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A Model for Developing Subspecialty Clinical Practice Guidelines: The Geriatric Emergency Department Guidelines 2.0.

Satheesh Gunaga1,2,3, Christopher R Carpenter4, Maura Kennedy5,6

  • 1Department of Emergency Medicine, Henry Ford Health, Wyandotte Hospital, Wyandotte, Michigan, USA.

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|September 29, 2025
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Summary
This summary is machine-generated.

The updated Geriatric Emergency Department (GED) Guidelines 2.0 offer improved, evidence-based emergency care for older adults. This revision emphasizes transparency and systematic reviews for enhanced clinical utility.

Keywords:
agedemergency medicineevidence-based medicinegeriatricshealth services for the agedpractice guidelines as topicprogram development

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Area of Science:

  • Geriatric Emergency Medicine
  • Emergency Medicine Subspecialty Guidelines
  • Health Services Research

Background:

  • The 2014 Geriatric Emergency Department (GED) Guidelines provided a foundational framework for geriatric emergency care.
  • Advances in research and clinical priorities necessitated an update to ensure continued relevance and rigor.

Purpose of the Study:

  • To describe the systematic process of developing the Geriatric Emergency Department (GED) Guidelines 2.0.
  • To ensure continued relevance, clinical utility, and evidence-based rigor in geriatric emergency medicine.

Main Methods:

  • Formation of multidisciplinary working groups comprising clinical and academic experts.
  • Application of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.
  • Conducting systematic reviews and meta-analyses to build a robust evidence base.

Main Results:

  • Prioritized methodological transparency, formalized evidence grading, and consensus building.
  • Identified key geriatric domains and priority topics for emergency care.
  • Established a comprehensive evidence base through systematic reviews and meta-analyses.

Conclusions:

  • The GED Guidelines 2.0 represent a significant update, enhancing the care of older adults in emergency departments.
  • This revision serves as a novel blueprint for future emergency medicine subspecialty guideline development, fully adopting the GRADE framework.