Cited by 577Clinical practice guidelines implementationHealth Sciences Research and EducationMeta-analysis and systematic reviews

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

An official ATS statement: Grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations.

Schünemann, Holger J., Jaeschke, Roman, Cook, Deborah J., Bria, William F., El-Solh, Ali A., Ernst, Armin, Fahy, Bonnie F., Gould, Michael K., Horan, Kathleen L., Krishnan, Jerry A., Manthous, Constantine A., Maurer, Janet R., McNicholas, Walter T., Oxman, Andrew D., Rubenfeld, Gordon, Turino, Gerard M., Guyatt, Gordon·2006·American Journal of Respiratory and Critical Care Medicine

DOI 10.1164/rccm.200602-197st

Open this paper in CoChat — free account

Abstract

Grading the strength of recommendations and the quality of underlying evidence enhances the usefulness of clinical practice guidelines. Professional societies and other organizations, including the American Thoracic Society (ATS), should reach consensus about whether they will use one common grading system and which of the numerous grading systems they would apply across all guidelines. The profusion of guideline grading systems confuses consumers of guidelines, and undermines the value of the grading exercise in conveying a transparent message. In response to this dilemma, the international GRADE working group has developed an approach that is useful for many guideline contexts, and that several national and international organizations have adopted. The GRADE system classifies recommendations as strong or weak, according to the balance of the benefits and downsides (harms, burden, and cost) after considering the quality of evidence. The quality of evidence reflects the confidence in estimates of the true effects of an intervention, and the system classifies quality of evidence as high, moderate, low, or very low according to factors that include the study methodology, the consistency and precision of the results, and the directness of the evidence. On recommendation of the ATS Documents Development and Implementation Committee, the ATS adopted the GRADE approach for its guidelines in line with many other organizations that have recently chosen the GRADE approach. This article informs ATS guideline developers, investigators, and those interpreting future ATS guidelines that follow the GRADE approach about the methodology and applicability of ATS guidelines and recommendations.

Integrity signals

Registry

Crossref · 10.1164/rccm.200602-197st

Cites

35 of 35 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Intensive insulin therapy in critically ill patients.
Van den Berghe, G., Wouters, P., Weekers, F., Verwaest, C., Bruyninckx, F., Schetz, M., Vlasselaers, D., Ferdinande, P., Lauwers, P., & Bouillon, R. (2001) · New England Journal of Medicine · doi:10.1056/nejmoa011300 · Cited by 9,977
Grading quality of evidence and strength of recommendations
(2004) · BMJ · doi:10.1136/bmj.328.7454.1490 · Cited by 8,477
Self-citation
Decision aids for people facing health treatment or screening decisions
Stacey, D., Légaré, F., Lewis, K., Barry, M. J., Bennett, C. L., Eden, K. B., Holmes-Rovner, M., Llewellyn-Thomas, H., Lyddiatt, A., Thomson, R., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001431.pub5 · Cited by 6,685
Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease
PAUWELS, R. A., Buist, A. S., CALVERLEY, P. M. A., Jenkins, C. R., & Hurd, S. S. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.5.2101039 · Cited by 6,578
A randomized trial comparing lung-volume-reduction surgery with medical therapy for severe emphysema
(2003) · New England Journal of Medicine · doi:10.1056/nejmoa030287 · Cited by 2,071
Antithrombotic Therapy for Venous Thromboembolic Disease
Hyers, T. M., Agnelli, G., Hull, R. D., Morris, T. A., Samama, M. M., Tapson, V. F., & Weg, J. G. (2001) · CHEST Journal · doi:10.1378/chest.119.1_suppl.176s · Cited by 2,035
Antithrombotic Therapy for Venous Thromboembolic Disease
Büller, H. R., Agnelli, G., Hull, R. D., Hyers, T. M., Prins, M. H., & Raskob, G. E. (2004) · Chest · doi:10.1378/chest.126.3_suppl.401s · Cited by 1,249 · cited 1×
“It is likely, however, that most patients would prefer avoiding another DVT and accept the risk of a bleeding episode (18).”
Background
Systems for grading the quality of evidence and the strength of recommendations I: Critical appraisal of existing approaches The GRADE Working Group
Atkins, D., Eccles, M., Flottorp, S., Guyatt, G. H., Henry, D., Hill, S., Liberati, A., O'Connell, D., Oxman, A. D., Phillips, B., et al. (2004) · BMC Health Services Research · doi:10.1186/1472-6963-4-38 · Cited by 1,235
Self-citation
Clinical guidelines: Developing guidelines
Shekelle, P., Woolf, S. H., Eccles, M., & Grimshaw, J. (1999) · BMJ · doi:10.1136/bmj.318.7183.593 · Cited by 1,220
Grading Strength of Recommendations and Quality of Evidence in Clinical Guidelines
Guyatt, G., Gutterman, D., Baumann, M. H., Addrizzo-Harris, D., Hylek, E. M., Phillips, B., Raskob, G., Lewis, S. Z., & Schünemann, H. (2006) · Chest · doi:10.1378/chest.129.1.174 · Cited by 1,220
Self-citation

