Recommendation mapping of the World Health Organization's guidelines on tuberculosis: A new approach to digitizing and presenting recommendations

Autor: Mark Loeb, Rana Charide, Holger J. Schünemann, Tereza Kasaeva, Antonio Bognanni, Fuad Mirzayev, Micayla Matthews, Nebiat Gebreselassie, Alexei Korobitsyn, Jan Brozek, Bart Dietl, Thomas Piggott, Andrea Darzi, Elie A. Akl, Nazir Ismail, Artur Nowak, Dennis Falzon, Kuba Kulesza, Anisa Hajizadeh, Matteo Zignol, Finn Schünemann, Robby Nieuwlaat, Ernesto Jaramillo, Qi Wang, Dominik Mertz, Tamara Lotfi, Praveen Saroey, Al Subhi Mahmood, Giovanna Muti-Schünemann
Rok vydání: 2021
Předmět:
Evidence-based practice
Knowledge management
Epidemiology
Computer science
Framing (World Wide Web)
MDR-TB
Multidrug-Resistant Tuberculosis
Population
Psychological intervention
Guideline
EtD
Evidence to Decision
World Health Organization
Filter (software)
WHO
World Health Organization
03 medical and health sciences
RecMaps
Recommendation mapping
0302 clinical medicine
HEI
Department of Health Research Methods
Evidence and Impact
McMaster University
Canada
Tuberculosis
PICO
Population
Intervention
Comparator
Outcome
Humans
030212 general & internal medicine
education
Health policy
WHO/GTB
Global Tuberculosis Programme
World Health Organization
Switzerland
DR-TB
Drug-Resistant Tuberculosis
education.field_of_study
Evidence-Based Medicine
business.industry
XDR-TB
Extensively Drug-Resistant Tuberculosis
TB
Tuberculosis
Usability
AMR
Antimicrobial Resistance
GRADE
NTP
National TB Programme
Research Design
GDG
Guideline Development Group
Original Article
business
Software
030217 neurology & neurosurgery
GRADE
Grading of Recommendations Assessment
Development and Evaluation
GRC
Guideline Review Committee
Zdroj: Journal of Clinical Epidemiology
ISSN: 0895-4356
DOI: 10.1016/j.jclinepi.2021.02.009
Popis: Objective Having up-to-date health policy recommendations accessible in one location is in high demand by guideline users. We developed an easy to navigate interactive approach to organize recommendations and applied it to tuberculosis (TB) guidelines of the World Health Organization (WHO). Study Design We used a mixed-methods study design to develop a framework for recommendation mapping with seven key methodological considerations. We define a recommendation map as an online repository of recommendations from several guidelines on a condition, providing links to the underlying evidence and expert judgments that inform them, allowing users to filter and cross-tabulate the search results. We engaged guideline developers, users, and health software engineers in an iterative process to elaborate the WHO eTB recommendation map. Results Applying the seven-step framework, we included 228 recommendations, linked to 103 guideline questions and organized the recommendation map according to key components of the health question, including the original recommendations and rationale (https://who.tuberculosis.recmap.org/). Conclusion The recommendation mapping framework provides the entire continuum of evidence mapping by framing recommendations within a guideline questions’ population, interventions, and comparators domains. Recommendation maps should allow guideline developers to organize their work meaningfully, standardize the automated publication of guidelines through links to the GRADEpro guideline development tool, and increase their accessibility and usability.
Highlights • What this adds to what is known: This work transfers evidence mapping methods to guidelines in a process we call “recommendation mapping.” • What is the implication, what should change now: Recommendation mapping provides a digital curation of guidelines for a particular condition or disease. In this article we describe how we created an online map of WHO guidance on tuberculosis prevention and care to enhance accessibility of recommendation data and other key guideline components, facilitate their prompt update as needed, allow cross-tabulation of recommendations to help visualize any priority gaps and clustering and facilitate the adaptation of recommendations by users. • Recommendation maps are accessory to the notion of “living guidelines” that are promptly updated to reflect the state of the science, providing a digital solution to improve upon the organization, accessibility, and ultimately, uptake of guideline recommendations to benefit individual wellbeing or public health. It is directly linked to the GRADEpro guideline development tool.
Graphical abstract Image, graphical abstract
Databáze: OpenAIRE
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