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A demonstration of using formal consensus methods within guideline development; a case study.

P Carter1,2, K J M O'Donoghue3, K Dworzynski3

  • 1Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College London, 1-19 Torrington Place, London, WC1E 7HB, UK. Patrice.carter@ucl.ac.uk.

BMC Medical Research Methodology
|April 18, 2021
PubMed
Summary
This summary is machine-generated.

Formal consensus methods enhance guideline development by reducing bias in group decision-making. This systematic approach ensures transparent and clear recommendations for clinical practice.

Keywords:
Formal consensusGuideline developmentMethodology

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Area of Science:

  • Medical Guidelines
  • Clinical Practice
  • Evidence-Based Medicine

Background:

  • Guideline recommendations often rely on informal consensus when evidence is limited.
  • Informal consensus may introduce biases inherent in group decision-making.
  • Formal consensus methods offer a structured alternative to mitigate these biases.

Purpose of the Study:

  • To apply formal consensus methods in developing recommendations for Neonatal Parenteral Nutrition guidelines.
  • To evaluate the transparency and effectiveness of formal consensus in guideline creation.

Main Methods:

  • A case study approach was used within the National Institute for Health and Care Excellence (NICE) guideline development.
  • Ten high-quality published guidelines on neonatal parenteral nutrition were identified.
  • Statements were generated and rated by a committee through two rounds of voting to reach agreement.

Main Results:

  • The formal consensus process was systematic and enhanced transparency in recommendation development.
  • Lessons learned include the importance of topic selection, adequate time allocation, and committee understanding of methodologies.
  • The agreed-upon statements were successfully translated into guideline recommendations.

Conclusions:

  • Formal consensus is a valuable tool for guideline development under specific conditions.
  • This methodology ensures a clear and transparent process for creating clinical recommendations.
  • The systematic nature of formal consensus aids in producing reliable and well-supported guidelines.