Show all 35 references

Research works printed but not linked: 11

2002, ACP J Club, 136, A11
2003, CMAJ, 169, 677
2006, ACP J Club, 144, A08
2003, Cochrane Database Syst Rev, 2, CD001431
2004, ACP Journal Club, 140, A11
2004, Cochrane Database Syst Rev, 2, CD003844
2000, Cochrane Database Syst Rev, 3, CD 001367
2004, Chest, 126, 401S, 10.1378/chest.126.3_suppl.401S · DOI · Paper page
Health Res Policy Syst
Health Res Policy Syst
2003, Crit Care Med, 12, 2742

Sorted by citations

Items 201–300 of 576

COPD Guidelines
Fabbri, L. M., Boschetto, P., & Mapp, C. E. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200706-854ed · Cited by 63
Citrus Fruit Intake and Pancreatic Cancer Risk
Bae, J., Lee, E. J., & Guyatt, G. H. (2009) · Pancreas · doi:10.1097/mpa.0b013e318188c497 · Cited by 62
Self-citation
No evidence for the effectiveness of bracing in patients with thoracolumbar fractures
Giele, B. M., Wiertsema, S. H., Beelen, A., van der Schaaf, M., Lucas, C., Been, H. D., & Bramer, J. A. M. (2009) · Acta Orthopaedica · doi:10.3109/17453670902875245 · Cited by 62
Contribution of host factors and workplace exposure to the outcome of occupational asthma
Maestrelli, P., Schlünssen, V., Mason, P., & Sigsgaard, T. (2012) · European Respiratory Review · doi:10.1183/09059180.00004811 · Cited by 61
Is the diagnostic yield of mediastinal lymph node cryobiopsy (cryoEBUS) better for diagnosing mediastinal node involvement compared to endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)? A systematic review
Botana‐Rial, M., Lojo-Rodríguez, I., Leiro‐Fernández, V., Hernández, C. R., González‐Montaos, A., Pazos-Area, L. A., Delgado, M. N., & Fernández‐Villar, A. (2023) · Respiratory Medicine · doi:10.1016/j.rmed.2023.107389 · Cited by 60
Effects of green tea or green tea extract on insulin sensitivity and glycaemic control in populations at risk of type 2 diabetes mellitus: a systematic review and meta‐analysis of randomised controlled trials
Wang, X., Tian, J., Jiang, J., Li, L., Ying, X., Tian, H., & Nie, M. (2013) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12181 · Cited by 60
Neurologic outcome of surgical and conservative treatment of rheumatoid cervical spine subluxation: A systematic review
Wolfs, J. F. C., Kloppenburg, M., Fehlings, M. G., van Tulder, M. W., Boers, M., & Peul, W. C. (2009) · Arthritis Care & Research · doi:10.1002/art.25011 · Cited by 60
Recommendations of Diagnosis and Treatment of Pleural Effusion. Update
Garrido, V. V., Viedma, E. C., Fernández‐Villar, A., Gafas, A. D. P., Rodríguez, E. P., Pérez, J. M. P., Panadero, F. R., Martínez, C. R., Velázquez, Á. A. S., & Valdés, L. (2014) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2014.04.007 · Cited by 60
Introduction to and Techniques of Evidence-Based Medicine
Fisher, C. G., & Wood, K. B. (2007) · Spine · doi:10.1097/brs.0b013e318145308d · Cited by 60
Methodology for clinical practice guidelines for the management of arteriovenous access
Murad, M. H., Swiglo, B. A., Sidawy, A. N., Ascher, E., & Montori, V. M. (2008) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2008.08.045 · Cited by 58
Updating the guideline development methodology of the Healthcare Infection Control Practices Advisory Committee (HICPAC)
Umscheid, C. A., Agarwal, R. K., & Brennan, P. J. (2010) · American Journal of Infection Control · doi:10.1016/j.ajic.2009.12.005 · Cited by 58
Efficacy and acceptability of mood stabilisers in the treatment of acute bipolar depression: systematic review
Lieshout, R. J. V., & MacQUEEN, G. M. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.108.057612 · Cited by 57
Surgical Considerations in the Management of Pit Viper Snake Envenomation
Toschlog, E. A., Bauer, C. R., Hall, E. L., Dart, R. C., Khatri, V., & Lavonas, E. J. (2013) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2013.05.004 · Cited by 57
Official American Thoracic Society Clinical Practice Guidelines: Diagnostic Evaluation of Infants with Recurrent or Persistent Wheezing
Ren, C. L., Esther, C. R., Debley, J. S., Sockrider, M. M., Yılmaz, Ö., Amin, N., Bazzy‐Asaad, A., Davis, S. D., Durand, M., Ewig, J. M., et al. (2016) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201604-0694st · Cited by 55
Passive movements for the treatment and prevention of contractures
Prabhu, R. K., Swaminathan, N., & Harvey, L. A. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009331.pub2 · Cited by 54
