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GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT

Open access
Schünemann, Holger J., Wiercioch, Wojtek, Brozek, Jan, Etxeandia-Ikobaltzeta, Itziar, Mustafa, Reem A., Manja, Veena, Brignardello-Petersen, Romina, Neumann, Ignacio, Falavigna, Maicon, Alhazzani, Waleed, Santesso, Nancy, Zhang, Yuan, Meerpohl, Jörg J., Morgan, Rebecca L., Rochwerg, Bram, Darzi, Andrea, Rojas, Maria Ximenas, Carrasco-Labra, Alonso, Adi, Yaser, AlRayees, Zulfa, Riva, John, Bollig, Claudia, Moore, Ainsley, Yepes-Nuñez, Juan José, Cuello, Carlos, Waziry, Reem, Akl, Elie A.·2017·Journal of Clinical Epidemiology

Abstract

BACKGROUND: Guideline developers can: (1) adopt existing recommendations from others; (2) adapt existing recommendations to their own context; or (3) create recommendations de novo. Monetary and nonmonetary resources, credibility, maximization of uptake, as well as logical arguments should guide the choice of the approach and processes. OBJECTIVES: To describe a potentially efficient model for guideline production based on adoption, adaptation, and/or de novo development of recommendations utilizing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks. STUDY DESIGN AND SETTING: We applied the model in a new national guideline program producing 22 practice guidelines. We searched for relevant evidence that informs the direction and strength of a recommendation. We then produced GRADE EtDs for guideline panels to develop recommendations. RESULTS: We produced a total of 80 EtD frameworks in approximately 4 months and 146 EtDs in approximately 6 months in two waves. Use of the EtD frameworks allowed panel members understand judgments of others about the criteria that bear on guideline recommendations and then make their own judgments about those criteria in a systematic approach. CONCLUSION: The "GRADE-ADOLOPMENT" approach to guideline production combines adoption, adaptation, and, as needed, de novo development of recommendations. If developers of guidelines follow EtD criteria more widely and make their work publically available, this approach should prove even more useful.

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Metadata

Authors
Schünemann, H. J., Wiercioch, W., Brozek, J., Etxeandia-Ikobaltzeta, I., Mustafa, R. A., Manja, V., Brignardello-Petersen, R., Neumann, I., Falavigna, M., Alhazzani, W., Santesso, N., Zhang, Y., Meerpohl, J. J., Morgan, R. L., Rochwerg, B., Darzi, A., Rojas, M. X., Carrasco-Labra, A., Adi, Y., AlRayees, Z., Riva, J., Bollig, C., Moore, A., Yepes-Nuñez, J. J., Cuello, C., Waziry, R., & Akl, E. A.
Venue
Journal of Clinical Epidemiology
Publisher
Elsevier BV
Published
2017-01
Volume
81
Pages
101-110
ISSN
0895-4356 (ISSN-L)
OpenAlex
W2528915441
Cited by
645
References
5
FWCI
24.18
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. https://app.cochat.ai/papers/10.1016/j.jclinepi.2016.09.009
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Schünemann, H. J., Wiercioch, W., Brozek, J., Etxeandia-Ikobaltzeta, I., Mustafa, R. A., Manja, V., Brignardello-Petersen, R., Neumann, I., Falavigna, M., Alhazzani, W., Santesso, N., Zhang, Y., Meerpohl, J. J., Morgan, R. L., Rochwerg, B., Darzi, A., Rojas, M. X., Carrasco-Labra, A., Adi, Y., . . . Akl, E. A. (2017). GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. Journal of Clinical Epidemiology. https://doi.org/10.1016/j.jclinepi.2016.09.009

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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