rank test to analyze differences in obsolescence based on guideline characteristics.
- Evaluation of key reference retrieval using PLUS and ReSe strategies.
Conclusions:
- The project will provide guidance on the timeliness of CPG recommendation updates.
- Novel restrictive search strategies will be assessed for efficiency and rigor in CPG updating.
- Findings will inform more regular and effective CPG monitoring and maintenance practices.
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