Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/66220
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | FORM: An Australian method for formulating and grading recommendations in evidence-based clinical guidelines |
Author: | Hillier, S. Grimmer, K. Merlin, T. Middleton, P. Salisbury, J. Tooher, R. Weston, A. |
Citation: | BMC Medical Research Methodology, 2011; 11(1):23:1-23:8 |
Publisher: | BioMed Central Ltd. |
Issue Date: | 2011 |
ISSN: | 1471-2288 1471-2288 |
Statement of Responsibility: | Susan Hillier, Karen Grimmer-Somers, Tracy Merlin, Philippa Middleton, Janet Salisbury, Rebecca Tooher and Adele Weston |
Abstract: | BACKGROUND: Clinical practice guidelines are an important element of evidence-based practice. Considering an often complicated body of evidence can be problematic for guideline developers, who in the past may have resorted to using levels of evidence of individual studies as a quasi-indicator for the strength of a recommendation. This paper reports on the production and trial of a methodology and associated processes to assist Australian guideline developers in considering a body of evidence and grading the resulting guideline recommendations. METHODS: In recognition of the complexities of clinical guidelines and the multiple factors that influence choice in health care, a working group of experienced guideline consultants was formed under the auspices of the Australian National Health and Medical Research Council (NHMRC) to produce and pilot a framework to formulate and grade guideline recommendations. Consultation with national and international experts and extensive piloting informed the process. RESULTS: The FORM framework consists of five components (evidence base, consistency, clinical impact, generalisability and applicability) which are used by guideline developers to structure their decisions on how to convey the strength of a recommendation through wording and grading via a considered judgement form. In parallel (but separate from the grading process) guideline developers are asked to consider implementation implications for each recommendation. CONCLUSIONS: The framework has now been widely adopted by Australian guideline developers who find it to be a logical and intuitive way to formulate and grade recommendations in clinical practice guidelines. |
Keywords: | Humans Evidence-Based Medicine National Health Programs Australia Practice Guidelines as Topic |
Description: | Extent: 8p. |
Rights: | © 2011 Hillier et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1186/1471-2288-11-23 |
Published version: | http://dx.doi.org/10.1186/1471-2288-11-23 |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
hdl_66220.pdf | Published version | 210.96 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.