级别指南39:使用级别发展来采用,调整或创建来自源指南和证据综合的上下文推
Miloslav Klugar1, Tamara Lotfi2, Andrea J Darzi3
1Cochrane Czech Republic, Czech CEBHC: JBI Centre of Excellence, Czech GRADE Network, Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic; Center of Evidence-based Education and Arts Therapies: A JBI Affiliated Group, Faculty of Education, Palacký University Olomouc, Prague, Czech Republic.
Journal of clinical epidemiology
|August 8, 2024
概括
这份更新的指南完善了推的分级,评估,发展和评估 (GRADE) -发展的方法论,用于制定推. 它提供了有效上下文化的实际步骤和例子,支持在有限的资源下适应指南.
科学领域:
- 制定卫生政策和指导方针的制定.
- 综合证据和评估证据的综合.
- 临床决策的过程
背景情况:
- 建立了推,评估,发展和评估 (GRADE) -发展的评级方法,用于调整或创建指南.
- 之前的申请强调了需要改进的操作指导.
研究的目的:
- 更新和使 GRADE-ADOLOPMENT 方法用于应用建议的操作.
- 为准则的适应和发展提供明确的途径.
主要方法:
- 通过小组讨论和沟通反复起草指南.
- 对指导方针手册的审查和对开发项目的范围审查.
- 基于反和案例研究示例的方法的完善.
主要成果:
- 更新的指南详细介绍了启动适应工作的替代途径.
- 它详细阐述了关键步骤,包括利用或制定证据至决策 (EtD) 标准.
- 案例研究中的例子说明了EtD判决的上下文证据的应用.
结论:
- 修订后的GRADE-ADOLOPMENT指南增强了该方法的实际应用.
- 它支持用户有效地将推语境化,以适应当地环境或资源限制.
- 超过六年的经验为这个更新的操作框架提供了信息.
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