Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia; NHMRC Clinical Trials Centre, The University of Sydney, Sydney, Australia.
Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia; Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
J Clin Epidemiol. 2023 Mar;155:84-96. doi: 10.1016/j.jclinepi.2022.12.024. Epub 2023 Jan 10.
To introduce methods for living guidelines based on practical experiences by the Australian Living Evidence Consortium (ALEC), the National Institute of Health and Care Excellence (NICE), and the Infectious Diseases Society of America (IDSA), with methodological support from the US Grading of Recommendations, Assessment, Development and Evaluations (GRADE) Network.
Members of ALEC, NICE, and the US GRADE Network, convened a working group to share experiences of the methods used to develop living guidelines and outline the key differences between traditional and living guidelines methods.
The guidance includes the following steps: 1) deciding if the guideline is a priority for a living approach, 2) preparing for living guideline development, 3) literature surveillance and frequency of searching, 4) assessment and synthesis of the evidence, 5) publication and dissemination, and 6) transitioning recommendations out of living mode.
This paper introduces methods for living guidelines and provides examples of the similarities and differences in approach across multiple organizations conducting living guidelines. It also introduces a series of papers exploring methods for living guidelines based on our practical experiences, including consumer involvement, selecting and prioritizing questions, search decisions, and methods decisions.
引入澳大利亚实践证据联盟（ALEC）、英国国家卫生与保健卓越研究所（NICE）和美国传染病学会（IDSA）基于实践经验的实践指南制定方法，该方法得到了美国评估、制定、发展和评估分级（GRADE）网络的方法支持。
ALEC、NICE 和美国 GRADE 网络的成员召开了一个工作组会议，以分享制定实践指南所使用方法的经验，并概述传统指南和实践指南方法之间的主要差异。
该指南包括以下步骤：1）决定指南是否需要采用实践方法，2）为实践指南的制定做准备，3）文献监测和搜索频率，4）证据评估和综合，5）出版和传播，6）将推荐意见从实践模式过渡出来。
本文介绍了实践指南的制定方法，并提供了多个组织在制定实践指南方面的相似性和差异的实例。本文还介绍了一系列基于我们实践经验的实践指南制定方法的论文，包括消费者参与、选择和优先考虑问题、搜索决策和方法决策。
