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      Development of rapid guidelines: 1. Systematic survey of current practices and methods.

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          Abstract

          Guidelines in the healthcare field generally should contain evidence-based recommendations to inform healthcare decisions. Guidelines often require 2 years or more to develop, but certain circumstances necessitate the development of rapid guidelines (RGs) in a short period of time. Upholding methodological rigor while meeting the reduced development timeframe presents a challenge for developing RGs. Our objective was to review current practices and standards for the development of RGs. This is the first of a series of three articles addressing methodological issues around RGs.

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          Most cited references27

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          AGREE II: advancing guideline development, reporting and evaluation in health care.

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            Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise.

            Although several tools to evaluate the credibility of health care guidelines exist, guidance on practical steps for developing guidelines is lacking. We systematically compiled a comprehensive checklist of items linked to relevant resources and tools that guideline developers could consider, without the expectation that every guideline would address each item. We searched data sources, including manuals of international guideline developers, literature on guidelines for guidelines (with a focus on methodology reports from international and national agencies, and professional societies) and recent articles providing systematic guidance. We reviewed these sources in duplicate, extracted items for the checklist using a sensitive approach and developed overarching topics relevant to guidelines. In an iterative process, we reviewed items for duplication and omissions and involved experts in guideline development for revisions and suggestions for items to be added. We developed a checklist with 18 topics and 146 items and a webpage to facilitate its use by guideline developers. The topics and included items cover all stages of the guideline enterprise, from the planning and formulation of guidelines, to their implementation and evaluation. The final checklist includes links to training materials as well as resources with suggested methodology for applying the items. The checklist will serve as a resource for guideline developers. Consideration of items on the checklist will support the development, implementation and evaluation of guidelines. We will use crowdsourcing to revise the checklist and keep it up to date.
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              Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.

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                Author and article information

                Journal
                Health Res Policy Syst
                Health research policy and systems
                Springer Science and Business Media LLC
                1478-4505
                1478-4505
                Jul 13 2018
                : 16
                : 1
                Affiliations
                [1 ] Department of Health Research Methods, Evidence and Impact and Mac GRADE Center, McMaster University Health Sciences Centre, Room 2C16, 1280 Main Street West, Hamilton, ON, L8N 4K1, Canada.
                [2 ] Department of Internal Medicine, Division of Rheumatology- Universidade Federal do Paraná, R. Gen. Carneiro, 181, Curitiba, PR, Brazil.
                [3 ] Hospital Moinhos de Vento, Porto Alegre, Brazil.
                [4 ] National Institute of Science and Technology for Health Technology Assessment, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
                [5 ] Department of Pediatrics, University of Antioquia, Cra. 51D #62-29, Medellin, 050001, Colombia.
                [6 ] Public Health & Preventive Medicine Residency Program (including Family Medicine), McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
                [7 ] Cochrane Canada Center, McMaster University, Health Sciences Centre, Room 2C14, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
                [8 ] Department of Health Research Methods, Evidence and Impact and Mac GRADE Center, McMaster University Health Sciences Centre, Room 2C16, 1280 Main Street West, Hamilton, ON, L8N 4K1, Canada. schuneh@mcmaster.ca.
                [9 ] Cochrane Canada Center, McMaster University, Health Sciences Centre, Room 2C14, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. schuneh@mcmaster.ca.
                [10 ] Department of Medicine, McMaster University, Health Sciences Centre, Room 2C14, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. schuneh@mcmaster.ca.
                Article
                10.1186/s12961-018-0327-8
                10.1186/s12961-018-0327-8
                6044042
                30005712
                97fac7c4-8608-4ef9-81f1-89af943b09f6
                History

                Clinical guidelines,Emergencies,Guideline,Guideline development,Methodology,Rapid reviews

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