Creating clinical practice guidelines we can trust, use, and share a new era is imminent

Per Olav Vandvik, Linn Brandt, Pablo Alonso-Coello, Shaun Treweek, Elie A. Akl, Annette Kristiansen, Anja Fog-Heen, Thomas Agoritsas, Victor M. Montori, Gordon Guyatt

Research output: Contribution to journalComment/debate

74 Scopus citations

Abstract

Standards and guidance for developing trustworthy clinical practice guidelines are now available, and a number of leading guidelines adhere to the key standards. Even current trustworthy guidelines, however, generally suffer from a cumbersome development process, suboptimal presentation formats, ineffi cient dissemination to clinicians at the point of care, high risk of becoming quickly outdated, and suboptimal facilitation of shared decision-making with patients. To address these limitations, we have-in our innovative research program and nonprofi t organization, MAGIC (Making GRADE the Irresistible Choice)-constructed a conceptual framework and tools to facilitate the creation, dissemination, and dynamic updating of trustworthy guidelines. We have developed an online application that constitutes an authoring and publication platform that allows guideline content to be written and structured in a database, published directly on our web platform or exported in a computer-interpretable language (eg, XML) enabling dissemination through a wide range of outputs that include electronic medical record systems, web portals, and applications for smartphones/tablets. Modifi cations in guidelines, such as recommendation updates, will lead to automatic alterations in these outputs with minimal additional labor for guideline authors and publishers, greatly facilitating dynamic updating of guidelines. Semiautomated creation of a new generation of decision aids linked to guideline recommendations should facilitate face-to-face shared decision-making in the clinical encounter. We invite guideline organizations to partner with us (www.magicproject.org) to apply and further improve the tools for their purposes. This work will result in clinical practice guidelines that we cannot only trust, but also easily share and use.

Original languageEnglish (US)
Pages (from-to)381-389
Number of pages9
JournalChest
Volume144
Issue number2
DOIs
StatePublished - Aug 2013

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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    Vandvik, P. O., Brandt, L., Alonso-Coello, P., Treweek, S., Akl, E. A., Kristiansen, A., Fog-Heen, A., Agoritsas, T., Montori, V. M., & Guyatt, G. (2013). Creating clinical practice guidelines we can trust, use, and share a new era is imminent. Chest, 144(2), 381-389. https://doi.org/10.1378/chest.13-0746