Does Surgical Timing Influence Functional Recovery After Lumbar Discectomy? A Systematic Review
Schoenfeld, A. J., & Bono, C. M. (2014) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-014-3505-1 · Cited by 54
Changing the Adverse Event Profile in Metastatic Spine Surgery
Mesfin, A., Sciubba, D. M., Dea, N., Nater, A., Bird, J. E., Quraishi, N. A., Fisher, C. G., Shin, J. H., Fehlings, M. G., Kumar, N., et al. (2016) · Spine · doi:10.1097/brs.0000000000001817 · Cited by 54
Diagnosis and treatment of acute alcohol intoxication and alcohol withdrawal syndrome: position paper of the Italian Society on Alcohol
Caputo, F., Agabio, R., Vignoli, T., Patussi, V., Fanucchi, T., Cimarosti, P., Meneguzzi, C., Greco, G., Rossin, R., Parisi, M., et al. (2018) · Internal and Emergency Medicine · doi:10.1007/s11739-018-1933-8 · Cited by 54
Community-Acquired Pneumonia. New Guidelines of the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR)
Menéndez, R., Torres, A., Aspa, J., Capelastegui, A., Prat, C., & de Castro, F. R. (2010) · Archivos de Bronconeumología · doi:10.1016/s1579-2129(11)60008-6 · Cited by 53
Diagnosis and Treatment of Hemoptysis
Cordovilla, R., de Miguel, E. B., Ares, A. N., Povedano, F. J. C., Ortega, I. H., & Merchán, R. J. (2016) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2016.05.010 · Cited by 53
Peri‐operative outcomes and complications after laparoscopic vs robot‐assisted dismembered pyeloplasty: a systematic review and meta‐analysis
Light, A., Karthikeyan, S., Maruthan, S., Elhage, O., Danuser, H., & Prokar Dasgupta, A. (2018) · British Journal of Urology · doi:10.1111/bju.14170 · Cited by 53
Reasons for poor blood pressure control in Eastern Sub-Saharan Africa: looking into 4P’s (primary care, professional, patient, and public health policy) for improving blood pressure control: a scoping review
Sorato, M. M., Davari, M., Kebriaeezadeh, A., Sarrafzadegan, N., Shibru, T., & Fatemi, B. (2021) · BMC Cardiovascular Disorders · doi:10.1186/s12872-021-01934-6 · Cited by 56
High-Energy Contact Sports and Cervical Spine Neuropraxia Injuries
Dailey, A. T., Harrop, J. S., & France, J. C. (2010) · Spine · doi:10.1097/brs.0b013e3181f32db0 · Cited by 51
Minimal access versus open spinal surgery in treating painful spine metastasis: a systematic review
Yang, Z., Yang, Y., Zhang, Y., Zhang, Z., Chen, Y., Shen, Y., Han, L., Xu, D., & Sun, H. (2015) · World Journal of Surgical Oncology · doi:10.1186/s12957-015-0468-y · Cited by 51
Baclofen for alcohol use disorder
Agabio, R., Saulle, R., Rösner, S., & Minozzi, S. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012557.pub3 · Cited by 54
Rehabilitación respiratoria
Güell, M. R., Lobato, S. D., Trigo, G. R., Vélez, F. M., Miguel-Pagola, M. S., Cejudo, P., Ruiz, F. Ó., Muñoz, A., Iturri, J. B. G., García, A., et al. (2014) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2014.02.014 · Cited by 59
Antibiotic-impregnated shunt systems versus standard shunt systems: a meta- and cost-savings analysis
Klimo, P., Thompson, C. J., Ragel, B. T., & Boop, F. A. (2011) · Journal of Neurosurgery Pediatrics · doi:10.3171/2011.8.peds11346 · Cited by 49
Recommendations for the prevention and treatment of haemolytic disease of the foetus and newborn.
Bennardello, F., Coluzzi, S., Curciarello, G., Todros, T., & Villa, S. (2015) · Europe PMC (PubMed Central) · doi:10.2450/2014.0119-14 · Cited by 48
Economic studies of immunotherapy: a review
Berto, P., Frati, F., & Incorvaia, C. (2008) · Current Opinion in Allergy and Clinical Immunology · doi:10.1097/aci.0b013e32831411e9 · Cited by 48
Effect of Shisha (Waterpipe) Smoking on Lung Functions and Fractional Exhaled Nitric Oxide (FeNO) among Saudi Young Adult Shisha Smokers
Meo, S. A., Alshehri, K., AlHarbi, B., Barayyan, O. R., Bawazir, A. S., Alanazi, O., & Al-Zuhair, A. (2014) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph110909638 · Cited by 48
Evidence-Based Outcomes from Pulmonary Rehabilitation in the Chronic Obstructive Pulmonary Disease Patient
Puhan, M. A., & Lareau, S. C. (2014) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2014.02.001 · Cited by 45
Artemisinin derivatives versus quinine for cerebral malaria in African children: a systematic review
Kyu, H. H., & Fernández, E. (2009) · Bulletin of the World Health Organization · doi:10.2471/blt.08.060327 · Cited by 46
Leitlinie der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin zur Diagnostik und Therapie von erwachsenen Patienten mit akutem und chronischem Husten
