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What guidelines should or should not be: implications for guideline production
Wim Van Biesen1, Sabine N van der Veer, Kitty J Jager
1Renal Division, Ghent University Hospital, Ghent, Belgium.
Summary
The European Renal Best Practice (ERBP) emphasizes high-quality evidence and shared decision-making for improved patient outcomes in kidney disease guidelines. Rigorous methods are key, with consensus guidance used when evidence is limited.
Area of Science:
- Nephrology
- Clinical Guideline Development
- Evidence-Based Medicine
Background:
- European Renal Best Practice (ERBP) is the official guidance body of the European Renal Association-European Dialysis and Transplant Association.
- Guideline production requires both high-quality evidence and an understanding of medical decision-making processes.
Purpose of the Study:
- To introduce the mission statement of ERBP.
- To provide insight into the implications of the ERBP mission for guideline production.
- To advocate for a balanced approach to guideline development.
Main Methods:
- Discussion of the ERBP mission statement.
- Analysis of the requirements for improving patient outcomes.
- Advocacy for rigorous methodology and consensus-based guidance.
Main Results:
- Improving patient outcomes necessitates attention to evidence and decision-making processes.
- Rigorous methodology is fundamental to guideline production.
- Consensus-based guidance is suitable when high-quality evidence is lacking.
Conclusions:
- ERBP guidelines should prioritize high-quality evidence.
- Understanding medical decision-making is crucial for effective guidelines.
- ERBP advocates for guidelines that encourage shared decision-making between patients and clinicians.
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