How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada

Selby, Peter; Hunter, Katie; Rogers, Joel; Lang-Robertson, Kelly; Soklaridis, Sophie; Chow, Virginia; Tremblay, Mireille; Koubanioudakis, Denise; Dragonetti, Rosa; Hussain, Sarwar; Zawertailo, Laurie

doi:10.1136/bmjopen-2017-016124

Cited by 13 publications

(10 citation statements)

References 32 publications

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“…Summary statements were extracted and assigned a grade of recommendation and level of evidence by a second expert panel. 2 The ADAPTE framework was used to guide the contextual adaptation (www.g-i-n.net/working-groups/adaptation/history); AGREE II was used to rate and select appropriate guidelines.…”

Section: Guideline Developmentmentioning

confidence: 99%

Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update

Tobe

Stone

Anderson

et al. 2018

CMAJ

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a complete update of the Canadian Association of Cardiovascular Prevention and Rehabilitation and Obesity Canada guidelines and the addition of guidelines on heart failure. In each C-CHANGE cycle, efforts are made to improve and harmonize guideline development with all partner organizations so that each guideline scores highly on the AGREE II (Appraisal of Guidelines for Research & Evaluation II) Instrument, which evaluates the process of guideline development and quality of reporting. 17 The full 2018 C-CHANGE guideline update is available in Appendix 1, at www.

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Section: Guideline Developmentmentioning

confidence: 99%

Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update

Tobe

Stone

Anderson

et al. 2018

CMAJ

Self Cite

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“…However, smoking is a powerful addiction and despite numerous quit attempts, many individuals who smoke frequently fail to stop smoking 12 . Smoking cessation programs are therefore necessary to provide the support required for smokers to quit 13 . An analysis of 17 trials investigating physicians' advice as an intervention concluded that even brief advice was effective in increasing the odds ratio for quitting smoking (1.74) 14 .…”

Section: Introductionmentioning

confidence: 99%

Are Nigerian oral health workers overlooking opportunities to promote interventions for tobacco smoking cessation?

Oyapero¹,

Olatosi²,

Olagundoye³

2021

Popul. Med.

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INTRODUCTION Since dentists are strategically positioned to promote tobacco abstinence and cessation, we assessed their commitment through their patients' dental history in one of the busiest tertiary dental clinics in Nigeria, and also aimed to assess factors associated with screening for tobacco use. METHODS This retrospective and descriptive study utilized the dental records of patients (aged 12-80 years) at the oral diagnosis unit of the Lagos State University Teaching Hospital (LSUTH), Nigeria, from 2017-2018. Descriptive statistics were used to quantify variables such as age, gender, history of tobacco use, while the outcome variable was provision of cessation assistance through referral to the preventive dentistry cessation clinic. Data were analyzed by χ 2 tests, t-test, and regression analysis. The significant level for statistical analysis was set at 5% (p≤0.05). RESULTS A total of 15786 new patients, mean age 49.3±12.8 years, were reviewed. Only 4104 (26%) of the patients had their tobacco use history documented; of these, 656 (16%) indicated past or current tobacco use; only 120 (18.3%) of these were referred for cessation counseling in the preventive dentistry unit. Males (n=611; 93.1%) had a higher proportion of past or present tobacco use. Patients presenting with oral ulcers (OR=1.94) and jaw tumors (OR=2.45) were significantly more likely to be screened for tobacco use. CONCLUSIONS Less than 0.01% of new patients were provided with tobacco use cessation advice, and opportunities for screening were essentially unexploited implying an urgent need to incorporate tobacco cessation interventions as part of standard clerking sheets for patients.

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“…Since recommendations were well summarized, guideline adaptation was required to maintain the validity of recommendations in different health care systems. Guideline adaptation involves using knowledge synthesis of existing guidelines to produce recommendations, rather than relying only on a review of primary literature, for the purpose of reducing duplication of effort [35]. In mainland China and Hong Kong, there were only expert consensus for GDM care [22, 23], without a national GDM management evidence-based guideline adapted to the Chinese context previously.…”

Section: Discussionmentioning

confidence: 99%

Current guidelines on the management of gestational diabetes mellitus: a content analysis and appraisal

Zhang

Zhou

Zhong

et al. 2019

BMC Pregnancy Childbirth

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Background Despite many guidelines for the management of gestational diabetes available internationally, little work has been done to summarize and assess the content of existing guidelines. A paucity of analysis guidelines within in a unified system may be one explanatory factor. So this study aims to analyze and evaluate the contents of all available guidelines for the management of gestational diabetes. Method Relevant clinical guidelines were collected through a search of relevant guideline websites and databases (PubMed, Web of Science, Embase, etc.). Fourteen guidelines were identified, and each guideline was assessed for quality using the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Two independent reviewers extracted guideline recommendations using a “recommendation matrix” through which basic guideline information and consistency between search strategy and selection of evidence, between selected evidence and interpretation, and between interpretation and resulting recommendations were analyzed. Results Fourteen documents were analyzed, and a total of 361 original recommendations for gestational diabetes mellitus (GDM) management were assessed. In all guidelines included, the recommendations were developed in five domains, namely, diagnosis of GDM, prenatal care, intrapartum care, neonatal care and postpartum care. Different guidelines appeared to have significant discrepancy in consistency of guideline content, but overall, there was consistency between search strategy and selection of evidence, between selected evidence and interpretation, and between interpretation and resulting recommendations (scilicet 49.31, 57.20 and 58.17%, respectively). Conclusion Although commonality in most recommendations existed, there were still some discrepancies between guidelines. Consistency of guidelines on the management of GDM in pregnancy is highly variable and needs to be improved. Electronic supplementary material The online version of this article (10.1186/s12884-019-2343-2) contains supplementary material, which is available to authorized users.

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How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada

Cited by 13 publications

References 32 publications

Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update

Canadian Cardiovascular Harmonized National Guidelines Endeavour (C-CHANGE) guideline for the prevention and management of cardiovascular disease in primary care: 2018 update

Are Nigerian oral health workers overlooking opportunities to promote interventions for tobacco smoking cessation?

Current guidelines on the management of gestational diabetes mellitus: a content analysis and appraisal

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