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GRADE equity guidelines 2: considering health equity in GRADE guideline development: equity extension of the guideline development checklist

  • Elie A. Akl
  • , Vivian Welch
  • , Kevin Pottie
  • , Javier Eslava-Schmalbach
  • , Andrea Darzi
  • , Ivan Sola
  • , Srinivasa Vittal Katikireddi
  • , Jasvinder Singh
  • , M. Hassan Murad
  • , Joerg Meerpohl
  • , Roger Stanev
  • , Eddy Lang
  • , Elizabeth Matovinovic
  • , Beverley Shea
  • , Thomas Agoritsas
  • , Paul E. Alexander
  • , Alexandra Snellman
  • , Romina Brignardello-Petersen
  • , David Gloss
  • , Lehana Thabane
  • Chunhu Shi, Airton T. Stein, Ravi Sharaf, Matthias Briel, Gordon Guyatt, Holger Schünemann, Peter Tugwell
  • American University of Beirut
  • University of Ottawa
  • Universidad Nacional de Colombia
  • Sociedad Colombiana de Anestesiologia y Reanimacion
  • Research Institute of the Santa Creu i Sant Pau Hospital
  • University of Glasgow
  • Department of Veterans Affairs
  • University of Alabama at Birmingham
  • Mayo Clinic Arizona
  • Mayo Clinic Rochester, MN
  • Université de Paris Cité
  • Hôpital Hôtel-Dieu
  • University of Freiburg
  • University of Washington
  • University of Calgary
  • Chiang Mai University
  • McMaster University
  • Faculty of Health Sciences
  • Swedish National Board of Health and Welfare
  • Universidad de Chile
  • CAMC Health System
  • University of Manchester
  • Ulbra and Conceicao Hospital
  • Northwell Health System
  • University of Basel

Research output: Contribution to journalArticlepeer-review

72 Scopus citations

Abstract

Objective To provide guidance for guideline developers on how to consider health equity at key stages of the guideline development process. Study Design and Setting Literature review followed by group discussions and consensus building. Results The key stages at which guideline developers could consider equity include setting priorities, guideline group membership, identifying the target audience(s), generating the guideline questions, considering the importance of outcomes and interventions, deciding what evidence to include and searching for evidence, summarizing the evidence and considering additional information, wording of recommendations, and evaluation and use. We provide examples of how guidelines have actually considered equity at each of these stages. Conclusion Guideline projects should consider the aforementioned suggestions for recommendations that are equity sensitive.

Original languageEnglish
Pages (from-to)68-75
Number of pages8
JournalJournal of Clinical Epidemiology
Volume90
DOIs
StatePublished - Oct 2017

Keywords

  • Disadvantaged
  • GRADE
  • Guidelines
  • Health equity
  • Special populations
  • Underserved

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