Trustworthy evidence-based versus untrustworthy guidelines: detecting the difference.

IF 2.6 3区医学 Q1 PRIMARY HEALTH CARE

Family Medicine and Community Health Pub Date : 2023-10-01 DOI:10.1136/fmch-2023-002437

João Pedro Lima, Wimonchat Tangamornsuksan, Gordon H Guyatt

引用次数: 1

Abstract

Guidelines are essential tools in healthcare decision-making. Trustworthy guidelines inform clinicians not only on the direction (against or in favour) and strength (strong or weak/conditional) of recommendations but also on the certainty of the underlying evidence. Developing trustworthy guidelines requires panellists with clinical and methodological expertise who consider patients' values and preferences. Adherence to trustworthiness standards remains variable; clinicians should, therefore, be able to distinguish trustworthy from untrustworthy guidelines. In this paper, we offer eight domains of disparities between trustworthy evidence-based guidelines and less trustworthy guidelines.

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值得信赖的循证指南与不值得信赖的指南：检测差异。

指导方针是医疗保健决策的重要工具。值得信赖的指南不仅告知临床医生建议的方向（反对或赞成）和力度（强或弱/有条件），还告知潜在证据的确定性。制定值得信赖的指南需要具有临床和方法学专业知识的小组成员，他们考虑患者的价值观和偏好。遵守可信度标准的情况仍然不尽相同；因此，临床医生应该能够区分值得信赖和不值得信赖的指南。在本文中，我们提供了值得信赖的循证指南和不太值得信赖的指南之间的八个差异领域。

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

Family Medicine and Community Health PRIMARY HEALTH CARE-

CiteScore

9.70

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Family Medicine and Community Health (FMCH) is a peer-reviewed, open-access journal focusing on the topics of family medicine, general practice and community health. FMCH strives to be a leading international journal that promotes ‘Health Care for All’ through disseminating novel knowledge and best practices in primary care, family medicine, and community health. FMCH publishes original research, review, methodology, commentary, reflection, and case-study from the lens of population health. FMCH’s Asian Focus section features reports of family medicine development in the Asia-pacific region. FMCH aims to be an exemplary forum for the timely communication of medical knowledge and skills with the goal of promoting improved health care through the practice of family and community-based medicine globally. FMCH aims to serve a diverse audience including researchers, educators, policymakers and leaders of family medicine and community health. We also aim to provide content relevant for researchers working on population health, epidemiology, public policy, disease control and management, preventative medicine and disease burden. FMCH does not impose any article processing charges (APC) or submission charges.