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Z Evid Fortbild Qual Gesundhwes. 2019 Nov;147:120-126. doi: 10.1016/j.zefq.2019.11.001. Epub 2019 Nov 19.

[GRADE equity guidelines 2: Considering health equity in GRADE guideline development - equity extension of the guideline development checklist].

Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen

[Article in German]
Barbara Nußbaumer-Streit, Birgit Teufer, Gero Langer, Joerg J Meerpohl, Agnes Ebenberger, Gerald Gartlehner

Affiliations

  1. Department für Evidenzbasierte Medizin und Evaluation, Donau-Universität Krems, Krems, Österreich. Electronic address: [email protected].
  2. Department für Evidenzbasierte Medizin und Evaluation, Donau-Universität Krems, Krems, Österreich.
  3. Institut für Gesundheits- und Pflegewissenschaft, German Center for Evidence-based Nursing »sapere aude«, Halle (Saale), Deutschland.
  4. Cochrane Deutschland / Evidenz in der Medizin, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Deutschland.
  5. Department für Evidenzbasierte Medizin und Evaluation, Donau-Universität Krems, Krems, Österreich; RTI International, 3040 Cornwallis Drive, Research Triangle Park, NC, USA.

PMID: 31757658 DOI: 10.1016/j.zefq.2019.11.001

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.

Copyright © 2019. Published by Elsevier GmbH.

Keywords: Benachteiligung; Disadvantaged; GRADE; GRADE, Leitlinien; Gerechtigkeit im Gesundheitswesen; Guidelines; Health equity; Special populations; Underserved; Unterversorgung; besondere Gruppen

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