Kardos, P., Berck, H., Fuchs, K.-H., Gillissen, A., Klimek, L., Morr, H., Pfeiffer-Kascha, D., Schultze‐Werninghaus, G., Sitter, H., Voshaar, T., et al. (2010) · Pneumologie · doi:10.1055/s-0029-1244083 · Cited by 45
A Comparison of the Performance of the I-gel™ vs. the LMA-S™during Anesthesia: A Meta-Analysis of Randomized Controlled Trials
Chen, X., Jiao, J., Cong, X., Liu, L., & Wu, X. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071910 · Cited by 45
Effectiveness of mechanical bowel preparation versus no preparation on anastomotic leakage in colorectal surgery: a systematic review and meta-analysis
Leenen, J. P. L., Hentzen, J. E. K. R., & Ockhuijsen, H. D. L. (2018) · Updates in Surgery · doi:10.1007/s13304-018-0526-4 · Cited by 45
Effectiveness of needle/syringe programmes and opiate substitution therapy in preventing HCV transmission among people who inject drugs
Platt, L., Reed, J. R., Minozzi, S., Vickerman, P. T., Hagan, H., French, C. E., Jordan, A. E., Degenhardt, L. J., Hope, V. D., Hutchinson, S. J., et al. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012021 · Cited by 45
Clinical practice guidelines: the need for greater transparency in formulating recommendations
Scott, I. A., & Guyatt, G. H. (2011) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2011.tb03184.x · Cited by 44
Self-citation
Protocol‐Driven Enteral Nutrition in Critically Ill Children
Wong, J. J., Ong, C., Han, W. M., & Lee, J. H. (2013) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607113502811 · Cited by 44
An Analysis of Decision Making and Treatment in Thoracolumbar Metastases
Polly, D. W., Chou, D., Sembrano, J. N., Ledonio, C. G. T., & Tomita, K. (2009) · Spine · doi:10.1097/brs.0b013e3181ba6d02 · Cited by 44
The ERS-endorsed official ATS/CDC/IDSA clinical practice guidelines on treatment of drug-susceptible tuberculosis
Sotgiu, G., Nahid, P., Loddenkemper, R., Abubakar, I., Miravitlles, M., & Migliori, G. B. (2016) · European Respiratory Journal · doi:10.1183/13993003.01356-2016 · Cited by 44
The Yale Guideline Recommendation Corpus: A representative sample of the knowledge content of guidelines
Hussain, T., Michel, G., & Shiffman, R. N. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2008.11.001 · Cited by 43
The Role of Stereotactic Radiosurgery in Metastasis to the Spine
Sohn, S., & Chung, C. K. (2012) · Journal of Korean Neurosurgical Society · doi:10.3340/jkns.2012.51.1.1 · Cited by 43
The IPTA Nashville Consensus Conference on Post‐Transplant lymphoproliferative disorders after solid organ transplantation in children: III – Consensus guidelines for Epstein‐Barr virus load and other biomarker monitoring
Preiksaitis, J. K., Allen, U., Bollard, C. M., Dharnidharka, V. R., Dulek, D. E., Green, M., Martinez, O. M., Metes, D., Michaels, M. G., Smets, F. N., et al. (2023) · Pediatric Transplantation · doi:10.1111/petr.14471 · Cited by 42
Normativa sobre asma grave no controlada
Cisneros, C., Moreno, C. M., Almonacid, C., Tordera, M. P., Vallés, C. P., Moragón, E. M. M., de Llano, L. P., Campos, J. G. S., Landa, I. U., & Hernández, G. G. (2015) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2014.12.007 · Cited by 46
Evidence-Based Pharmacologic Therapies for Prevention of Bronchopulmonary Dysplasia
Jensen, E. A., Foglia, E. E., & Schmidt, B. K. (2015) · Clinics in Perinatology · doi:10.1016/j.clp.2015.08.005 · Cited by 42
Optimizing Caffeine Use and Risk of Bronchopulmonary Dysplasia in Preterm Infants
Pakvasa, M. A., Saroha, V., & Patel, R. M. (2018) · Clinics in Perinatology · doi:10.1016/j.clp.2018.01.012 · Cited by 42
The impact of GINA suggested drugs for the treatment of asthma on Health‐Related Quality of Life: a GA2LEN review
Baiardini, I., Braido, F., Brandi, S., Tarantini, F., Bonini, S., Bousquet, P., Zuberbier, T., Demoly, P. M., & Canonica, G. W. (2008) · Allergy · doi:10.1111/j.1398-9995.2008.01823.x · Cited by 42
Psychosocial interventions for psychostimulant misuse
Minozzi, S., Crescenzo, F. D., Saulle, R., & Amato, L. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011866 · Cited by 43
A Comparative Analysis of Pulmonary and Critical Care Medicine Guideline Development Methodologies
Schoenberg, N. C., Barker, A. F., Bernardo, J., Deterding, R. R., Ellner, J. J., HESS, D. R., MacIntyre, N. R., Martínez, F. J., & Wilson, K. C. (2017) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201705-0926oc · Cited by 41
