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  3. The Escmid Framework For Reaching Consensus In Clinical Guidelines.
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  3. The Escmid Framework For Reaching Consensus In Clinical Guidelines.

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The ESCMID Framework for Reaching Consensus in Clinical Guidelines.

Blin Nagavci1, Oana Joean2, Sarah Tschudin-Sutter3

  • 1European Society of Clinical Microbiology and Infectious Diseases (ESCMID), Basel, Switzerland; Doctoral School of Clinical Medicine, Semmelweis University, Budapest, Hungary.

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
|June 16, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

The European Society of Clinical Microbiology and Infectious Diseases (ESCMID) developed a standardized framework to improve guideline consensus. This framework enhances quality, transparency, and consistency in ESCMID guidelines.

Keywords:
ESCMIDconsensusdecision-makingguidelinesmethodsrecommendationstransparency

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Area of Science:

  • Clinical Microbiology and Infectious Diseases
  • Guideline Development Methodologies

Background:

  • The European Society of Clinical Microbiology and Infectious Diseases (ESCMID) requires methodological standardization for its expanding guidelines program.
  • Existing consensus methods in guideline development need formalization and consistent application.

Purpose of the Study:

  • To develop a standardized framework for consensus methods within ESCMID guideline panels.
  • To enhance the quality, transparency, and consistency of ESCMID guidelines.

Main Methods:

  • Conducted two scoping reviews: one on formal consensus methods in guideline development (PubMed) and another on practical operationalization of consensus by guideline organizations.
  • Synthesized findings using descriptive and narrative analyses, integrating them with ESCMID's approach and feasibility.
  • Incorporated stakeholder review and revisions before final approval by ESCMID governance.

    • Main Results:

    • Developed a standardized framework for consensus in ESCMID guideline panels.
    • Mandatory anonymous voting with ≥80% agreement for recommendations is central.
    • Framework details voting rights, participation, standardized options, outcome reporting, and procedures for non-responsiveness and lack of consensus.

    Conclusions:

    • The new framework advances ESCMID's guideline development process.
    • Enhances quality, transparency, consistency, and reduces bias in ESCMID guidelines.
    • Strengthens the trustworthiness of ESCMID clinical guidelines through methodological rigor.