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Recent Advance in Clinical Practice Guideline Development Methodology

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초록

Clinical practice guidelines (CPG) can be defined as systematically developed recommendations and related con-tent obtained by reviewing scientific evidence, which help healthcare providers make decisions. CPG is one of the most powerful tools that helps clinicians make evidence-based decisions in practice. Methodologies in areas es-sential for CPG development, such as for systematic review, risk of bias (ROB) assessment, adaptation, and the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations, are rapidly developing. Therefore, they must be well-understood and applied to evidence-based CPG development. In this regard, it is necessary to learn about the updates and changed in the methodologies for CPG development. This manuscript covers the following CPG development methodologies: (1) main principles of CPG, (2) managing conflict of inter-est, (3) considering patient value and preference, (4) determination of key questions, (5) ROB assessment, (6) adap-tation, (7) rapid guideline development, (8) living guideline development, and (9) GIN-McMaster Guideline Devel-opment Checklist.

Abstract

Clinical practice guidelines (CPG) can be defined as systematically developed recommendations and related con-tent obtained by reviewing scientific evidence, which help healthcare providers make decisions. CPG is one of the most powerful tools that helps clinicians make evidence-based decisions in practice. Methodologies in areas es-sential for CPG development, such as for systematic review, risk of bias (ROB) assessment, adaptation, and the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations, are rapidly developing. Therefore, they must be well-understood and applied to evidence-based CPG development. In this regard, it is necessary to learn about the updates and changed in the methodologies for CPG development. This manuscript covers the following CPG development methodologies: (1) main principles of CPG, (2) managing conflict of inter-est, (3) considering patient value and preference, (4) determination of key questions, (5) ROB assessment, (6) adap-tation, (7) rapid guideline development, (8) living guideline development, and (9) GIN-McMaster Guideline Devel-opment Checklist.

참고문헌 (21)

  1. 김수영, "일차진료의사를 위한 호흡기 질환 임상 지침 선정과 번역", Korean Journal of Family Medicine, 25(3), pp.205~215 (2004), 대한가정의학회
  2. Kim SY, "NECA’s handbook for clinical practice guideline developer, version 1.0", National Evidence-based Healthcare Collaborating Agency, ~ (2015)
  3. Kim SY, "NECA’s handbook for clinical practice guideline developer, version 2.0", National Evidence-based Healthcare Collaborating Agency, ~ (2022)
  4. Health technology assessment methodology: systematic review, "Kim SY", National Evidence-based Healthcare Collaborating Agency, ~ (2020)
  5. NECA’s guidance for assessing tools of risk of bias, "Kim SY", National Evidence-based Healthcare Collaborating Agency, ~ (2021)
  6. "Guidelines for guidelines handbook" (2018)[URL]
  7. 김수영, "임상진료지침의 표준", 보건의료기술평가, 4(2), pp.53~57 (2016), 한국보건의료기술평가학회[DOI]
  8. "Forming the questions" (2019)[URL]
  9. "WHO handbook for guideline development" (2014)[URL]
  10. "Consumer involvement" (2018)[URL]
  11. "Identifying and managing conflicts of interest" (2018)[URL]
  12. Seo HJ, "A newly developed tool for classifying study designs in systematic reviews of interventions and exposures showed substantial reliability and validity", J Clin Epidemiol, 70, pp.200~205 (2016)
  13. Harrison MB, "Guideline adaptation and implementation planning : a prospective observational study", Implement Sci, 8, pp.49~ (2013)
  14. "Adopt, adapt or start from scratch" (2018)[URL]
  15. Schunemann HJ, "GRADE Evidence to Decision(EtD)frameworks for adoption, adaptation, and de novo development of trustworthy recommendations : GRADE-ADOLOPMENT", J Clin Epidemiol, 81, pp.101~110 (2017)
  16. Kowalski SC, "Development of rapid guidelines : 1. Systematic survey of current practices and methods", Health Res Policy Syst, 16, pp.61~ (2018)
  17. "Rapid risk assessment of acute public health events" (2012)[URL]
  18. Morgan RL, "Development of rapid guidelines: 3. GIN-McMaster Guideline Development Checklist extension for rapid recommendations", Health Res Policy Syst, 16, pp.63~ (2018)
  19. Zheng Q, "Past, present and future of living systematic review : a bibliometrics analysis", BMJ Glob Health, 7, pp.e009378~ (2022)
  20. Akl EA, "Living systematic reviews: 4. Living guideline recommendations", J Clin Epidemiol, 91, pp.47~53 (2017)
  21. Schunemann HJ, "Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise", CMAJ, 186, pp.E123~E142 (2014)

관련 논문AI추천

Moving towards Evidence-Based Clinical Practice Guidelines정재흥, Juan V A Franco, Philipp Dahm대한요로생식기감염학회 · Urogenital Tract Infection2018 · 제13권 제3호임상진료지침의 표준김수영한국보건의료기술평가학회 · 보건의료기술평가2016 · 제4권 제2호Korean Translation of the GRADE Series Published in the BMJ, ‘GRADE: An Emerging Consensus on Rating Quality of Evidence and Strength of Recommendations’ (A Secondary Publication)강호원, 구자윤, 정재흥, 정현진, Do Kyung Kim, Eu Chang Hwang, Hong Wook Kim대한요로생식기감염학회 · Urogenital Tract Infection2019 · 제14권 제1호Korean Translation of the GRADE Series Published in the BMJ, ‘Use of GRADE Grid to Reach Decisions on Clinical Practice Guidelines When Consensus Is Elusive’ (A Secondary Publication)강호원, 정재흥, 정현진, 황의창, Do Kyung Kim, Guideline Development Committee in the Kor. Ass. of Urogenital Tract Infection and Inflammation, Hong Wook Kim, Ja Yoon Ku대한요로생식기감염학회 · Urogenital Tract Infection2020 · 제15권 제3호국내 임상진료지침의 개발 현황이영숙, 천부순한국임상약학회 · 한국임상약학회지2015 · 제25권 제3호GRADE (Grading of Recommendations, Assessment, Development and Evalua-tion): “근거수준(Quality of Evidence)” 이란 무엇이며, 임상의사에게 왜 중요한가?강호원, 구자윤, 정현진, Do Kyung Kim, Eu Chang Hwang, Hong Wook Kim, Jae Hung Jung대한요로생식기감염학회 · Urogenital Tract Infection2019 · 제14권 제2호

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