Adjunctive aids for the detection of oral squamous cell carcinoma and oral potentially malignant disorders: A systematic review of systematic reviews
Lau, J., Guru, O., Warnakulasuriya, S., Balasubramaniam, R., Frydrych, A. M., & Kujan, O. (2024) · Japanese Dental Science Review · doi:10.1016/j.jdsr.2023.12.004 · Cited by 40
Occupational Asthma guidelines: a systematic quality appraisal using the AGREE II instrument
Lytras, T., Bonovas, S., Chronis, C., Konstantinidis, A. K., Kopsachilis, F., Papamichail, D. P., & Dounias, G. (2013) · Occupational and Environmental Medicine · doi:10.1136/oemed-2013-101656 · Cited by 40
An Appraisal of the Evidence Underlying Performance Measures for Community-acquired Pneumonia
Wilson, K. C., & Schünemann, H. J. (2011) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201009-1451pp · Cited by 40
Self-citation
Knowledge to Action: A Challenge for Neck Pain Treatment
Gross, A., Haines, T., Goldsmith, C. H., Santaguida, L., Mclaughlin, L. M., Peloso, P. M. J., Burnie, S. J., Hoving, J. L., & Cervical Overview Group (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2009.2831 · Cited by 40
Guidelines for allergic rhinitis need to be used in primary care
Costa, D., Bousquetbh, P. J., Ryan, D. P., Price, D. B., Demoly, P. M., Brożek, J., Schünemann, H. J., & Bousquet, J. (2009) · Primary Care Respiratory Journal · doi:10.4104/pcrj.2009.00028 · Cited by 37
Self-citation
Community-based intervention packages for reducing maternal morbidity and mortality and improving neonatal outcomes1
Lassi, Z. S., Haider, B. A., & Bhutta, Z. A. (2012) · Journal of Development Effectiveness · doi:10.1080/19439342.2012.655911 · Cited by 38
Pediatric Bronchoscopy Guidelines
Frías, J. P., Moreno, A., Ruíz, E. P., de Agüero, M. I. B. G., Montaner, A. E., & Aguilera, P. C. (2011) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2011.04.001 · Cited by 37
How Strong Is the Evidence?
Falck-Ytter, Y. T., Kunz, R., Guyatt, G. H., & Schünemann, H. J. (2008) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2008.01853.x · Cited by 37
Self-citation
Rehabilitation in Spine and Spinal Cord Trauma
Labruyère, R., Agarwala, A., & Curt, A. E. P. (2010) · Spine · doi:10.1097/brs.0b013e3181f1a979 · Cited by 35
Severe sepsis bundles
Divatia, J., & Khan, P. (2010) · Indian Journal of Critical Care Medicine · doi:10.4103/0972-5229.63028 · Cited by 35
Evidence-based treatment strategies in idiopathic pulmonary fibrosis
Behr, J. (2013) · European Respiratory Review · doi:10.1183/09059180.00001013 · Cited by 34
The influence of pregnancy on women with adolescent idiopathic scoliosis
Dewan, M. C., Mummareddy, N., & Bonfield, C. M. (2017) · European Spine Journal · doi:10.1007/s00586-017-5203-7 · Cited by 34
Rinitis, poliposis nasal y su relación con el asma
Vizuete, J. A. C., Sastre, J., del Cuvillo, A., Picado, C., Moragón, E. M. M., García, J. M. I., Cisneros, C., Gutiérrez, F. J. Á., & Miret, J. M. I. (2018) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2018.09.001 · Cited by 34
Consensus statements, evidence‐based medicine and guidelines in allergic diseases
Bousquet, J., Bieber, T. R. M., Fokkens, W. J., Humbert, M. J. C., Kowalski, M. L., Niggemann, B., Simon, H., & Schünemann, H. J. (2007) · Allergy · doi:10.1111/j.1398-9995.2007.01594.x · Cited by 34
Self-citation
Evaluation of evidence-based literature and formulation of recommendations for the clinical preventive guidelines for immigrants and refugees in Canada
Tugwell, P., Pottie, K. C., Welch, V. A., Ueffing, E., Chambers, A., & Feightner, J. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.090289 · Cited by 34
Pharmacological therapies for management of opium withdrawal
Rahimi‐Movaghar, A., Gholami, J., Amato, L., Hosseini, L. J., Nooraie, R. Y., & Amin‐Esmaeili, M. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007522.pub2 · Cited by 34
The safety of asthma medications during pregnancy and lactation: Clinical management and research priorities
Chambers, C., Krishnan, J. A., Alba, L., Albano, J. D., Bryant, A., Carver, M., Cohen, L. S., Gorodetsky, E. K., Hernández–Dı́az, S., Honein, M. A., et al. (2021) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2021.02.037 · Cited by 33
Self-citation
Clinical judgement & evidence-based medicine: time for reconciliation
Karthikeyan, G., & Pais, P. S. (2010) · The Indian Journal of Medical Research · doi:10.4103/0971-5916.73418 · Cited by 33
Das GRADE-System
