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GRADE equity guidelines 1: considering health equity in GRADE guideline development: introduction and rationale

  • Vivian A. Welch
  • , Elie A. Akl
  • , Gordon Guyatt
  • , Kevin Pottie
  • , Javier Eslava-Schmalbach
  • , Mohammed T. Ansari
  • , Hans de Beer
  • , Matthias Briel
  • , Tony Dans
  • , Inday Dans
  • , Monica Hultcrantz
  • , Janet Jull
  • , Srinivasa Vittal Katikireddi
  • , Joerg Meerpohl
  • , Rachael Morton
  • , Annhild Mosdol
  • , Jennifer Petkovic
  • , Holger J. Schünemann
  • , Ravi N. Sharaf
  • , Jasvinder A. Singh
  • Roger Stanev, Thomy Tonia, Mario Tristan, Sigurd Vitols, Joseph Watine, Peter Tugwell
  • University of Ottawa
  • American University of Beirut
  • McMaster Medical Centre
  • Universidad Nacional de Colombia
  • Colombian Society of Anaesthesiology and Resuscitation (S.C.A.R.E.)
  • Royal Netherlands Academy of Arts and Sciences
  • University of Basel
  • University of the Philippines
  • Karolinska Institutet
  • Karolinska Institutet
  • University of Glasgow
  • University of Freiburg
  • Université de Paris Cité
  • The University of Sydney
  • Norwegian Institute of Public Health
  • Department of Pediatrics
  • University of Alabama at Birmingham
  • University of Washington
  • University of Bern
  • IHCAI Foundation & Cochrane Central America & Spanish speaking Caribbean
  • Hôpital La Chartreuse

Research output: Contribution to journalArticlepeer-review

106 Scopus citations

Abstract

Objectives This article introduces the rationale and methods for explicitly considering health equity in the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology for development of clinical, public health, and health system guidelines. Study Design and Setting We searched for guideline methodology articles, conceptual articles about health equity, and examples of guidelines that considered health equity explicitly. We held three meetings with GRADE Working Group members and invited comments from the GRADE Working Group listserve. Results We developed three articles on incorporating equity considerations into the overall approach to guideline development, rating certainty, and assembling the evidence base and evidence to decision and/or recommendation. Conclusion Clinical and public health guidelines have a role to play in promoting health equity by explicitly considering equity in the process of guideline development.

Original languageEnglish
Pages (from-to)59-67
Number of pages9
JournalJournal of Clinical Epidemiology
Volume90
DOIs
StatePublished - Oct 2017

Keywords

  • GRADE
  • Guidelines
  • Health equity
  • Socially disadvantaged
  • Specific populations
  • Underserved

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