A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Development of a multinational clinical practice guideline: a practical structured procedure
INTRODUCTION: The development of a clinical guideline is a challenging process. National and international organizations have established a variety of approaches, grading systems, evaluation scales and voting modes, however a practical description which illustrates all steps from starting the initiative to publication and dissemination of the guideline is usually not provided. We describe a structured guideline procedure that can be adjusted to the requirements of other multinational guidelines. METHODS: Clinical scientists with experience of organizing and contributing to guidelines initiated this guideline project. A balance between scientific evidence and clinical experience was achieved by involving European specialist societies and physicians from 18 European countries. For persons contributing to the guideline process, different levels of involvement were defined. The tasks were assigned to different groups of persons, which formed scientific institutions. RESULTS: We describe organizational structures and institutions, a stepwise approach to tasks, and illustrate the multistep guideline development procedure in a flowchart diagram that shows the workflow and the assigned responsibilities and provides further details for the execution of each step, including timelines. The process is split into 4 phases: Foundation, Preparation, Voting and Publication. DISCUSSION: This structured procedure can serve as a blueprint for future multinational initiatives and may also aid future attempts to standardize and harmonize the guideline development processes. Although the described structured procedure is for a diagnostic guideline, it may also be appropriate for therapeutic guidelines by adjusting the acceptance criteria for statements and recommendations.
Development of a multinational clinical practice guideline: a practical structured procedure
INTRODUCTION: The development of a clinical guideline is a challenging process. National and international organizations have established a variety of approaches, grading systems, evaluation scales and voting modes, however a practical description which illustrates all steps from starting the initiative to publication and dissemination of the guideline is usually not provided. We describe a structured guideline procedure that can be adjusted to the requirements of other multinational guidelines. METHODS: Clinical scientists with experience of organizing and contributing to guidelines initiated this guideline project. A balance between scientific evidence and clinical experience was achieved by involving European specialist societies and physicians from 18 European countries. For persons contributing to the guideline process, different levels of involvement were defined. The tasks were assigned to different groups of persons, which formed scientific institutions. RESULTS: We describe organizational structures and institutions, a stepwise approach to tasks, and illustrate the multistep guideline development procedure in a flowchart diagram that shows the workflow and the assigned responsibilities and provides further details for the execution of each step, including timelines. The process is split into 4 phases: Foundation, Preparation, Voting and Publication. DISCUSSION: This structured procedure can serve as a blueprint for future multinational initiatives and may also aid future attempts to standardize and harmonize the guideline development processes. Although the described structured procedure is for a diagnostic guideline, it may also be appropriate for therapeutic guidelines by adjusting the acceptance criteria for statements and recommendations.
Development of a multinational clinical practice guideline: a practical structured procedure
Sonyi, Marc (author) / Keller, Jutta (author) / Fox, Mark (author) / Hammer, Heinz F (author)
2021-01-01
Sonyi, Marc; Keller, Jutta; Fox, Mark; Hammer, Heinz F (2021). Development of a multinational clinical practice guideline: a practical structured procedure. Digestive Diseases, 39(5):477-487.
Article (Journal)
Electronic Resource
English
DDC:
710
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