Kunz, R., Burnand, B., & Schünemann, H. J. (2008) · Der Internist · doi:10.1007/s00108-008-2141-9 · Cited by 33
Self-citation
Psychosocial interventions for stimulant use disorder
Minozzi, S., Saulle, R., Amato, L., Traccis, F., & Agabio, R. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011866.pub3 · Cited by 32
The methodological quality of systematic reviews comparing temporomandibular joint disorder surgical and non-surgical treatment
Nogueira, R. V. B., Vasconcelos, B. C. D. E., & Niederman, R. (2008) · BMC Oral Health · doi:10.1186/1472-6831-8-27 · Cited by 32
Sublingual Immunotherapy in Allergic Rhinitis: Efficacy, Safety, Adherence and Guidelines
Aboshady, O. A., & Elghanam, K. M. (2014) · Clinical and Experimental Otorhinolaryngology · doi:10.3342/ceo.2014.7.4.241 · Cited by 32
An Official American Thoracic Society Workshop Report: Developing Performance Measures from Clinical Practice Guidelines
Kahn, J. M., Gould, M. K., Krishnan, J. A., Wilson, K. C., Au, D. H., Cooke, C. R., Douglas, I. S., Feemster, L. C., Mularski, R. A., Slatore, C. G., et al. (2014) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201403-106st · Cited by 32
Self-citation
Part 3: Evidence Evaluation Process
Morley, P. T., Atkins, D. L., Billi, J. E., Bossaert, L. L., Callaway, C. W., de Caen, A. R., Deakin, C. D., Eigel, B. N., Hazinski, M. F., Hickey, R. W., et al. (2010) · Circulation · doi:10.1161/circulationaha.110.970947 · Cited by 32
Temperature controlled radiofrequency ablation at different sites for treatment of obstructive sleep apnea syndrome: a systematic review and meta-analysis
Baba, R. Y., Mohan, A., Metta, V. V. S. R., & Mador, M. J. (2015) · Sleep And Breathing · doi:10.1007/s11325-015-1125-y · Cited by 33
Pharmacological treatment of idiopathic pulmonary fibrosis: an update
Spagnolo, P., Wells, A. U., & Collard, H. R. (2015) · Drug Discovery Today · doi:10.1016/j.drudis.2015.01.001 · Cited by 31
Systematic Review of En Bloc Resection in the Management of Ewing's Sarcoma of the Mobile Spine with Respect to Local Control and Disease-Free Survival
Sewell, M. D., Tan, K., Quraishi, N. A., Preda, C., Varga, P. P., & Williams, R. P. (2015) · Medicine · doi:10.1097/md.0000000000001019 · Cited by 31
Optimizing the Adverse Event and HRQOL Profiles in the Management of Primary Spine Tumors
Dea, N., Charest-Morin, R., Sciubba, D. M., Bird, J. E., Disch, A. C., Mesfin, A., Lazáry, Á., Fisher, C. G., & Ames, C. P. (2016) · Spine · doi:10.1097/brs.0000000000001821 · Cited by 31
Point: evidence-based medicine has a sound scientific base.
Karanicolas, P., Kunz, R., & Guyatt, G. (2008) · Chest · doi:10.1378/chest.08-0068 · Cited by 35
Self-citation
Assessing the impact and cost-effectiveness of needle and syringe provision and opioid substitution therapy on hepatitis C transmission among people who inject drugs in the UK: an analysis of pooled data sets and economic modelling
Platt, L., Sweeney, S., Ward, Z., Guinness, L., Hickman, M., Hope, V. D., Hutchinson, S. J., Maher, L., Iversen, J., Craine, N., et al. (2017) · Public Health Research · doi:10.3310/phr05050 · Cited by 31
Slow-release oral morphine as maintenance therapy for opioid dependence
Ferri, M., Minozzi, S., Amato, L., Bò, A., & Davoli, M. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009879 · Cited by 31
The validation of a clinical algorithm for the prevention and management of pulmonary dysfunction in intubated adults – a synthesis of evidence and expert opinion
Hanekom, S. D., Berney, S. C., Morrow, B. M., Ntoumenopoulos, G., Paratz, J. D., Patman, S. M., & Louw, Q. A. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2010.01480.x · Cited by 30
SIE, SIES, GITMO evidence-based guidelines on novel agents (thalidomide, bortezomib, and lenalidomide) in the treatment of multiple myeloma
Barosi, G., Merlini, G., Billio, A., Boccadoro, M., Corradini, P., Marchetti, M., Massaia, M., Tosi, P., Palumbo, A., Cavo, M., et al. (2012) · Annals of Hematology · doi:10.1007/s00277-012-1445-y · Cited by 31
Normativa SEPAR: neumonía nosocomial
Blanquer, J., Aspa, J., Anzueto, A., Ferrer, M., Gallego, M., Rajas, O., Rello, J., de Castro, F. R., & Torres, A. (2011) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2011.05.013 · Cited by 29
2018 Clinical Practice Guideline Summary for Clinicians: Diagnosis of Idiopathic Pulmonary Fibrosis
Thomson, C. C., Duggal, A., Bice, T. J., Lederer, D. J., Wilson, K. C., & Raghu, G. (2018) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201809-604cme · Cited by 30
