Andrea Juliana Sanabria1, Hector Pardo-Hernandez2, Mónica Ballesteros3, Carlos Canelo-Aybar4, Emma McFarlane5, Ena Niño de Guzman3, Katrina Penman5, Margarita Posso3, Marta Roqué I Figuls3, Anna Selva6, Robin W M Vernooij7, Pablo Alonso-Coello8, Laura Martínez García8. 1. Iberoamerican Cochrane Center - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain; National Institute for Health and Care Excellence, Manchester, UK; G-I-N Updating Guidelines Working Group, UK. Electronic address: ajsanabria@cochrane.es. 2. Iberoamerican Cochrane Center - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain; G-I-N Updating Guidelines Working Group, UK; CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain. Electronic address: HPardo@santpau.cat. 3. Iberoamerican Cochrane Center - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. 4. Iberoamerican Cochrane Center - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain; CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain. 5. National Institute for Health and Care Excellence, Manchester, UK; G-I-N Updating Guidelines Working Group, UK. 6. G-I-N Updating Guidelines Working Group, UK; Clinical Epidemiology and Cancer Screening, Corporació Sanitaria Parc Taulí, Sabadell, Barcelona, Spain. 7. Iberoamerican Cochrane Center - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain; G-I-N Updating Guidelines Working Group, UK. 8. Iberoamerican Cochrane Center - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain; G-I-N Updating Guidelines Working Group, UK; CIBER of Epidemiology and Public Health (CIBERESP), Barcelona, Spain.
Abstract
OBJECTIVE: The objective of the study is to develop a pragmatic tool to prioritize clinical guideline (CG) questions for updating, the UpPriority tool. STUDY DESIGN AND SETTING: The development of this tool consisted of the following: (1) establishment of the working group, (2) generation of the initial version, (3) optimization of the tool (including an initial feasibility test, semistructured interviews, Delphi consensus survey, second feasibility test, external review, and pilot test), and (4) approval of the final version. RESULTS: A total of 87 participants including methodologists, clinicians, and other relevant stakeholders contributed to the development of the UpPriority tool. The tool consists of six items: (1) impact of outdated recommendations on safety, (2) availability of new relevant evidence, (3) context relevance of the clinical question, (4) methodological applicability of the clinical question, (5) user's interest, and (6) impact on access to health care. The UpPriority tool includes detailed guidance for using the tool and rating each item (using a 7-point Likert scale), for calculating and ranking the questions, and for summarizing results. CONCLUSION: The UpPriority tool could be useful for standardizing prioritization processes when updating CGs and for fostering more efficient use of resources in the CG field.
OBJECTIVE: The objective of the study is to develop a pragmatic tool to prioritize clinical guideline (CG) questions for updating, the UpPriority tool. STUDY DESIGN AND SETTING: The development of this tool consisted of the following: (1) establishment of the working group, (2) generation of the initial version, (3) optimization of the tool (including an initial feasibility test, semistructured interviews, Delphi consensus survey, second feasibility test, external review, and pilot test), and (4) approval of the final version. RESULTS: A total of 87 participants including methodologists, clinicians, and other relevant stakeholders contributed to the development of the UpPriority tool. The tool consists of six items: (1) impact of outdated recommendations on safety, (2) availability of new relevant evidence, (3) context relevance of the clinical question, (4) methodological applicability of the clinical question, (5) user's interest, and (6) impact on access to health care. The UpPriority tool includes detailed guidance for using the tool and rating each item (using a 7-point Likert scale), for calculating and ranking the questions, and for summarizing results. CONCLUSION: The UpPriority tool could be useful for standardizing prioritization processes when updating CGs and for fostering more efficient use of resources in the CG field.
Authors: Shahnaz Sultan; Madelin R Siedler; Rebecca L Morgan; Toju Ogunremi; Philipp Dahm; Lisa A Fatheree; Thomas S D Getchius; Pamela K Ginex; Priya Jakhmola; Emma McFarlane; M Hassan Murad; Robyn L Temple Smolkin; Yasser S Amer; Murad Alam; Bianca Y Kang; Yngve Falck-Ytter; Reem A Mustafa Journal: J Gen Intern Med Date: 2021-09-20 Impact factor: 6.473
Authors: Yang Song; Monica Ballesteros; Jing Li; Laura Martínez García; Ena Niño de Guzmán; Robin W M Vernooij; Elie A Akl; Francoise Cluzeau; Pablo Alonso-Coello Journal: BMJ Open Date: 2021-12-02 Impact factor: 2.692