Title
An evaluation of the COVID-19 recommendation map identified diverging clinical and public health guidance
Date Issued
01 July 2022
Access level
open access
Resource Type
journal article
Author(s)
Nasir Z.H.
Mertz D.
Nieuwlaat R.
Santesso N.
Lotfi T.
Motilall A.
Moja L.
Mbuagbaw L.
Klugar M.
Turgeon A.F.
Mathew J.L.
Pottie K.
Dewidar O.
Langendam M.W.
Iorio A.
Vist G.E.
Meerpohl J.J.
Flottorp S.
Kredo T.
Piggott T.
Mathews M.
Qaseem A.
Chu D.K.
Tugwell P.
Klugarová J.
Nelson H.
Hussein H.
Suvada J.
Neumann I.
Schünemann H.J.
Iberoamerican Cochrane Centre Department of Clinical Epidemiology and Public Health
Publisher(s)
Elsevier Inc.
Abstract
Objectives: To describe divergence between actionable statements issued by coronavirus disease 2019 (COVID-19) guideline developers cataloged on the “COVID-19 Recommendations and Gateway to Contextualization” platform. Study Design and Setting: We defined divergence as at least two comparable actionable statements with different explicit judgments of strength, direction, or subgroup consideration of the population or intervention. We applied a content analysis to compare guideline development methods for a sample of diverging statements and to evaluate factors associated with divergence. Results: Of the 138 guidelines evaluated, 85 (62%) contained at least one statement that diverged from another guideline. We identified 223 diverging statements in these 85 guidelines. We grouped statements into 66 clusters. Each cluster addressed the same population, intervention, and comparator group or just similar interventions. Clinical practice statements were more likely to diverge in an explicit judgment of strength or direction compared to public health statements. Statements were more likely to diverge in strength than direction. The date of publication, used evidence, interpretation of evidence, and contextualization considerations were associated with divergence. Conclusion: More than half of the assessed guidelines issued at least one diverging statement. This study helps in understanding the types of differences between guidelines issuing comparable statements and factors associated with their divergence.
Start page
83
End page
94
Volume
147
Language
English
OCDE Knowledge area
Salud pública, Salud ambiental Políticas de salud, Servicios de salud
Scopus EID
2-s2.0-85129313209
PubMed ID
Source
Journal of Clinical Epidemiology
ISSN of the container
08954356
Sponsor(s)
Funding: This research was funded by CIHR grant numbers FRN VR4-172741 and GA3-177732 , and support for extracting information for the RecMap was also provided by the World Health Organization, but not specifically for the goals of this study. The sponsors had no role in the design or interpretation of the data. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the interpretations, decisions, or policies of any national or international institution involved in the analyses, including the World Health Organization.
Sources of information: Directorio de Producción Científica Scopus