A Framework for the Development of Living Practice Guidelines in Health Care

Mikati, Ibrahim K El; Khabsa, Joanne; Harb, Tarek; Khamis, Mohamed; Agarwal, Arnav; Pardo-Hernandez, Héctor; Farran, Sarah; Khamis, Assem M.; Zein, Ola El; El-Khoury, Riyad; Akl, Elie A.

doi:10.7326/m22-0514

Cited by 53 publications

(25 citation statements)

References 14 publications

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“…These utilize modern techniques such as machine learning and data synthesis to facilitate real-time updating of literature which maintains evidence-based guidelines. 45 This approach has been successfully implemented during the COVID-19 global pandemic by the National COVID-19 Clinical Evidence Taskforce in Australia. Guidelines were maintained in a rapidly changing landscape with a high demand for up-to-date guidelines.…”

Section: Discussionmentioning

confidence: 99%

Caring for Australians and New Zealanders With Kidney Impairment Guidelines: Rapid Development of Urate Lowering Therapy Guidelines for People With CKD

Stanley

Phoon²,

Toussain³

et al. 2022

Kidney International Reports

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Section: Discussionmentioning

confidence: 99%

Caring for Australians and New Zealanders With Kidney Impairment Guidelines: Rapid Development of Urate Lowering Therapy Guidelines for People With CKD

Stanley

Phoon²,

Toussain³

et al. 2022

Kidney International Reports

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“…These dynamic and web-based approaches allow for a more rapid updating and presentation of summaries of evidence, free of the constraints that LSR authors face in preparing reviews for publication in traditional journals 24. A recently published framework for the development of living practice guidelines describes aspects of the planning, production, reporting and dissemination process in more detail 19…”

Section: Discussionmentioning

confidence: 99%

“…24 A recently published framework for the development of living practice guidelines describes aspects of the planning, production, reporting and dissemination process in more detail. 19 The feasibility of sustaining LSRs is largely determined by the capacity of the author team (e.g., personnel, resources and commitment) and the flow of new evidence that is generated. 4 Our suggested reporting approach is predominantly manual.…”

Section: Research Methods and Reportingmentioning

confidence: 99%

Pragmatic and open science-based solution to a current problem in the reporting of living systematic reviews

Metzendorf

Weibel

Reis

et al. 2022

BMJ EBM

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Living systematic reviews (LSRs) are an increasingly common approach to keeping reviews up to date, in which new relevant studies are incorporated as they become available, so as to inform healthcare policy and practice in a timely manner. While journal publishers have been exploring the publication of LSRs using different updating and publishing approaches, readers cannot currently assess if the evidence underpinning a published LSR is up to date, as neither the search details, the selection process, nor the list of identified studies is made available between the publication of updates. We describe a new method to transparently report the living evidence surveillance process that occurs between published LSR versions. We use the example of the living Cochrane Review on nirmatrelvir combined with ritonavir (Paxlovid) for preventing and treating COVID-19 to illustrate how this can work in practice. We created a publicly accessible spreadsheet on the Open Science Framework platform, linking to the living Cochrane Review, that details the search and study selection process, enabling readers to track the progress of eligible ongoing or completed studies. Further automation of the evidence surveillance process should be explored.

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“…According to an international survey conducted prior to the COVID-19 pandemic, guideline developers believed their organization did not have adequate resources to develop rigorous guidelines rapidly ( 12 ). Furthermore, living guidelines, require the implementation of specific structural and procedural processes (e.g., using dynamic platforms for up-to-date and accessible recommendations) ( 13 ). This challenge may deter guideline developers from using the living approach ( 14 ).…”

Section: Introductionmentioning

confidence: 99%

Testing guidelines during times of crisis: challenges and limitations of developing rapid and living guidelines

Mikati¹,

Murad²,

Sultan³

et al. 2023

Clinical Microbiology and Infection

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A Framework for the Development of Living Practice Guidelines in Health Care

Cited by 53 publications

References 14 publications

Caring for Australians and New Zealanders With Kidney Impairment Guidelines: Rapid Development of Urate Lowering Therapy Guidelines for People With CKD

Caring for Australians and New Zealanders With Kidney Impairment Guidelines: Rapid Development of Urate Lowering Therapy Guidelines for People With CKD

Pragmatic and open science-based solution to a current problem in the reporting of living systematic reviews

Testing guidelines during times of crisis: challenges and limitations of developing rapid and living guidelines

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