Distinguishing opinion from evidence in guidelines

The BMJ

Volumn 366, Issue , 2019, Pages

  Schünemann, Holger J ^a   Zhang, Yuqing ^b   Oxman, Andrew D ^c,d  

^a MCMASTER UNIVERSITY MEDICAL CENTRE   (Canada)

^b UNIVERSITY OF NOTTINGHAM NINGBO CHINA   (China)

^c NORWEGIAN INSTITUTE OF PUBLIC HEALTH   (Norway)

^d UNIVERSITY OF OSLO   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

CHINESE DRUG; PROSTATE SPECIFIC ANTIGEN;

ARTICLE; CLINICAL RESEARCH; CONFLICT OF INTEREST; DECISION MAKING; DRUG RESEARCH; EVIDENCE BASED MEDICINE; EXPERIENCE; FEASIBILITY STUDY; HUMAN; MEDICAL EXPERT; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROSTATE CANCER; PROSTATECTOMY; PUBLICATION; SKIN DISEASE; STANDARDIZATION; SYSTEMATIC ERROR; CLINICAL COMPETENCE; EXPERT WITNESS;

CLINICAL COMPETENCE; EVIDENCE-BASED MEDICINE; EXPERT TESTIMONY; HUMANS; PRACTICE GUIDELINES AS TOPIC;

EID: 85069434634     PISSN: 09598146     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.l4606     Document Type: Article

References (26)

1. Institute of Medicine Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical practice guidelines we can trust. National Academies Press, 2011 https://www.nap.edu/openbook.php?record-id=13058.
2. Schünemann HJ, Woodhead M, Anzueto A, etal. ATS/ERS Ad Hoc Committee on Integrating and Coordinating Efforts in COPD Guideline Development. A guide to guidelines for professional societies and other developers of recommendations: introduction to integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. Proc Am Thorac Soc 2012;9:215-8. 10.1513/pats.201208-053ST 23256161
3. Qaseem A, Forland F, Macbeth F, Ollenschläger G, Phillips S, van der Wees PBoard of Trustees of the Guidelines International Network. Guidelines International Network: toward international standards for clinical practice guidelines. Ann Intern Med 2012;156:525-31. 10.7326/0003-4819-156-7-201204030-00009 22473437
4. Haynes RB, Devereaux PJ, Guyatt GH. Clinical expertise in the era of evidence-based medicine and patient choice. ACP J Club 2002;136:A11-4. 10.1136/ebm.7.2.36 11874303
5. The Get-IT glossary. https://getitglossary.org/term/evidence
6. Oxford Dictionaries Definition of Opinion Oxford. UK: Oxford University Press https://en.oxforddictionaries.com/definition/opinion.
7. Akl EA, Mustafa R, Slomka T, Alawneh A, Vedavalli A, Schünemann HJ. An educational ame for teaching clinical practice guidelines to internal medicine residents: development, feasibility and acceptability. BMC Med Educ 2008;8:50. 10.1186/1472-6920-8-50 19017400
8. Canadian Task Force on the Periodic Health Examination. The periodic health examination. Can Med Assoc J 1979;121:1193-254.115569
9. Oxford Centre for Evidence-based Medicine. Levels of evidence. 2009. https://www.cebm.et/2009/06/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/.
10. Yancey JR, Lin KW. Comparing levels of evidence between Choosing Wisely and Essential Evidence Plus. Evid Based Med 2017;22:196. 10.1136/ebmed-2017-110801 28818962
11. Minas H, Jorm AF. Where there is no evidence: use of expert consensus methods to fill the evidence gap in low-income countries and cultural minorities. Int J Ment Health Syst 2010;4:33. 10.1186/1752-4458-4-33 21176157
12. Legault K, Schunemann H, Hillis C, etal . McMaster RARE-Best practices clinical practice guideline on diagnosis and management of the catastrophic antiphospholipid syndrome. J Thromb Haemost 2018. 10.1111/jth.14192 29978552
13. Fitch K, Bernstein SJ, Aguilar MD, etal . The Rand/UCLA appropriateness method user's manual. Rand Corporation, 2001.
14. Atkins D, Best D, Briss PA, etal. GRADE Working Group. Grading quality of evidence and strength of recommendations. BMJ 2004;328:1490. 10.1136/bmj.328.7454.1490 15205295
15. Boyd EA, Bero LA. Improving the use of research evidence in guideline development: 4. Managing conflicts of interests. Health Res Policy Syst 2006;4:16. 10.1186/1478-4505-4-16 17140441
16. Guyatt G, Akl EA, Hirsh J, etal . The vexing problem of guidelines and conflict of interest: a potential solution. Ann Intern Med 2010;152:738-41. 10.7326/0003-4819-152-11-201006010-00254 20479011
17. Lenzer J, Hoffman JR, Furberg CD, Ioannidis JPGuideline Panel Review Working Group. Ensuring the integrity of clinical practice guidelines: a tool for protecting patients. BMJ 2013;347:f5535. 10.1136/bmj.f5535 24046286
18. Schünemann HJ, Al-Ansary LA, Forland F, etal. Board of Trustees of the Guidelines International Network. Guidelines International Network: Principles for Disclosure of Interests and Management of Conflicts in Guidelines. Ann Intern Med 2015;163:548-53. 10.7326/M14-1885 26436619
19. Saposnik G, Redelmeier D, Ruff CC, Tobler PN. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak 2016;16:138. 10.1186/s12911-016-0377-1 27809908
20. Zhou D, Yang Z, ChenW. Diagnosis and treatment of pemphigus using Chinese medicine. J Tradit Chin Med 2017;58:86-90.
21. Alonso-Coello P, Schünemann HJ, Moberg J, etal. GRADE Working Group. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: Introduction. BMJ 2016;353:i2016. 10.1136/bmj.i2016 27353417
22. Alonso-Coello P, Oxman AD, Moberg J, etal. GRADE Working Group. GRADE Evidence to Decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 2: Clinical practice guidelines. BMJ 2016;353:i2089. 10.1136/bmj.i2089 27365494
23. Schünemann HJ, Mustafa R, Brozek J, etal. GRADE Working Group. GRADE Guidelines: 16. GRADE evidence to decision frameworks for tests in clinical practice and public health. J Clin Epidemiol 2016;76:89-98. 10.1016/j.jclinepi.2016.01.032 26931285
24. Pai M, Santesso N, Yeung CH, Lane SJ, Schünemann HJ, Iorio A. Methodology for the development of the NHF-McMaster guideline on care models for haemophilia management. Haemophilia 2016;22(Suppl 3):17-22. 10.1111/hae.13007 27348397
25. Schünemann HJ, Wiercioch W, Brozek J, etal . GRADE evidence to decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. J Clin Epidemiol 2017;81:101-10. 10.1016/j.jclinepi.2016.09.009 27713072
26. Monagle P, Cuello CA, Augustine C, etal . American Society of Hematology 2018 Guidelines for management of venous thromboembolism: treatment of pediatric venous thromboembolism. Blood Adv 2018;2:3292-316. 10.1182/bloodadvances.2018024786 30482766