Title
Questions and health outcomes prioritization for the development of a COVID-19 dental clinical practice guideline: A case study
Date Issued
01 June 2022
Access level
metadata only access
Resource Type
journal article
Author(s)
Zaror C.
Deana N.F.
Espinoza-Espinoza G.
Aravena-Rivas Y.
Muñoz-Millán P.
Pineda P.
Burdiles P.
Nahuelhual P.
Alonso-Coello P.
Instituto de investigación de Sant Pau
Publisher(s)
John Wiley and Sons Inc
Abstract
Rationale, Aims and Objectives: In the context of a pandemic, the rapid development of clinical practice guidelines (CPGs) is critical. The guideline development process includes prioritization of the guideline topic, questions and health outcomes. This case study describes the application of a new methodology to prioritize questions and rate the importance of health outcomes for a COVID-19 dental guideline. Methods: Panel members rated the topic and the questions' overall importance, using a 9-point scale (1 = least important; 9 = most important). In addition, they rated six criteria if multiple questions received the same overall importance rating: common in practice, uncertainty in practice, variation in practice, new evidence available, cost consequences, not previously addressed. Panellists also rated the importance of each outcome, defined with health outcome descriptors, using a 9-point scale and the utility of health outcomes on a visual analogue scale. The correlation between each criterion and overall question importance was tested by Spearman correlation coefficient. Results: Of seven topics, four were rated as high priority and three were rated as important, but not of high priority. Thirty-six percent of the questions (18/50) were rated as high priority to address in the guideline and 64% (32/50) were rated as an important question but not of high priority. Of the 11 outcomes, 72.7% were rated as critical for decision making. The mean utility rating was 0.57 (SD 0.32), with a minimum mean rating of 0.16 and a maximum of 0.76 (SD 0.23). Conclusion: This case study demonstrated that this approach provides a rigorous and transparent methodology to conduct the prioritizations of guideline topics, questions and health outcomes.
Start page
404
End page
410
Volume
28
Issue
3
Language
English
OCDE Knowledge area
Epidemiología Cuidado crítico y de emergencia Enfermedades infecciosas
Scopus EID
2-s2.0-85123614873
PubMed ID
Source
Journal of Evaluation in Clinical Practice
ISSN of the container
13561294
Sponsor(s)
We would like to acknowledge Ingrid Obrecht for her help in the English editing process of this manuscript. Financial support for this study was provided entirely by a grant from Agencia Nacional de Investigación y Desarrollo (ANID), Chile (COVID0700). The funding agreement ensured the authors' independence in designing the study, interpreting the data, writing, and publishing the report.
Sources of information: Directorio de Producción Científica Scopus