GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist

Elie A. Akl, Vivian Welch, Kevin Pottie, Javier Eslava-Schmalbach, Andrea Darzi, Ivan Sola, Srinivasa Vittal Katikireddi, Jasvinder Singh, M. Hassan Murad, Joerg Meerpohl, Roger Stanev, Eddy Lang, Elizabeth Matovinovic, Beverley Shea, Thomas Agoritsas, Paul E. Alexander, Alexandra Snellman, Romina Brignardello-Petersen, David Gloss, Lehana ThabaneChunhu Shi, Airton T. Stein, Ravi Sharaf, Matthias Briel, Gordon Guyatt, Holger Schünemann, Peter Tugwell

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)68-75
Number of pages8
JournalJournal of Clinical Epidemiology
Volume90
DOIs
StatePublished - Oct 2017

Keywords

  • Disadvantaged
  • GRADE
  • Guidelines
  • Health equity
  • Special populations
  • Underserved

ASJC Scopus subject areas

  • Epidemiology

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    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., ... Tugwell, P. (2017). GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist. Journal of Clinical Epidemiology, 90, 68-75. https://doi.org/10.1016/j.jclinepi.2017.01.017