Methodology and production of guidelines

Authors

DOI:

https://doi.org/10.33393/gcnd.2021.2268

Keywords:

Clinical Practice Guidelines, Dissemination, Evidence, Guideline, Methodology

Abstract

This article has the aim of informing the reader about methodology and production of Clinical Practice Guidelines (CPG) and the instruments in order to be able to approach the whole process, from the production to the publication and distribution, but also to updated CPG. The importance of the issue is given by: 1) the need to avoid the CPG duplication, which is the reason of waste of resources and that raises confusion among users; 2) the need to ensure the independence of the experts involved and without conflict of interests; 3) the use of methodologies that respect the best quality standards; 4) the inhomogeneity of healthcare processes in the Italian territory and practices not based on scientific evidences; 5) the consultation and the commentary of stakeholders on the recommendations produced.

Downloads

Download data is not yet available.

References

Cartabellotta A. Standard internazionali per la produzione delle linee guida. Giornale Italiano di Ortopedia e Traumatologia. 2016;42:376-383. Online https://www.giot.it/wp-content/uploads/2016/12/04_Art_FOCUS_-Cartabellotta-1.pdf (Ultimo accesso: Aprile 2021)

Il programma nazionale delle linee guida tra passato e presente. Istituto superiore di sanità. (https://www.epicentro.iss.it/ben/2007/lu-ago/2) (ultimo accesso Luglio 2021)

Sala V, Moja L, Moschetti I, Bidoli S, Pistotti V, Liberati A. Revisioni sistematiche - Breve guida all’uso. Centro Cochrane Italiano; 2006.

Cartabellotta A. Linee guida, percorsi, processi, procedure, protocolli. Il caos regna sovrano: è tempo di mettere ordine! GIMBE news 2008;1:4-5. Pubblicato: 9 dicembre 2008. https://www.evidence.it/articolodettaglio/209/it/44/linee-guida-percorsi-processi-procedure-protocolli-il-caos-/articolo (ultimo accesso Ottobre 2021)

Legge 8 marzo 2017, n. 24, “Disposizioni in materia di sicurezza delle cure e della persona assistita, nonché in materia di responsabilità professionale degli esercenti le professioni sanitarie”. https://www.gazzettaufficiale.it/eli/gu/2017/03/17/64/sg/pdf (ultimo accesso Ottobre 2021)

Decreto 02 agosto 2017, “Elenco delle società scientifiche e delle associazioni tecnico-scientifiche delle professioni sanitarie”. https://www.gazzettaufficiale.it/eli/id/2017/08/10/17A05598/sg (ultimo accesso Ottobre 2021)

Sistema Nazionale Linee Guida dell’Istituto Superiore di Sanità. Online https://snlg.iss.it/ (accesso Luglio 2021)

Manuale operativo. Procedure per la proposta di inserimento di Linee Guida del Sistema Nazionale Linee Guida. Centro Nazionale Eccellenza Clinica, Qualità e Sicurezza delle Cure. Versione 2.0 20-04-2018. https://snlg.iss.it/wp-content/uploads/2020/02/MO_SNLG_v3.02_feb2020.pdf (ultimo accesso Ottobre 2021)

Institute of Medicine. Conflict of interest in medical research, education, and practice. Washington, DC: National Academies Press; 2009.

Schünemann HJ, Osborne M, Moss J, et al; ATS Ethics and Conflict of Interest Committee and the Documents Development and Implementation Committee. An official American Thoracic Society Policy statement: managing conflict of interest in professional societies. Am J Respir Crit Care Med. 2009;180(6):564-580. https://doi.org/10.1164/rccm.200901-0126ST PMID:19734351 DOI: https://doi.org/10.1164/rccm.200901-0126ST

Schünemann H, J, Al-Ansary L, A, Forland F et al. Disclosure e gestione dei conflitti di interesse nelle linee guida: i princìpi del Guidelines International Network. Evidence 2016;8(3): e1000136 https://doi.org/10.4470/E1000136.

Qaseem A, Forland F, Macbeth F, et al. Guidelines International Network: verso standard internazionali per la produzione di linee guida. Evidence. 2012;4(6):e1000022. https://doi.org/10.4470/E1000022

Schünemann HJ, Wiercioch W, Brozek J, et al. GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. J Clin Epidemiol. 2017;81:101-110. https://doi.org/10.1016/j.jclinepi.2016.09.009 PMID:27713072 DOI: https://doi.org/10.1016/j.jclinepi.2016.09.009

Guyatt G, Oxman AD, Akl EA et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology 64 (2011) 383e394. https://doi.org/10.1016/j.jclinepi.2010.04.026 PMID: 21195583 DOI: https://doi.org/10.1016/j.jclinepi.2010.04.026

Alonso-Coello P, Schünemann HJ, Moberg J, et al. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: Introduction. BMJ 2016;353:i2016. https://doi.org/10.1136/bmj.i2016 DOI: https://doi.org/10.1136/bmj.i2016

AGREE Next Step Consortium. AGREE II. Checklist per valutare la qualità delle linee guida. Fondazione GIMBE: Bologna, aprile 2011. Online www.gimbe.org/agree. (Ultimo accesso Aprile 2021)

Brouwers MC, Kho ME, Browman GP, et al. The global rating scale complements the AGREE II in advancing the quality of practice guidelines. J Clin Epidemiol 2012;65(5):526-34. PMID: 22189163 DOI: 10.1016/j.jclinepi.2011.10.008 DOI: https://doi.org/10.1016/j.jclinepi.2011.10.008

Brouwers MC, Kerkvliet K, Spithoff K; AGREE Next Steps Consortium. The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines. BMJ. 2016;352:i1152. https://doi.org/10.1136/bmj.i1152 PMID:26957104 DOI: https://doi.org/10.1136/bmj.i1152

Cartabellotta A, Laganà AS. AGREE Reporting Checklist: uno strumento per migliorare il reporting delle linee guida Evidence 2016;8(7): e1000146 https://doi.org/10.4470/E1000146.

Vernooij RWM, Alonso-Coello P, Brouwers M et al. Reporting Items for Updated Clinical Guidelines: Checklist for the Reporting of Updated Guidelines (CheckUp). PLOS Medicine 2017;14(1): e1002207. https://doi.org/10.1371/journal.pmed.1002207 ( DOI: https://doi.org/10.1371/journal.pmed.1002207

Published

2021-10-29

How to Cite

Burrai, F., Gambella, M., Scarpa, A., & Cabula, S. (2021). Methodology and production of guidelines. Giornale Di Clinica Nefrologica E Dialisi, 33(1), 136–140. https://doi.org/10.33393/gcnd.2021.2268
Received 2021-04-20
Accepted 2021-10-06
Published 2021-10-29

Metrics

Most read articles by the same author(s)

1 2 3 > >>