A taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations

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dc.contributor.authorLotfi, Tamara
dc.contributor.authorHajizadeh, Anisa
dc.contributor.authorMoja, Lorenzo
dc.contributor.authorAkl, Elie A.
dc.contributor.authorPiggott, Thomas
dc.contributor.authorKredo, Tamara
dc.contributor.authorLangendam, Miranda W.
dc.contributor.authorIorio, Alfonso
dc.contributor.authorKlugar, Miloslav
dc.contributor.authorKlugarova, Jitka
dc.contributor.authorNeumann, Ignacio
dc.contributor.authorWiercioch, Wojtek
dc.contributor.authorLeontiadis, Grigorios, I
dc.contributor.authorMbuagbaw, Lawrence
dc.contributor.authorTurgeon, Alexis F.
dc.contributor.authorMeerpohl, Joerg
dc.contributor.authorStevens, Adrienne
dc.contributor.authorBrozek, Jan
dc.contributor.authorSantesso, Nancy
dc.contributor.authorPottie, Kevin
dc.contributor.authorDewidar, Omar
dc.contributor.authorFlottorp, Signe A.
dc.contributor.authorKarpusheff, Justine
dc.contributor.authorSaz-Parkinson, Zuleika
dc.contributor.authorRojas, Maria X.
dc.contributor.authorParmelli, Elena
dc.contributor.authorChu, Derek K.
dc.contributor.authorTugwell, Peter
dc.contributor.authorWelch, Vivian
dc.contributor.authorAvey, Marc T.
dc.contributor.authorBrignardello-Petersen, Romina
dc.contributor.authorMathew, Joseph L.
dc.contributor.authorMunn, Zachary
dc.contributor.authorNieuwlaat, Robby
dc.contributor.authorFord, Nathan
dc.contributor.authorQaseem, Amir
dc.contributor.authorAskie, Lisa M.
dc.contributor.authorSchunemann, Holger J.
dc.date.accessioned2025-01-20T21:04:44Z
dc.date.available2025-01-20T21:04:44Z
dc.date.issued2022
dc.description.abstractObjective: To propose a taxonomy and framework that identifies and presents actionable statements in guidelines.
dc.description.abstractStudy design and setting: We took an iterative approach reviewing case studies of guidelines produced by the World Health Organization and the American Society of Hematology to develop an initial conceptual framework. We then tested it using randomly selected recommendations from published guidelines addressing COVID-19 from different organizations, evaluated its results, and refined it before retesting. The urgency and availability of evidence for development of these recommendations varied. We consulted with experts in research methodology and guideline developers to improve the final framework.
dc.description.abstractResults: The resulting taxonomy and framework distinguishes five types of actional statements: formal recommendations; research recommendations; good practice statements; implementation considerations, tools and tips; and informal recommendations. These statements should respond to a priori established criteria and require a clear structure and recognizable presentation in a guideline. Most importantly, this framework identifies informal recommendations that differ from formal recommendations by how they consider evidence and in their development process.
dc.description.abstractConclusion: The identification, standardization and explicit labelling of actionable statements according to the framework may support guideline developers to create actionable statements with clear intent, avoid informal recommendations and improve their understanding and implementation by users. (C) 2021 Published by Elsevier Inc.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jclinepi.2021.09.028
dc.identifier.eissn1878-5921
dc.identifier.issn0895-4356
dc.identifier.urihttps://doi.org/10.1016/j.jclinepi.2021.09.028
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93255
dc.identifier.wosidWOS:000821354900006
dc.language.isoen
dc.pagina.final171
dc.pagina.inicio161
dc.revistaJournal of clinical epidemiology
dc.rightsacceso restringido
dc.subjectGuidelines
dc.subjectStandards
dc.subjectRecommendations
dc.subjectGRADE
dc.subjectPractice statements
dc.subjectPolicy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleA taxonomy and framework for identifying and developing actionable statements in guidelines suggests avoiding informal recommendations
dc.typeartículo
dc.volumen141
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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