关键词: Delphi consensus Hospitalization and Healthcare guideline prioritization

Mesh : Humans Neurology European Union

来  源:   DOI:10.1111/ene.15608

Abstract:
The development of high-quality clinical practice guidelines (CPGs) takes substantial time, effort, and resources. During the past years, the European Academy of Neurology (EAN) guideline production was significantly increased, so the need to develop clear, transparent, and methodologically solid criteria for prioritizing guideline topics became apparent. With this paper, we aim to define a set of criteria to be applied for prioritizing topics for future EAN guidelines, as well as the procedure for their implementation.
After review of the literature, we identified a recent systematic review that reported on the main prioritization criteria used by health organizations. Based on these, we developed a list of 20 preliminary criteria, which were voted on through a Delphi consensus procedure, including 160 stakeholders. Finally, we established a working procedure on how to submit and select new guideline topic proposals within the EAN. This procedure was reviewed by the EAN Scientific Committee and the Board.
The first round, 61.3% of the participants voted, and 86% of them participated in the second round. Seven criteria were approved with this procedure. After the selection of the criteria, a prioritization procedure was launched, and the first 30 topics are reported in this paper. This bottom-up process that involved the whole EAN community was followed by a top-down process, using additional criteria for further selection by the EAN board members.
We describe the development of prioritization criteria to be applied in the process of topic selection for future EAN CPGs. We will perform regular reviews and adjustments of the process.
摘要:
目的:制定高质量的临床实践指南(CPG)需要大量时间,努力,和资源。在过去的几年里,欧洲神经病学学会(EAN)的指南产量显着增加,所以需要发展清楚,透明,以及确定指南主题优先次序的方法坚实标准变得显而易见。有了这篇论文,我们的目标是定义一套标准,用于为未来的EAN指南确定主题的优先级,以及实施的程序。
方法:经过文献回顾,我们确定了最近的一项系统评价,该评价报告了卫生组织使用的主要优先排序标准.基于这些,我们列出了20个初步标准,通过德尔福共识程序进行投票,包括160个利益相关者。最后,我们建立了如何在EAN中提交和选择新的指南主题提案的工作程序。EAN科学委员会和董事会对该程序进行了审查。
结果:第一轮,61.3%的与会者投票,86%的人参加了第二轮。该程序批准了七个标准。选择标准后,启动了优先程序,本文报道了前30个主题。这个涉及整个EAN社区的自下而上的过程之后是一个自上而下的过程,使用其他标准供EAN董事会成员进一步选择。
结论:我们描述了在未来EANCPG的主题选择过程中应用的优先级标准的开发。我们将对流程进行定期审查和调整。
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