Steven E Canfield1, Philipp Dahm. 1. Division of Urology, UT Medical School at Houston, 6431 Fannin St. MSB 6.018, Houston, TX 77030, USA. steven.canfield@uth.tmc.edu
Abstract
OBJECTIVES: Urologists can benefit from a standardized system for guideline development and presentation. This article introduces the GRADE system and explains how it may be useful for Urologic physicians, in their practice and in their healthcare systems. METHODS: The GRADE system is reviewed. Specific aspects of how GRADE rates the quality of the evidence and the strength of recommendations are explored. RESULTS: GRADE can provide explicit and structured guidance, which separates the quality of evidence from the strength of recommendations. This information can be used by consumers of guidelines, including patients, physicians, and policy makers. CONCLUSIONS: Urologists can benefit from a more transparent and rigorous framework when formulating recommendations. GRADE is an emergent proposal with broader implications for healthcare policy as well.
OBJECTIVES: Urologists can benefit from a standardized system for guideline development and presentation. This article introduces the GRADE system and explains how it may be useful for Urologic physicians, in their practice and in their healthcare systems. METHODS: The GRADE system is reviewed. Specific aspects of how GRADE rates the quality of the evidence and the strength of recommendations are explored. RESULTS: GRADE can provide explicit and structured guidance, which separates the quality of evidence from the strength of recommendations. This information can be used by consumers of guidelines, including patients, physicians, and policy makers. CONCLUSIONS: Urologists can benefit from a more transparent and rigorous framework when formulating recommendations. GRADE is an emergent proposal with broader implications for healthcare policy as well.
Authors: Gordon H Guyatt; Andrew D Oxman; Regina Kunz; Roman Jaeschke; Mark Helfand; Alessandro Liberati; Gunn E Vist; Holger J Schünemann Journal: BMJ Date: 2008-05-24
Authors: Holger J Schünemann; A Holger J Schünemann; Andrew D Oxman; Jan Brozek; Paul Glasziou; Roman Jaeschke; Gunn E Vist; John W Williams; Regina Kunz; Jonathan Craig; Victor M Montori; Patrick Bossuyt; Gordon H Guyatt Journal: BMJ Date: 2008-05-17
Authors: Gordon H Guyatt; Andrew D Oxman; Gunn E Vist; Regina Kunz; Yngve Falck-Ytter; Pablo Alonso-Coello; Holger J Schünemann Journal: BMJ Date: 2008-04-26
Authors: Joachim W Thüroff; Paul Abrams; Karl-Erik Andersson; Walter Artibani; Christopher R Chapple; Marcus J Drake; Christian Hampel; Andreas Neisius; Annette Schröder; Andrea Tubaro Journal: Eur Urol Date: 2010-11-24 Impact factor: 20.096
Authors: Sanjeeve Sabharwal; Vanash Patel; Sukhjinder S Nijjer; Ali Kirresh; Ara Darzi; John C Chambers; Iqbal Malik; Jaspal S Kooner; Thanos Athanasiou Journal: J R Soc Med Date: 2013-05-28 Impact factor: 5.344
Authors: Gabriela J Prutsky; Juan Pablo Domecq; Tarig Elraiyah; Zhen Wang; Lisa A Grohskopf; Larry J Prokop; Victor M Montori; Mohammad Hassan Murad Journal: Syst Rev Date: 2012-12-29
Authors: Thayla A Santino; Karolinne Souza Monteiro; Matheus de Paiva Azevedo; Cecília M Patino; Sara Ahmed; Karla M P P de Mendonça Journal: Medicine (Baltimore) Date: 2020-05 Impact factor: 1.889