• Home / Articulos publicados / Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
  • Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations

    • Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
      Evidence to decision frameworks enabled structured and explicit development of healthcare recommendations
      Evidence to decision frameworks enabled structured and explicit...
17/08/2022

[Artículo]

Los invitamos a leer el siguiente artículo que contó con la participación del Dr. Juan José Yepes Nuñez  

Abstract

Objective: The aim of this study is to identify and describe the processes suggested for the formulation of healthcare recommendations in healthcare guidelines available in guidance documents.

Methods: We searched international databases in May 2020 to retrieve guidance documents published by organizations dedicated to guideline development. Pairs of researchers independently selected and extracted data about the characteristics of the guidance document, including explicit or implicit recommendation-related criteria and processes considered, as well as the use of evidence to decision (EtD) frameworks.

Results: We included 68 guidance documents. Most organizations reported a system for grading the strength of recommendations (88%), half of them being the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach. Two out of three guidance documents (66%) proposed the use of a framework to guide the EtD process. The GRADE-EtD framework was the most often reported framework (19 organizations, 42%), whereas 20 organizations (44%) proposed their own multicriteria frameworks. Using any EtD framework was related with a more comprehensive set of recommendation-related criteria compared to no framework, especially for criteria like values, equity, and acceptability.

Conclusion: Although limited, the use of EtD frameworks was associated with the inclusion of relevant recommendation criteria. Among the EtD structured frameworks, the GRADE-EtD framework offers the most comprehensive perspective for evidence-informed decision-making processes.

Keywords: Certainty of evidence; Clinical practice guidelines; Decision making; Evidence synthesis; Evidence-based practice; Evidence-to-decision framework; GRADE; Health recommendations; Methods; Practice guidelines; Systematic reviews.

Noticias Recientes

  • Día Mundial del Riñón 2024

    Este año, nos unimos con el...

  • Nombramiento del dr. Roberto Esguerra como Miembro Honorario de

    La Academia Nacional de Medicina,...

  • ACTUALIZACIÓN EN VACUNACIÓN FRENTE A COVID-19

    Revive lo mejor de este evento aquí 

    ...

  • Presentación resultados finales - Proyecto PROMESA

    Si te perdiste de la presentación de los resultados del "Proyecto PROMESA", podrás...

  • Bios: los nuevos discursos de la vida

    Si te perdiste el evento "Bios: los nuevos discursos de la vida", podrás encontrar la...

  • La fórmula secreta para preservar los especímenes
    ...
  • Admitidos Especialización y Maestría en Epidemiología

    A continuación podrás encontrar el...

  • Olga Lucía Sarmiento, nueva directora de Investigaciones de nues
    ...
  • Primer puesto para nuestro pregrado en Medicina en las pruebas S

    La Noche de la Excelencia...

  • Admitidos Maestría en Bioética y Ética de la Investigación

    A continuación podrás encontrar el listado de admitidos al programa de Maestría en...

  • Presentación de los resultados de la evaluación de "TransMi

    En la Universidad de los Andes...

  • Los detalles detrás de nuestro Congreso 360°

    El segundo congreso 360°, Ciencia,...