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Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol
INTRODUCTION: Due to a continuous emergence of new evidence, clinical guidelines (CGs) require regular surveillance of evidence to maintain their trustworthiness. The updating of CGs is resource intensive and time consuming; therefore, updating may include a prioritisation process to efficiently ens...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724084/ https://www.ncbi.nlm.nih.gov/pubmed/28775194 http://dx.doi.org/10.1136/bmjopen-2017-017226 |
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author | Martínez García, Laura Pardo-Hernandez, Hector Niño de Guzman, Ena Superchi, Cecilia Ballesteros, Monica McFarlane, Emma Penman, Katrina Posso, Margarita Roqué i Figuls, Marta Sanabria, Andrea Juliana Selva, Anna Vernooij, Robin WM Alonso-Coello, Pablo |
author_facet | Martínez García, Laura Pardo-Hernandez, Hector Niño de Guzman, Ena Superchi, Cecilia Ballesteros, Monica McFarlane, Emma Penman, Katrina Posso, Margarita Roqué i Figuls, Marta Sanabria, Andrea Juliana Selva, Anna Vernooij, Robin WM Alonso-Coello, Pablo |
author_sort | Martínez García, Laura |
collection | PubMed |
description | INTRODUCTION: Due to a continuous emergence of new evidence, clinical guidelines (CGs) require regular surveillance of evidence to maintain their trustworthiness. The updating of CGs is resource intensive and time consuming; therefore, updating may include a prioritisation process to efficiently ensure recommendations remain up to date. The objective of our project is to develop a pragmatic tool to prioritise clinical questions for updating within a CG. METHODS AND ANALYSIS: To develop the tool, we will use the results and conclusions of a systematic review of methodological research on prioritisation processes for updating and will adopt a methodological approach we have successfully implemented in a previous experience. We will perform a multistep process including (1) generation of an initial version of the tool, (2) optimisation of the tool (feasibility test of the tool, semistructured interviews, Delphi consensus survey, external review by CG methodologists and users and pilot test of the tool) and (3) approval of the final version of the tool. At each step of the process, we will (1) calculate absolute frequencies and proportions (quantitative data), (2) use content analysis to summarise and draw conclusions (qualitative data) and (3) draft a final report, discuss results and refine the previous versions of the tool. Finally, we will calculate intraclass coefficients with 95% CIs for each item and overall as indicators of agreement among reviewers. ETHICS AND DISSEMINATION: We have obtained a waiver of approval from the Clinical Research Ethics Committee at the Hospital de la Santa Creu i Sant Pau (Barcelona). The results of the study will be published in peer-reviewed journal and communicated to interested stakeholders. The tool could support the standardisation of prioritisation processes for updating CGs and therefore have important implications for a more efficient use of resources in the CG field. |
format | Online Article Text |
id | pubmed-5724084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57240842017-12-19 Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol Martínez García, Laura Pardo-Hernandez, Hector Niño de Guzman, Ena Superchi, Cecilia Ballesteros, Monica McFarlane, Emma Penman, Katrina Posso, Margarita Roqué i Figuls, Marta Sanabria, Andrea Juliana Selva, Anna Vernooij, Robin WM Alonso-Coello, Pablo BMJ Open Research Methods INTRODUCTION: Due to a continuous emergence of new evidence, clinical guidelines (CGs) require regular surveillance of evidence to maintain their trustworthiness. The updating of CGs is resource intensive and time consuming; therefore, updating may include a prioritisation process to efficiently ensure recommendations remain up to date. The objective of our project is to develop a pragmatic tool to prioritise clinical questions for updating within a CG. METHODS AND ANALYSIS: To develop the tool, we will use the results and conclusions of a systematic review of methodological research on prioritisation processes for updating and will adopt a methodological approach we have successfully implemented in a previous experience. We will perform a multistep process including (1) generation of an initial version of the tool, (2) optimisation of the tool (feasibility test of the tool, semistructured interviews, Delphi consensus survey, external review by CG methodologists and users and pilot test of the tool) and (3) approval of the final version of the tool. At each step of the process, we will (1) calculate absolute frequencies and proportions (quantitative data), (2) use content analysis to summarise and draw conclusions (qualitative data) and (3) draft a final report, discuss results and refine the previous versions of the tool. Finally, we will calculate intraclass coefficients with 95% CIs for each item and overall as indicators of agreement among reviewers. ETHICS AND DISSEMINATION: We have obtained a waiver of approval from the Clinical Research Ethics Committee at the Hospital de la Santa Creu i Sant Pau (Barcelona). The results of the study will be published in peer-reviewed journal and communicated to interested stakeholders. The tool could support the standardisation of prioritisation processes for updating CGs and therefore have important implications for a more efficient use of resources in the CG field. BMJ Publishing Group 2017-08-03 /pmc/articles/PMC5724084/ /pubmed/28775194 http://dx.doi.org/10.1136/bmjopen-2017-017226 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Research Methods Martínez García, Laura Pardo-Hernandez, Hector Niño de Guzman, Ena Superchi, Cecilia Ballesteros, Monica McFarlane, Emma Penman, Katrina Posso, Margarita Roqué i Figuls, Marta Sanabria, Andrea Juliana Selva, Anna Vernooij, Robin WM Alonso-Coello, Pablo Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol |
title | Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol |
title_full | Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol |
title_fullStr | Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol |
title_full_unstemmed | Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol |
title_short | Development of a prioritisation tool for the updating of clinical guideline questions: the UpPriority Tool protocol |
title_sort | development of a prioritisation tool for the updating of clinical guideline questions: the uppriority tool protocol |
topic | Research Methods |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5724084/ https://www.ncbi.nlm.nih.gov/pubmed/28775194 http://dx.doi.org/10.1136/bmjopen-2017-017226 |
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