Czech national project ‘Clinical Practice Guidelines’ methodology and current results

Abstract

Currently in the Czech Republic, there does not exist such an institution as a 'National Centre for Clinical Practice Guidelines'. In 2017, there were about 123 professional medical organizations which developed about 1909 'guidelines' until 2017. However, the majority of these guidelines are 'expert opinion' or 'consensual' based 'guidance' or rather recommendations in the most cases missing a systematic approach that reflects evidence-based medicine principles and methods. The project is led by the Czech Health Research Council, the first partner is the Ministry of Health of the Czech Republic and the second partner is the Institute of Health Information and Statistics of the Czech Republic with support from policy makers, academics, clinicians and members of the Czech National Centre for Evidence-Based Healthcare and Knowledge Translations. This centre is an umbrella for three very important international collaborations which play a key role in Evidence-Based Healthcare, Evidence Synthesis, Evidence Implementation and trustworthy guidelines development. These are Cochrane Czech Republic, Masaryk University Grade Centre and the Czech Republic Centre for Evidence-Based Healthcare: The Joanna Briggs Institute Centre of Excellence.The main aim of this article is to present the Czech National Methodology of the Trustworthy Clinical Practice Guideline (CPG) development and the first results of the project 'Clinical Practice Guidelines'.A pilot phase of the project was realized during the first year of the project from January to December 2018. As the first step, there were established managing authorities including a Guarantee Committee and an Appraisal (Methodological) Committee. The Members of the Appraisal Committee developed a pilot version of the National Methodology of CPG development based on the best available approaches to Trustworthy CPGs development followed by testing on the first five pilot CPGs.

Impact of educational and psychological interventions compared with standard care in college/university students with autism spectrum disorder: a systematic review protocol

“…The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach for grading the quality of evidence for all selected outcomes will be followed 19. An interactive Summary of Findings will be created using GRADEPro GDT (McMaster University, ON, Canada) for each type of intervention.…”

Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project

“…CZ.03.2.63/0.0/0.0/15_039/0008221) aiming to bring solid methodology into the process of adaptation, development and use of CPGs based on EBHC 3 and GRADE 4,5 principles and develop the materials in Czech language. The main project investigator is the Czech Health Research Agency (AZV ČR); other partners are the Ministry of Health of the Czech Republic and Institute of Health Information and Statistics of the Czech Republic 6–8 …”

“…The main project investigator is the Czech Health Research Agency (AZV ČR); other partners are the Ministry of Health of the Czech Republic and Institute of Health Information and Statistics of the Czech Republic. [6][7][8] The process of Czech CPGs development according to the newly developed national methodology 9 can be briefly described as follows:…”

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“…In the psychological field, there were two BPIPs that focused on the importance of communication skills and their standardization in the medical lab and operating room. The last BPIP crossed the border between practice and policy-making processes and attempted to initiate changes in the process of clinical practice guidelines development on the level of medical associations and relevant stakeholders, including the Ministry of Health 6 …”