GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist
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Objective To provide guidance for guideline developers on how to consider health equity at key stages of the guideline development process. Study design and setting Literature review followed by group discussions and consensus building. Results The key stages at which guideline developers could consider equity include setting priorities, guideline group membership, identifying the target audience(s), generating the guideline questions, considering the importance of outcomes and interventions, deciding what evidence to include and searching for evidence, summarizing the evidence and considering additional information, wording of recommendations, and evaluation and use. We provide examples of how guidelines have actually considered equity at each of these stages. Conclusion Guideline projects should consider the aforementioned suggestions for recommendations that are equity sensitive.
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A proposal has been made and implemented with the Development of Equity focused Clinical Practice Guidelines under the GRADE approach, although it does not relate specifically to implementation research for health programs or interventions.
“A proposal has been made and implemented with the Development of Equity focused Clinical Practice Guidelines under the GRADE approach [43–47], although it does not relate specifically to implementation research for health programs or interventions.”
From Conceptual framework of equity-focused implementation research for health programs (EquIR) (2019) · cites this paper as [45]
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Conceptual framework of equity-focused implementation research for health programs (EquIR)
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Self-citation
- Authors
- Akl, E. A., Welch, V., Pottie, K., Eslava-Schmalbach, J., Darzi, A., Sola, I., Katikireddi, S. V., Singh, J., Murad, M. H., Meerpohl, J., Stanev, R., Lang, E., Matovinovic, E., Shea, B., Agoritsas, T., Alexander, P. E., Snellman, A., Brignardello-Petersen, R., Gloss, D., Thabane, L., Shi, C., Stein, A. T., Sharaf, R., Briel, M., Guyatt, G., Schünemann, H., & Tugwell, P.
- Affiliations
- American University of Beirut (LB)
- University of Ottawa (CA)
- Universidad Nacional de Colombia (CO)
- MRC/CSO Social and Public Health Sciences Unit (GB)
- Mayo Clinic (US)
- Inserm (FR)
- University of Washington Tacoma (US)
- University of Calgary (CA)
- Chiang Mai University (TH)
- McMaster University (CA)
- National Board of Health and Welfare (SE)
- Charleston Area Medical Center (US)
- University of Manchester (GB)
- Northwell Health (US)
- University Hospital of Basel (CH)
- Corresponding author
- Akl, Elie A.
- ORCID
- Akl, Elie A.
- Welch, Vivian
- Pottie, Kevin
- Eslava-Schmalbach, Javier
- Darzi, Andrea
- Katikireddi, Srinivasa Vittal
- Singh, Jasvinder
- Murad, M. Hassan
- Meerpohl, Joerg
- Lang, Eddy
- Shea, Beverley
- Agoritsas, Thomas
- Snellman, Alexandra
- Gloss, David
- Thabane, Lehana
- Shi, Chunhu
- Sharaf, Ravi
- Briel, Matthias
- Guyatt, Gordon
- Schünemann, Holger
- Tugwell, Peter
- Venue
- Journal of Clinical Epidemiology
- Publisher
- Elsevier BV
- Published
- 2017-10
- Volume
- 90
- Pages
- 68-75
- ISSN
- 0895-4356 (ISSN-L)
- PMC
- PMC6538524
- OpenAlex
- W2613538222
- Cited by
- 79
- References
- 33
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 11 · 2023: 5 · 2022: 7 · 2021: 8 · 2020: 13 · 2019: 4 · 2018: 4 · 2017: 2
- FWCI
- 5.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Archive ouverte UNIGE (University of Geneva) (acceptedVersion, other-oa)
- Research Explorer (The University of Manchester) (submittedVersion)
- Universidad de Chile (submittedVersion, cc-by-nc-nd)
- Funders
- Medical Research Council (MC_UU_12017/13, MC_UU_12017/15, MC_UU_12017, SPHSU15, SPHSU13)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Keywords
- health equity, GRADE, guideline development, target audience, evidence selection
- MeSH terms
- Health Equity, Humans, Research Design, Practice Guidelines as Topic, Vulnerable Populations, Evidence-Based Practice, Checklist
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