背景:组织在更新和维护其产品组合时面临不同的环境和要求,或游泳池,他们需要管理的系统评价或临床实践指南。我们的目标是开发一个全面的,理论框架,可以为包含系统评论和指南的投资组合设计和定制维护策略。
方法:我们采用了概念方法和文献综述。转移了临床医疗保健中使用的诊断测试-治疗途径的组成部分,以开发专门用于系统审查和指南组合维护策略的框架。
结果:我们开发了通过测试-治疗(POMBYTT)框架,包括诊断,分期,管理,和监控组件。为了说明框架的组件及其元素,我们提供了来自临床医疗保健检测-治疗路径和临床实践指南维持方案的示例.此外,我们的文献综述为框架中的元素提供了可能的例子,例如检测变量,检测测试,和检测阈值。我们还使用该框架提供了三个示例策略,其中一个是基于生活建议策略。
结论:开发的框架可能支持维护策略的设计,除了更新以管理投资组合(例如撤回和归档)之外,还可能包含多个选项,即使没有目标条件。通过对变量做出不同的选择,测试,测试协议,适应症,管理选项,和监测,组织可能会调整他们的维护策略,以适应特定的环境和需求。框架的元素可以通过明确维护策略的操作方面来帮助设计。这也可能对最终用户和系统评价和临床实践指南的其他利益相关者有所帮助。
BACKGROUND: Organizations face diverse contexts and requirements when updating and maintaining their portfolio, or pool, of systematic reviews or clinical practice
guidelines they need to manage. We aimed to develop a comprehensive, theoretical framework that might enable the design and tailoring of maintenance strategies for portfolios containing systematic reviews and
guidelines.
METHODS: We employed a conceptual approach combined with a literature review. Components of the diagnostic test-treatment pathway used in clinical healthcare were transferred to develop a framework specifically for systematic review and
guideline portfolio maintenance strategies.
RESULTS: We developed the Portfolio Maintenance by Test-Treatment (POMBYTT) framework comprising diagnosis, staging, management, and monitoring components. To illustrate the framework\'s components and their elements, we provided examples from both a clinical healthcare test-treatment pathway and a clinical practice
guideline maintenance scenario. Additionally, our literature review provided possible examples for the elements in the framework, such as detection variables, detection tests, and detection thresholds. We furthermore provide three example strategies using the framework, of which one was based on living recommendations strategies.
CONCLUSIONS: The developed framework might support the design of maintenance strategies that could contain multiple options besides updating to manage a portfolio (e.g. withdrawing and archiving), even in the absence of the target condition. By making different choices for variables, tests, test protocols, indications, management options, and monitoring, organizations might tailor their maintenance strategy to suit specific contexts and needs. The framework\'s elements could potentially aid in the design by being explicit about the operational aspects of maintenance strategies. This might also be helpful for end-users and other stakeholders of systematic reviews and clinical practice
guidelines.