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Systematic reviews of clinical practice guidelines: a methodological guide
Amy Johnston1, Shannon E Kelly1, Shu-Ching Hsieh1
1Cardiovascular Research Methods Centre, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario K1Y 4W7, Canada.
This guidance paper offers structured direction for conducting systematic reviews (SRs) of clinical practice guidelines (CPGs). It details methods for rigorous SRs of CPGs, ensuring transparency and quality in clinical epidemiology research.
Area of Science:
- Clinical Epidemiology
- Health Services Research
- Evidence Synthesis
Background:
- Systematic reviews (SRs) of clinical practice guidelines (CPGs) present unique methodological challenges compared to other SRs.
- Tailored approaches are necessary for the design and execution of SRs of CPGs due to their nature as research syntheses and guidance statements.
Purpose of the Study:
- To provide review authors with structured direction for designing and conducting methodologically rigorous SRs of CPGs.
- To outline suggested methodology for all stages of an SR of CPGs, including a case exemplar.
Main Methods:
- Development of a "PICAR" statement to define research questions and eligibility criteria.
- Assessment of CPG quality using validated appraisal tools.
- Transparent extraction, analysis, and summarization of data.
Main Results:
- Consideration of review context and unique characteristics of CPGs is crucial throughout the review process.
- Methodological tailoring is often required to efficiently address objectives and timelines for SRs of CPGs.
Conclusions:
- SRs of CPGs are valuable for identifying, assessing, and summarizing clinical guidance.
- All SRs of CPGs must adhere to rigorous methodological standards and transparent reporting practices.
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