Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Canada.
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
BMC Med Res Methodol. 2018 Dec 5;18(1):162. doi: 10.1186/s12874-018-0621-8.
Recent systematic reviews and editorials suggest that many organizations that produce nutritional guideline recommendations do not adhere to internationally recognized standards set forth by the Institute of Medicine (IoM), Guidelines International Network (GIN), Appraisal of Guidelines Research and Evaluation (AGREE), and Grading Recommendations, Assessment, Development and Evaluation (GRADE).
The potential solution is an independent group with content expertise and skilled in the methodology of systematic reviews and practice guidelines to produce trustworthy guideline recommendations, recommendations that are supported by publication in a top tier journal. The BMJ Rapid Recommendations project has recently demonstrated the feasibility and utility of this approach. Here, we are proposing trustworthy nutritional guideline recommendations based on internationally accepted guideline development standards, recommendations that will be informed by rigorous and novel systematic reviews of the benefits and harms associated with nutritional exposures, as well as studies on the values and preferences related to dietary behaviors among members of the international community.
Adhering to international guideline standards, conducting high quality systematic reviews, and actively assessing the values and preferences of key stakeholders is expected to improve the quality of nutritional guidelines and their relevance to end-users, particularly patients and community members. We will send our work for peer review, and if found acceptable, we will publish our nutritional recommendations in top-tier general medicine journals.
最近的系统评价和社论表明，许多制定营养指南建议的组织没有遵守国际医学研究所 (IoM)、指南国际网络 (GIN)、评估指南研究与评估 (AGREE) 和分级建议、评估、发展和评估 (GRADE) 规定的国际公认标准。
潜在的解决方案是一个具有内容专业知识和系统评价以及实践指南方法技能的独立小组，以制定值得信赖的指南建议，这些建议得到在顶级期刊上发表的支持。BMJ 快速建议项目最近证明了这种方法的可行性和实用性。在这里，我们根据国际公认的指南制定标准提出值得信赖的营养指南建议，这些建议将通过对营养暴露相关的益处和危害进行严格和新颖的系统评价以及对国际社会成员的饮食行为相关价值观和偏好的研究来提供信息。
遵守国际指南标准、进行高质量的系统评价以及积极评估主要利益相关者的价值观和偏好，有望提高营养指南的质量及其对最终用户（特别是患者和社区成员）的相关性。我们将把我们的工作送去同行评审，如果被接受，我们将在顶级普通医学期刊上发表我们的营养建议。
