Estonian handbook for guidelines development-June 2011

Feb 1, 2011 - The use of international resources for clinical evidence synthesis is ... plan. For final approval, the GAB has to confirm that the guideline methodology ...... conducted properly, reduce the risk of selective citation (the 'my favourite study' ...... ment, facilities, research assistants, paid travel to meetings, etc.).
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2011

Table of contents Acronyms and Terms

6

Foreword

7

Context for guideline development in Estonia Introduction

7 8

1.1

Guidelines definition

8

1.2

Overview of the guideline development process

8

1.3

The guideline development process

10

Guideline development groups

11

2.1

Groups

11

2.2

Guideline Advisory Board (GAB)

12

2

2.2.1 Tasks of the GAB

12

2.2.2 Composition of the GAB

12

2.3

The Guidelines Panel

13

2.3.1

Tasks of the Panel

13

2.3.2

Composition of the panel

14

2.3.3 Roles of panel members

14

2.3.4 Chair of the Panel

15

2.3.5 Panel meetings

16

2.4 Secretariat

17

2.4.1 Tasks of the Secretariat

17

2.4.2 Composition of the Secretariat

17

2.4.3 Roles of the Secretariat members

18

2.4.4 Secretariat meetings

18

3

Management of declarations and conflicts of interest

20

4

Topic proposal and selection

22

4.1

Selecting and making a topic proposal

22

4.2

Selecting topics for development

22

4.3

How are topic(s) selected?

23

The scope of the guideline

25

5

3

5.1

What is the scope?

25

5.2

Who prepares the scope?

25

5.3

Drafting the initial scope

25

5.4

Formulating questions for the scope

26

5.5

Choosing and rating outcomes

28

5.6

Identifying resource implications

29

5.7

Finalising the scope

29

Evidence retrieval

31

6.1

Evidence for guideline development

31

6.2

Prioritizing evidence retrieval

32

6.3

The process of evidence retrieval

32

6.4

Retrieving and assessing existing guidelines

34

6.5

Retrieving existing systematic reviews

37

6

6.5.1 Why use systematic reviews?

37

6.5.2 Finding systematic reviews

38

6.5.3 Assessing the quality of systematic reviews

38

6.6 7 7.1

Presentation of recommendations and results to the Panel

41

Grading the quality of evidence

42

Using GRADE

42

7.1.1 Evaluation of the quality of evidence

42

7.1.2 Preparation of a summary of findings

44

7.2

Presenting the evidence to the Panel

45

Assessing cost implications

46

8.1

Budget impact assessment

46

8.2

Formal economic evaluation including cost-effectiveness assessment

47

8.3

Taking account of costs in developing recommendations

48

Developing recommendations

49

9.1

Draft recommendations

49

9.2

How does the panel decide on recommendations?

49