Timothy Hugh Barker1, Mafalda Dias2, Cindy Stern3, Kylie Porritt3, Rick Wiechula4, Edoardo Aromataris3, Sue Brennan5, Holger J Schünemann6, Zachary Munn3. 1. Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia; Adelaide GRADE Centre, Adelaide, Australia. Electronic address: timothy.barker@adelaide.edu.au. 2. Adelaide GRADE Centre, Adelaide, Australia; Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, Australia. 3. Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia; Adelaide GRADE Centre, Adelaide, Australia. 4. Adelaide GRADE Centre, Adelaide, Australia; Adelaide Nursing School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia; Centre for Evidence-based Practice South Australia: A JBI Centre of Excellence, Adelaide, South Australia, Australia. 5. School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia; Melbourne GRADE Centre, Melbourne, Australia. 6. Michael G. DeGroote Cochrane Canada Centre, Canada; McMaster GRADE Centre, Hamilton, Canada; Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Abstract
OBJECTIVES: The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach is accepted methodology to assess the certainty of the evidence included in systematic reviews and clinical practice guidelines. The GRADE approach is endorsed globally, in Australia, the National Health and Medical Research Council advocated for the use of the GRADE approach in 2011. The purpose of this methodological review was to assess how GRADE has been adopted for Australian practice guidelines. STUDY DESIGN AND SETTING: This methodological review searched of the National Health and Medical Research Council Clinical Practice Guidelines Portal from 2011 to 2018, in an effort to retrieve all practice guidelines available via this medium. RESULTS: 240 guidelines were retrieved authored by 51 different organizations. 15 guidelines followed GRADE methodology. Application of GRADE methods varied between guidelines, some misreported and altered aspects of the GRADE process. Guidelines that closely adhered to the guidance from the GRADE Working Group scored higher in domain 3 (rigor of development) of the Appraisal of Guidelines for Research and Evaluation II tool, indicating a positive linear relationship between GRADE adherence and rigor of development scores. CONCLUSION: The results of our project suggest that the use of GRADE in Australian guidelines is increasing, however, strategies to increase uptake and reporting within the guideline community need to be explored. Crown
OBJECTIVES: The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach is accepted methodology to assess the certainty of the evidence included in systematic reviews and clinical practice guidelines. The GRADE approach is endorsed globally, in Australia, the National Health and Medical Research Council advocated for the use of the GRADE approach in 2011. The purpose of this methodological review was to assess how GRADE has been adopted for Australian practice guidelines. STUDY DESIGN AND SETTING: This methodological review searched of the National Health and Medical Research Council Clinical Practice Guidelines Portal from 2011 to 2018, in an effort to retrieve all practice guidelines available via this medium. RESULTS: 240 guidelines were retrieved authored by 51 different organizations. 15 guidelines followed GRADE methodology. Application of GRADE methods varied between guidelines, some misreported and altered aspects of the GRADE process. Guidelines that closely adhered to the guidance from the GRADE Working Group scored higher in domain 3 (rigor of development) of the Appraisal of Guidelines for Research and Evaluation II tool, indicating a positive linear relationship between GRADE adherence and rigor of development scores. CONCLUSION: The results of our project suggest that the use of GRADE in Australian guidelines is increasing, however, strategies to increase uptake and reporting within the guideline community need to be explored. Crown
Authors: Patricia Logullo; Ivan D Florez; George A Antoniou; Sheraz Markar; Manuel López-Cano; Gianfranco Silecchia; Sofia Tsokani; Dimitrios Mavridis; Melissa Brouwers; Stavros A Antoniou Journal: United European Gastroenterol J Date: 2022-05-04 Impact factor: 6.866
Authors: Tanja Kovačević; Davorka Vrdoljak; Slavica Jurić Petričević; Ivan Buljan; Dario Sambunjak; Željko Krznarić; Ana Marušić; Ana Jerončić Journal: Int J Environ Res Public Health Date: 2022-08-03 Impact factor: 4.614