Developing valid guidelines: methodological and procedural issues from the North of England Evidence Based Guideline Development Project.

Eccles, Martin; Z, Clapp; Grimshaw, Jeremy; Adams, Philip C.; Higgins, Bernard; Purves, Ian; Russell, Ian

doi:10.1136/qshc.5.1.44

Cited by 67 publications

(52 citation statements)

References 9 publications

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“…27 Our experience of the nominal group technique suggests that this is a useful consensus tool, which facilitates an explicit decision making process. We think this method of development is likely to be successful, particularly where the guideline is primarily directed at improving processes-such as detection and good management-rather than clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Formal consensus and consultation: a qualitative method for development of a guideline for dementia

Trickey

Harvey

Wilcock

et al. 1998

Quality and Safety in Health Care

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Objectives-To use a formal consensus method-the nominal group techniquefor developing a clinical practice guideline to improve the diagnosis, needs assessment, and management of dementia at the primary/secondary care interface. To assess the usefulness of this method in an area where there is a dearth of clinical trials thus precluding an evidence-based approach. Design-A qualitative and iterative method was used. The guideline was developed by an expert panel using the nominal group technique, incorporating the deliberations of a Primary Care Professionals' Task Group, recent reviews in the scientific literature, information from semistructured interviews with local specialists, and a local questionnaire survey. Setting-Mainly Bristol but incorporating other parts of the United Kingdom especially the south and west. Subjects-Expert panel group (including users and non-statutory organisations), local general practitioners (GPs), professionals carrying out the health check for people over 75, local geriatricians and psychogeriatricians, and primary care professionals with an interest in dementia. Main measures-Items important in dementia from the nominal group in response to three questions on diagnosis, needs assessment, and management, ranked into a series of top 10 items for each area and allocated a score according to relative importance to each member; summary outputs from the questionnaire survey, semistructured interviews, and primary care professionals' task group. Results-A clinical practice guideline covering diagnosis, needs assessment, and management of dementia in primary care was produced in the form of an algorithm and a management sheet. Conclusions-A formal consensus method can be used as an acceptable alternative to the evidence-based approach when developing guidelines in situations in which evidence is scarce, in which the guideline is intended as an aid in linking diVerent stages of care, and in which practical and political considerations-such as the links between agencies-are important.

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Section: Discussionmentioning

confidence: 99%

Formal consensus and consultation: a qualitative method for development of a guideline for dementia

Trickey

Harvey

Wilcock

et al. 1998

Quality and Safety in Health Care

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“…Priority was assigned to the study design and methods, in order to stratify the publications according to LE. Levels of evidence were assessed using the North of England evidence-based guidelines [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…5) or no IF at all were deemed at high risk to constitute biased and/or duplicate literature; the same hypothesis applied to papers published in Journals with limited regional distribution. For this reason, a decision whether to include them or not was made after full text analysis, on a case by case basis.…”

Section: Methodsmentioning

confidence: 99%

Levels of Evidence in Endoscopic Ultrasonography: A Systematic Review

et al. 2011

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“…There are common elements in the methods of guideline development described in North America 1,13 and in the UK; 9,[16][17][18][19][20] these are summarised in Box 4.…”

Section: Methods Of Developing Clinical Guidelinesmentioning

confidence: 99%

“…Although guideline development groups are often chaired by pre-eminent clinical experts in the topic area, it is possible that the process is best moderated by someone familiar with (though not necessarily an expert in) the management of the clinical condition and the scientific literature but who is not an advocate. 9 Such an individual acts to stimulate discussion and allow the group to identify where true agreement exists, but does not inject personal opinions into the process. This role requires someone with both clinical skills and group process skills.…”

Section: Rolesmentioning

confidence: 99%

How to develop cost-conscious guidelines

Eccles

Mason

2001

Health Technol Assess

166

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA How to develop cost-conscious guidelines NHS R&D HTA ProgrammeT he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS.Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme.Although the National Coordinating Centre for Health Technology Assessment (NCCHTA) commissions research on behalf of the Methodology Programme, it is the Methodology Group that now considers and advises the Methodology Programme Director on the best research projects to pursue.The research reported in this monograph was funded as project number 94/08/28.The views expressed in this publication are those of the authors and not necessarily those of the Methodology Programme, HTA Programme or the Department of Health. The editors wish to emphasise that funding and publication of this research by the NHS should not be taken as implicit support for any reco...

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Developing valid guidelines: methodological and procedural issues from the North of England Evidence Based Guideline Development Project.

Cited by 67 publications

References 9 publications

Formal consensus and consultation: a qualitative method for development of a guideline for dementia

Formal consensus and consultation: a qualitative method for development of a guideline for dementia

Levels of Evidence in Endoscopic Ultrasonography: A Systematic Review

How to develop cost-conscious guidelines

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