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临床指南协作国际术语表的制定。

Development of an international glossary for clinical guidelines collaboration.

机构信息

Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Guidelines International Network (GIN), Guidelines Collaboration Working Group, Scotland.

Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

J Clin Epidemiol. 2023 Jun;158:84-91. doi: 10.1016/j.jclinepi.2023.03.026. Epub 2023 Apr 3.

Abstract

OBJECTIVES

Clinical practice guidelines (CPGs) are often created through collaboration among organizations. The use of inconsistent terminology may cause poor communication and delays. This study aimed to develop a glossary of terms related to collaboration in guideline development.

STUDY DESIGN AND SETTING

A literature review of collaborative guidelines was performed to develop an initial list of terms related to guideline collaboration. The list of terms was presented to the members of the Guideline International Network Guidelines Collaboration Working Group, who provided presumptive definitions for each term and proposed additional terms to be included. The revised list was subsequently reviewed by an international, multidisciplinary panel of expert stakeholders. Recommendations received during this pre-Delphi review were implemented to augment an initial draft glossary. The glossary was then critically evaluated and refined through two rounds of Delphi surveys and a virtual consensus meeting with all panel members as Delphi participants.

RESULTS

Forty-nine experts participated in the pre-Delphi survey, and 44 participated in the two-round Delphi process. Consensus was reached for 37 terms and definitions.

CONCLUSION

Uptake and utilization of this guideline collaboration glossary by key organizations and stakeholder groups may facilitate collaboration among guideline-producing organizations by improving communication, minimizing conflicts, and increasing guideline development efficiency.

摘要

目的

临床实践指南(CPG)通常是通过组织之间的合作创建的。使用不一致的术语可能会导致沟通不畅和延误。本研究旨在制定一个与指南制定合作相关的术语词汇表。

研究设计和设置

对协作指南进行文献回顾,以制定与指南协作相关的术语初始列表。将术语列表提交给指南国际网络指南协作工作组的成员,他们为每个术语提供假定的定义,并提出要包含的其他术语。修订后的列表随后由国际多学科专家利益相关者小组进行审查。在预 Delphi 审查期间收到的建议被实施,以增加初始词汇表草案。然后通过两轮 Delphi 调查和与所有小组成员作为 Delphi 参与者的虚拟共识会议对词汇表进行了批判性评估和完善。

结果

49 名专家参加了预 Delphi 调查,44 名专家参加了两轮 Delphi 流程。达成了 37 个术语和定义的共识。

结论

关键组织和利益相关者群体采用和使用本指南协作词汇表,可通过改善沟通、最小化冲突和提高指南制定效率,促进指南制定组织之间的合作。

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