scholarly journals How to write a guideline: a proposal for a manuscript template that supports the creation of trustworthy guidelines

2021 ◽  
Author(s):  
Robby Nieuwlaat ◽  
Wojtek Wiercioch ◽  
Jan L. Brożek ◽  
Nancy Ann Marie Santesso ◽  
Robert Kunkle ◽  
...  
Keyword(s):  
Development Process ◽  
Executive Summary ◽  
Assessment Development ◽  
Interest Management ◽  
Key Stakeholders ◽  
Sufficient Detail ◽  
American Society ◽  
Evidence Based Guideline ◽  
Consistent Application ◽  
Complete Reporting

Trustworthy health guidelines should provide recommendations, document the development process, and highlight implementation information. Our objective was to develop a guideline manuscript template to help authors write a complete and useful report. The McMaster Grading of Recommendations Assessment, Development and Evaluation (GRADE) centre collaborated with the American Society of Hematology (ASH) to develop guidelines for the management of venous thromboembolism. A template for reporting the guidelines was developed based on prior approaches and refined using input from other key stakeholders. The proposed guideline manuscript template includes: 1) title for guideline identification; 2) abstract, including a summary of key recommendations; 3) overview of all recommendations [executive summary]; 4) the main text, providing sufficient detail on the entire process including objectives, background, and methodological decisions from panel selection and conflict of interest management to criteria for updating, as well as supporting information such as links to online (interactive) tables. The template further allows for tailoring to the specific topic, using examples. Initial experience with the ASH guideline manuscript template was positive, and challenges included drafting descriptions of recommendations involving multiple management pathways, tailoring the template for a specific guideline, and choosing key recommendations to highlight. Feedback from a larger group of guideline authors and users will be needed to evaluate its usefulness and refine. The proposed guideline manuscript template is the first detailed template for transparent and complete reporting of guidelines. Consistent application of the template may simplify preparing an evidence-based guideline manuscript and facilitate its use.

scholarly journals Radiation therapy for the whole breast: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based guideline

2018 ◽  
Vol 8 (3) ◽  
pp. 145-152 ◽  
Author(s):  
Benjamin D. Smith ◽  
Jennifer R. Bellon ◽  
Rachel Blitzblau ◽  
Gary Freedman ◽  
Bruce Haffty ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Radiation Oncology ◽  
Evidence Based ◽  
Executive Summary ◽  
American Society ◽  
Evidence Based Guideline

Laboratory Workup of Lymphoma in Adults

2020 ◽  
Vol 155 (1) ◽  
pp. 12-37
Author(s):  
Steven H Kroft ◽  
Cordelia E Sever ◽  
Adam Bagg ◽  
Brooke Billman ◽  
Catherine Diefenbach ◽  
...  
Keyword(s):  
Diagnostic Testing ◽  
Clinical Pathology ◽  
Cost Effective ◽  
Primary Diagnosis ◽  
Aggressive Lymphoma ◽  
Evidence Based ◽  
Assessment Development ◽  
Cost Effective Approach ◽  
American Society ◽  
Evidence Based Guideline

Abstract Objectives The diagnostic workup of lymphoma continues to evolve rapidly as experience and discovery lead to the addition of new clinicopathologic entities and techniques to differentiate them. The optimal clinically effective, efficient, and cost-effective approach to diagnosis that is safe for patients can be elusive, in both community-based and academic practice. Studies suggest that there is variation in practice in both settings. The aim of this review is to develop an evidence-based guideline for the preanalytic phase of testing, focusing on specimen requirements for the diagnostic evaluation of lymphoma. Methods The American Society for Clinical Pathology, the College of American Pathologists, and the American Society of Hematology convened a panel of experts in the laboratory workup of lymphoma to develop evidence-based recommendations. The panel conducted a systematic review of the literature to address key questions. Using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, recommendations were derived based on the available evidence, the strength of that evidence, and key judgments as defined in the GRADE Evidence to Decision framework. Results Thirteen guideline statements were established to optimize specimen selection, ancillary diagnostic testing, and appropriate follow-up for safe and accurate diagnosis of indolent and aggressive lymphoma. Conclusions Primary diagnosis and classification of lymphoma can be achieved with a variety of specimens. Application of the recommendations can guide decisions about specimen suitability, diagnostic capabilities, and correct utilization of ancillary testing. Disease prevalence in patient populations, availability of ancillary testing, and diagnostic goals should be incorporated into algorithms tailored to each practice environment.