Guidelines for the Management of Respiratory Complications in Patients With Neuromuscular Disease
Farrero, E., Antón, A., Egea, C., Almaraz, M. J., Masa, J. F., Utrabo, I., Rubio, M. C., Verea, H., Servera, E., Jara, L., et al. (2013) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2013.05.005 · Cited by 29
Evidence level of individual studies
Sauaia, A., Moore, E. E., Crebs, J. L., Maier, R. V., Hoyt, D. B., & Shackford, S. R. (2012) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e318256dc4d · Cited by 28
Idiopathic Pulmonary Fibrosis: Recent Trials and Current Drug Therapy
Jones, M. G., Fletcher, S., & Richeldi, L. (2013) · Respiration · doi:10.1159/000356958 · Cited by 27
Management of end-stage alcohol-related liver disease and severe acute alcohol-related hepatitis: position paper of the Italian Society on Alcohol (SIA)
Testino, G., Vignoli, T., Patussi, V., Scafato, E., & Caputo, F. (2019) · Digestive and Liver Disease · doi:10.1016/j.dld.2019.09.017 · Cited by 28
Guidelines of the Polish Respiratory Society for Diagnosis and Treatment of Idiopathic Pulmonary Fibrosis
Piotrowski, W. J., Bestry, I., Białas, A. J., Boros, P. W., Grzanka, P., Jassem, E., Jastrzębski, D., Klimczak, D., Langfort, R., Lewandowska, K. B., et al. (2020) · Advances in respiratory medicine · doi:10.5603/arm.2020.0081 · Cited by 30
Guidelines for Severe Uncontrolled Asthma
Cisneros, C., Moreno, C. M., Sánchez, C. A., Tordera, M. P., Picado, C., Moragón, E. M. M., de Llano, L. P., Campos, J. G. S., Landa, I. U., & Hernández, G. G. (2015) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2015.03.010 · Cited by 29
How to define ‘best practice’ for use in Knowledge Translation research: a practical, stepped and interactive process
Bosch, M., Tavender, E. J., Bragge, P., Gruen, R. L., & Green, S. (2012) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2012.01835.x · Cited by 28
Tocilizumab in Patients with Systemic Sclerosis–Associated Interstitial Lung Disease: A Systematic Review and Meta-Analysis
Ghazipura, M., Macrea, M. M., Herman, D. D., Barnes, H., Knight, S. L., Silver, R. M., Montesi, S. B., Raghu, G., & Hossain, T. (2023) · Annals of the American Thoracic Society · doi:10.1513/annalsats.202301-056oc · Cited by 31
2019 sickle cell disease guidelines by the American Society of Hematology: methodology, challenges, and innovations
Murad, M. H., Liem, R. I., Lang, E., Akl, E. A., Meerpohl, J. J., DeBaun, M. R., Tisdale, J. F., Brandow, A. M., Lanzkron, S., Chou, S. T., et al. (2019) · Blood Advances · doi:10.1182/bloodadvances.2019000931 · Cited by 26
Use of a Genomic Classifier in Patients with Interstitial Lung Disease: A Systematic Review
Kheir, F., Becerra, J. P. U., Bissell, B. D., Ghazipura, M., Herman, D., Hon, S. M., Hossain, T., Khor, Y. H., Knight, S. L., Kreuter, M., et al. (2021) · Annals of the American Thoracic Society · doi:10.1513/annalsats.202102-197oc · Cited by 27
Garlic in Clinical Practice: An Evidence-Based Overview
Li, L., Sun, T., Tian, J., Yang, K., Kang, Y., & Zhang, P. (2012) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2010.537000 · Cited by 27
Health Related Quality of Life Assessment in Metastatic Disease of the Spine
Street, J., Berven, S., Fisher, C. G., & Ryken, T. C. (2009) · Spine · doi:10.1097/brs.0b013e3181b778b2 · Cited by 27
Calcium channel blockers for primary Raynaud's phenomenon
Ennis, H., Anderson, M., Wilkinson, J., & Herrick, A. L. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002069.pub4 · Cited by 27
Cochrane systematic reviews in the field of addiction: What's there and what should be
Amato, L., Davoli, M., Vecchi, S., Ali, R. L., Farrell, M., Faggiano, F., FOXCROFT, D. R., Ling, W. W., Minozzi, S., & Zhao, C. (2010) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2010.08.003 · Cited by 25
The IPTA Nashville consensus conference on Post‐Transplant lymphoproliferative disorders after solid organ transplantation in children: II —consensus guidelines for prevention
Green, M., Squires, J. E., Chinnock, R., Comoli, P., Danziger‐Isakov, L. A., Dulek, D. E., Esquivel, C. O., Höcker, B., L’Huillier, A. G., Mazariegos, G. V., et al. (2022) · Pediatric Transplantation · doi:10.1111/petr.14350 · Cited by 26
research methods & reporting
Glasziou, P., Chalmers, I., Altman, D. G., Bastian, H., Boutron, I., Brice, A., Jamtvedt, G., Farmer, A. A., Ghersi, D., Groves, T., et al. (2010) · Cited by 26

