Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada.
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada.
J Clin Epidemiol. 2021 Jun;134:138-149. doi: 10.1016/j.jclinepi.2021.02.009. Epub 2021 Mar 22.
Having up-to-date health policy recommendations accessible in one location is in high demand by guideline users. We developed an easy to navigate interactive approach to organize recommendations and applied it to tuberculosis (TB) guidelines of the World Health Organization (WHO).
We used a mixed-methods study design to develop a framework for recommendation mapping with seven key methodological considerations. We define a recommendation map as an online repository of recommendations from several guidelines on a condition, providing links to the underlying evidence and expert judgments that inform them, allowing users to filter and cross-tabulate the search results. We engaged guideline developers, users, and health software engineers in an iterative process to elaborate the WHO eTB recommendation map.
Applying the seven-step framework, we included 228 recommendations, linked to 103 guideline questions and organized the recommendation map according to key components of the health question, including the original recommendations and rationale (https://who.tuberculosis.recmap.org/).
The recommendation mapping framework provides the entire continuum of evidence mapping by framing recommendations within a guideline questions' population, interventions, and comparators domains. Recommendation maps should allow guideline developers to organize their work meaningfully, standardize the automated publication of guidelines through links to the GRADEpro guideline development tool, and increase their accessibility and usability.
将最新的卫生政策建议集中在一个地方，以供指南使用者随时查阅，这是他们的强烈需求。我们开发了一种易于操作的互动方法来组织建议，并将其应用于世界卫生组织（WHO）的结核病（TB）指南。
我们采用混合方法研究设计，制定了一个建议映射框架，其中考虑了七个关键方法学因素。我们将建议映射定义为一个在线存储库，其中包含来自多个指南中关于某种疾病的建议，提供了指向基础证据和专家判断的链接，这些证据和判断为建议提供了信息，允许用户对搜索结果进行筛选和交叉制表。我们让指南开发者、用户和卫生软件工程师参与迭代过程，详细阐述了 WHO eTB 建议映射。
通过应用七步框架，我们纳入了 228 条建议，这些建议与 103 个指南问题相关联，并根据健康问题的关键组成部分（包括原始建议和原理）组织了建议映射（https://who.tuberculosis.recmap.org/）。
建议映射框架通过在指南问题的人群、干预措施和比较因素领域内为建议提供框架，提供了整个证据映射的连续性。建议映射应该允许指南开发者有意义地组织他们的工作，通过链接到 GRADEpro 指南开发工具标准化指南的自动发布，并提高它们的可及性和可用性。
