Morgano Gian Paolo, Amato Laura, Parmelli Elena, Moja Lorenzo, Davoli Marina, Schünemann Holger
Department of Health Research Methods, Evidence, and Impact (formerly Clinical Epidemiology and Biostatistics), McMaster University, Hamilton, Canada.
Dipartimento di Epidemiologia, Regione Lazio, ASL Roma 1.
Recenti Prog Med. 2017 Oct;108(10):402-424. doi: 10.1701/2802.28354.
Following the development of a unifying and transparent approach to grading the certainty of evidence and strength or recommendations, the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group has refined its process of moving from Evidence to Decisions. The purpose of its new Evidence to Decision (EtD) frameworks is to help people use evidence in a structured and transparent way to inform decisions in the context of clinical recommendations, coverage decisions, and health system or public health recommendations and decisions. EtD frameworks inform users about the judgments that were made and the evidence supporting those judgments by making the basis for decisions transparent to target audiences. EtD frameworks also facilitate dissemination of recommendations and enable decision makers in other jurisdictions to adopt recommendations or decisions, or adapt them to their context.
在制定了一种统一且透明的证据确定性分级及推荐强度分级方法后,GRADE(推荐分级的评估、制定与评价)工作组改进了从证据到决策的流程。其新的证据到决策(EtD)框架的目的是帮助人们以结构化且透明的方式运用证据,以便在临床推荐、医保覆盖决策、卫生系统或公共卫生推荐及决策的背景下为决策提供依据。EtD框架通过向目标受众阐明决策依据,让使用者了解所做的判断以及支持这些判断的证据。EtD框架还促进了推荐意见的传播,并使其他司法管辖区的决策者能够采纳这些推荐或决策,或将其调整以适应当地情况。