Authors: Schünemann, H. J., Jaeschke, R., Cook, D. J., Bria, W. F., El-Solh, A. A., Ernst, A., Fahy, B. F., Gould, M. K., Horan, K. L., Krishnan, J. A., Manthous, C. A., Maurer, J. R., McNicholas, W. T., Oxman, A. D., Rubenfeld, G., Turino, G. M., & Guyatt, G.
Affiliations: American Thoracic Society (US)
ORCID: Schünemann, Holger J.
Jaeschke, Roman
El-Solh, Ali A.
Gould, Michael K.
Horan, Kathleen L.
Krishnan, Jerry A.
McNicholas, Walter T.
Oxman, Andrew D.
Guyatt, Gordon
Venue: American Journal of Respiratory and Critical Care Medicine
Publisher: Oxford University Press (OUP)
Published: 2006-09-01
Volume: 174
Issue: 5
Pages: 605-614
ISSN: 1073-449X (ISSN-L)
1535-4970
DOI: 10.1164/rccm.200602-197st
OpenAlex: W2144086043
Cited by: 577
References: 35
Citations by year: 2026: 1 · 2025: 12 · 2024: 12 · 2023: 18 · 2022: 15 · 2021: 12 · 2020: 21 · 2019: 22 · 2018: 30 · 2017: 23 · 2016: 37 · 2015: 36 · 2014: 38 · 2013: 37 · 2012: 48
FWCI: 39.95
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Journal of Respiratory and Critical Care Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: World Health Organization
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords: GRADE, quality of evidence, strength of recommendation, guideline development, evidence-based medicine
MeSH terms: Health Policy, Humans, Research Design, Practice Guidelines as Topic, Risk Assessment, Evidence-Based Medicine, Guideline Adherence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

An official ATS statement: Grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations.

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks