A Framework for Writing and Critically Evaluating Guideline Articles.

IF 5.8 3区 医学 Q1 DERMATOLOGY
Chandan K Sen
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引用次数: 0

Abstract

Credible guideline articles are essential for advancing evidence-based medicine, yet their development demands rigorous methodology to ensure transparency, reliability, and applicability. This editorial outlines a framework for writing and critically evaluating guideline articles, emphasizing standardized approaches such as GRADE (Grading of Recommendations Assessment, Development, and Evaluation), IOM (Institute of Medicine) standards, and GIN (Guidelines International Network) criteria. Key steps include: (1) transparent and credible author panel selection: incorporating diverse stakeholders with established expertise (objective benchmark requirements that are publicly disclosed), including clinician scientists, translational scientists, methodologists, and patients (where applicable), to mitigate bias and enhance relevance; (2) Transparency and conflict-of-interest management: adhering to IOM principles for panel selection and publicly available documentation to uphold trustworthiness; (3) Systematic evidence synthesis: using structured methods such as GRADE to assess the quality of evidence and strength of recommendations while relying on the expertise of an appropriately chosen panel to address limitations such as sparse data in emerging fields; and (4) Implementation planning: leveraging structured tools (employ GIN as applicable) to ensure real-world feasibility and adaptability. The article contrasts these frameworks with ad hoc expert opinion articles, which are vulnerable to bias. Hybrid approaches, as applicable to specific needs, are strongly encouraged. For example, combining GRADE for evidence assessment, IOM for procedural credibility, and GIN for practical rollout should be considered for optimal rigor. Niche systems such as USPSTF (US Preventive Services Task Force) for preventive services and NICE (National Institute for Health and Care Excellence) for cost-effectiveness integration are discussed. By adhering to these principles, as applicable to the specific case, guideline authors can produce actionable, ethically sound recommendations that bridge research and practice, ultimately improving healthcare quality and reducing variability in clinical decision-making.

写作和批判性评估指导文章的框架。
可信的指南文章对于推进循证医学至关重要,然而它们的发展需要严格的方法来确保透明度、可靠性和适用性。这篇社论概述了编写和批判性评估指南文章的框架,强调了标准化方法,如GRADE(建议评估、发展和评估分级)、IOM(医学研究所)标准和GIN(指南国际网络)标准。关键步骤包括:(1)透明和可信的作者小组选择:将具有既定专业知识(公开披露的客观基准要求)的不同利益相关者纳入其中,包括临床科学家、转化科学家、方法学家和患者(如适用),以减轻偏见并增强相关性;(2)透明度和利益冲突管理:坚持国际移民组织的专家组选择原则和公开文件,以维护可信度;(3)系统证据综合:使用结构化方法(如GRADE)来评估证据的质量和建议的强度,同时依靠适当选择的专家组的专业知识来解决诸如新兴领域数据稀疏等局限性;(4)实施计划:利用结构化工具(适用时使用GIN)来确保现实世界的可行性和适应性。文章将这些框架与特别的专家意见文章进行了对比,这些文章容易受到偏见的影响。强烈鼓励适用于具体需要的混合办法。例如,将GRADE用于证据评估,IOM用于程序可信度,GIN用于实际推出,应考虑其最佳严谨性。利基系统,如USPSTF(美国预防服务工作组)的预防服务和NICE(国家卫生和保健卓越研究所)的成本效益整合进行了讨论。通过坚持这些原则,如适用于具体情况,指南作者可以产生可操作的,道德上合理的建议,桥梁研究和实践,最终提高医疗质量和减少临床决策的可变性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in wound care
Advances in wound care Medicine-Emergency Medicine
CiteScore
12.10
自引率
4.10%
发文量
62
期刊介绍: Advances in Wound Care rapidly shares research from bench to bedside, with wound care applications for burns, major trauma, blast injuries, surgery, and diabetic ulcers. The Journal provides a critical, peer-reviewed forum for the field of tissue injury and repair, with an emphasis on acute and chronic wounds. Advances in Wound Care explores novel research approaches and practices to deliver the latest scientific discoveries and developments. Advances in Wound Care coverage includes: Skin bioengineering, Skin and tissue regeneration, Acute, chronic, and complex wounds, Dressings, Anti-scar strategies, Inflammation, Burns and healing, Biofilm, Oxygen and angiogenesis, Critical limb ischemia, Military wound care, New devices and technologies.
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