SFD Promotion Initiative: Cap-Haïtien, Haiti

2021 ◽  
Author(s):  
Benjamin Biscan ◽  
Sergio Pérez Monforte ◽  
Lars Schöbitz ◽  
Anthony Kilbride
Keyword(s):  
Urban Areas ◽  
Decision Support Tool ◽  
Flow Diagram ◽  
Context Analysis ◽  
Executive Summary ◽  
Support Tool ◽  
Urban Sanitation ◽  
Key Stakeholders ◽  
Involved Field ◽  
The City

The Shit Flow Diagram (SFD) graphic is an advocacy tool that aims to assist technical and non-technical stakeholders to implement plans and programs related to urban sanitation. The SFD methodology is increasingly being used to analyze the extent of safely managed sanitation in urban areas, providing a valuable picture of the prevailing sanitation conditions, from containment to disposal. As such, it is a widely recognized advocacy and decision support tool that aims to understand, communicate, and visualize how wastewater and fecal sludge move within a city or town. As stated on the SuSanA website, the SFD methodology offers “a new and innovative way to engage sanitation experts, political leaders, and civil society in coordinated discussions about excreta management in their city”. The production and publication of an SFD report for Cap-Haitien (Haiti) would help to visualize the current sanitation situation in the city, resulting in a potential to shift current activities and efforts towards more efficient investments in the places along the sanitation chain that need more attention, improving the urban sanitation situation and the surrounding environment of the city. The structure of this SFD report consists of an executive summary and the SFD report. The latter includes: i) general city information describing its main characteristics; ii) sanitation service outcomes, with a thorough explanation of the SFD graphic outcome and the assumptions made; iii) the service delivery context analysis, which contains information on the regulatory framework of water and sanitation at country and city levels, and describes the city plans, budget and future projects to improve the sanitation situation and; iv) a detailed description of the surveys, Key Informant Interviews (KIIs) and Focus Group Discussions (FGDs) conducted, as well as the key stakeholders involved, field visits carried out and references used to develop this SFD report.

scholarly journals 2019 sickle cell disease guidelines by the American Society of Hematology: methodology, challenges, and innovations

2019 ◽  
Vol 3 (23) ◽  
pp. 3945-3950 ◽  
Author(s):  
M. Hassan Murad ◽  
Robert I. Liem ◽  
Eddy S. Lang ◽  
Elie A. Akl ◽  
Joerg J. Meerpohl ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Guideline Development ◽  
A Priori ◽  
Cell Transplant ◽  
Cell Disease ◽  
Hematopoietic Stem ◽  
Assessment Development ◽  
Cerebrovascular Complications ◽  
American Society

Abstract The American Society of Hematology (ASH) convened 5 guideline panels to develop clinical practice recommendations addressing 5 management areas of highest importance to individuals living with sickle cell disease: pain, cerebrovascular complications, pulmonary and kidney complications, transfusion, and hematopoietic stem cell transplant. Panels were multidisciplinary and consisted of patient representatives, content experts, and methodologists. The Mayo Clinic Evidence-Based Practice Center conducted systematic reviews based on a priori selected questions. In this exposition, we describe the process used by ASH, including the GRADE approach (Grades of Recommendations, Assessment, Development and Evaluation) for rating certainty of the evidence and the GRADE Evidence to Decision Framework. We also describe several unique challenges faced by the guideline panels and the specific innovations and solutions used to address them, including a curriculum to train patients to engage in guideline development, dealing with the opioid crisis, and working with indirect and noncomparative evidence.

Sign in / Sign up

Export Citation Format

Share Document