GRADE guidelines: 12. Preparing Summary of Findings tables—binary outcomes

Guyatt, Gordon; Oxman, Andrew D; Santesso, Nancy; Helfand, Mark; Vist, Gunn Elisabeth; Kunz, Regina; Brožek, Jan; Norris, Susan L.; Meerpohl, Joerg J; Djulbegovic, B.; Alonso‐Coello, Pablo; Post, Piet N.; Busse, Jason W.; Glasziou, Paul; Christensen, Robin; Schünemann, Holger J.

doi:10.1016/j.jclinepi.2012.01.012

Cited by 673 publications

(384 citation statements)

References 34 publications

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“…[10][11][12][13][14][15][16][17][18][19][20][21][22] Included observational studies started at low-quality evidence by default and then were downgraded or upgraded based on prespecified criteria. Criteria to downgrade included study limitations (weight of studies showed risk of bias by NOS), inconsistency (substantial unexplained interstudy heterogeneity, I…”

Section: Grading Of the Evidencementioning

confidence: 99%

Relation of total sugars, fructose and sucrose with incident type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Tsilas

Souza

Mejía

et al. 2017

CMAJ

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Sugars, particularly fructose-containing sugars, have been implicated as an important driver in the rise in incidence of type 2 diabetes.1,2 Sugar-sweetened beverages, which represent the greatest source of fructose-containing sugars in the diet, 3 form most of the basis for this link. 4,5 It remains unclear whether the association between beverages sweetened with sugars and type 2 diabetes can be explained by the fructose that these beverages contain. Several high-quality systematic reviews and meta-analyses have assessed the relation of sugar-sweetened beverages with incident type 2 diabetes. Our objective was to conduct a systematic review and meta-analysis of prospective cohort studies to determine the role of fructose-containing sugars independent of food form in the development of type 2 diabetes. MethodsOur systematic review and meta-analysis followed the Cochrane Handbook for Systematic Reviews and Interventions, 6 and reported results according to Meta-analysis of Observational Studies in Epidemiology (MOOSE) guideline 7 and PRISMA guideline (www.prisma-statement.org). The study protocol is registered (ClinicalTrials.gov identifier, NCT01608620). ABSTRACT BACKGROUND: Sugar-sweetened beverages are associated with type 2 diabetes. To assess whether this association holds for the fructose-containing sugars they contain, we conducted a systematic review and meta-analysis of prospective cohort studies.

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Section: Grading Of the Evidencementioning

confidence: 99%

Relation of total sugars, fructose and sucrose with incident type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Tsilas

Souza

Mejía

et al. 2017

CMAJ

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“…It assessed a body of evidence by referring to the concepts of the GRADE system (Ref. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]; Table 4), and determined and recorded the quality of a body of evidence for each CQ (Table 5).…”

Section: Systematic Review Methodsology (Assessment Of a Body Of Evidementioning

confidence: 99%

JSGE Clinical Practice Guidelines 2014: standards, methods, and process of developing the guidelines

et al. 2014

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“…[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] The most recent papers, published in 2013, detail the process of using GRADE to determine the strength of recommendations. 16,17 In late 2010 the GRADE Working Group also published a list of criteria that must be met for full GRADE compliance, 18 summarized here:…”

Section: The I M Petus Fo R a Nother Updatementioning

confidence: 99%

“…These tables serve as the basis for the determination of the final quality of evidence, one of the four domains upon which the recommendations will be based (GRADE Criteria 4), 14,15 and will be used when determining the balance of benefits and harms of the patient-care strategy.…”

Section: Box 1-definitions Of Quality Of Evidence Categoriesmentioning

confidence: 99%

The Evolution of the AASM Clinical Practice Guidelines: Another Step Forward

Morgenthaler

Deriy

Heald

et al. 2016

Journal of Clinical Sleep Medicine

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One of the goals of the American Academy of Sleep Medicine (AASM) is to provide clear, evidence-based recommendations in our clinical practice guidelines. Periodically, the AASM will assess and update the process by which these guidelines are developed so that it is in line with the standards currently being used for guideline development. The AASM is now taking the next step forward by fully adopting GRADE (Grading of Recommendation Assessment, Development and Evaluation) as the methodology used for evaluating evidence and forming clinical practice guidelines recommendations. Starting this year, AASM recommendations will be based on the following four interdependent domains: 1. quality of evidence; 2. balance of desirable and undesirable consequences; 3. patients' values and preferences; and 4. resource use (when known). AASM strengths of recommendations will be dichotomized into two categories: "Strong" and "Weak," either for or against a patient-care strategy. In an effort to provide clarity and transparency, all AASM recommendations will be actionable statements that include the specific patient population for which the patient-care strategy is recommended, and clearly define the comparator against which the patient-care strategy was evaluated. In some recommendations, the comparator will be an alternative patient-care strategy (e.g., a "gold standard" or previously available alternative), while in other recommendations the comparator will be a placebo or no treatment; this is determined by the availability of evidence, and analyses decisions made by the AASM task force. Implementation of the complete GRADE criteria by the AASM allows us the best path forward towards continuing to provide high quality clinical practice guidelines. I NTRO DUCTI O NAmerican Academy of Sleep Medicine clinical practice guidelines (and the prior Practice Parameters and Best Practice Guides) are developed to bring the fruits of clinical and basic research into practice, offering guidance to practicing sleep specialists and other health care professionals who work with patients and families who suffer from sleep disorders. These guidelines have influenced clinical practice in the office and at the bedside, on a national and international level. It is therefore imperative that the very best efforts and techniques be applied to produce guidelines that are accurate, clear, and reliable. This document will describe some recent evolutionary changes to how recommendations will be developed by the AASM and how they will appear in AASM clinical practice guidelines, beginning this year.In 2009, the AASM began adopting GRADE (Grading of Recommendations Assessment, Development, and Evaluation) as the methodology for evaluating evidence and forming clinical practice guideline recommendations.1 The major impetus for this change was that, compared to the prior employed methodologies which heavily emphasized study design, GRADE placed weight on the systematic evaluation of a wider spectrum of characteristics of the evidence (e.g., not only study...

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GRADE guidelines: 12. Preparing Summary of Findings tables—binary outcomes

Cited by 673 publications

References 34 publications

Relation of total sugars, fructose and sucrose with incident type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Relation of total sugars, fructose and sucrose with incident type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

JSGE Clinical Practice Guidelines 2014: standards, methods, and process of developing the guidelines

The Evolution of the AASM Clinical Practice Guidelines: Another Step Forward

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