Taking account of context in systematic reviews and guidelines considering a complexity perspective.
clinical guidelines
complex interventions
context
population health guidelines
systematic reviews
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
2019
2019
Historique:
received:
18
03
2018
revised:
26
09
2018
accepted:
28
09
2018
entrez:
19
2
2019
pubmed:
19
2
2019
medline:
19
2
2019
Statut:
epublish
Résumé
Systematic review teams and guideline development groups face considerable challenges when considering context within the evidence production process. Many complex interventions are context-dependent and are frequently evaluated within considerable contextual variation and change. This paper considers the extent to which current tools used within systematic reviews and guideline development are suitable in meeting these challenges. The paper briefly reviews strengths and weaknesses of existing approaches to specifying context. Illustrative tools are mapped to corresponding stages of the systematic review process. Collectively, systematic review and guideline production reveals a rich diversity of frameworks and tools for handling context. However, current approaches address only specific elements of context, are derived from primary studies which lack information or have not been tested within systematic reviews. A hypothetical example is used to illustrate how context could be integrated throughout the guideline development process. Guideline developers and evidence synthesis organisations should select an appropriate level of contextual detail for their specific guideline that is parsimonious and yet sensitive to health systems contexts and the values, preferences and needs of their target populations.
Identifiants
pubmed: 30775011
doi: 10.1136/bmjgh-2018-000840
pii: bmjgh-2018-000840
pmc: PMC6350703
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e000840Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Organisme : Medical Research Council
ID : MR/K023233/1
Pays : United Kingdom
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Clin Epidemiol. 2017 Oct;90:11-18
pubmed: 28720514
BMC Med Res Methodol. 2013 Sep 28;13:118
pubmed: 24073615
Cochrane Database Syst Rev. 2017 Jul 11;7:ED000122
pubmed: 28758680
Healthc Policy. 2012 Feb;7(3):38-58
pubmed: 23372580
J Clin Epidemiol. 2011 Dec;64(12):1303-10
pubmed: 21802903
Res Synth Methods. 2018 Mar;9(1):13-24
pubmed: 28677339
BMC Med Res Methodol. 2017 Aug 3;17(1):117
pubmed: 28774287
J Adv Nurs. 2013 Jun;69(6):1428-37
pubmed: 22924808
Lancet. 2008 Nov 1;372(9649):1527-9
pubmed: 18984174
J R Soc Med. 2016 Feb;109(2):67-77
pubmed: 26880653
BMC Health Serv Res. 2010 Jul 02;10 Suppl 1:S8
pubmed: 20594374
J Clin Epidemiol. 2017 Jul;87:4-13
pubmed: 28529184
J Eval Clin Pract. 2018 Feb;24(1):105-116
pubmed: 28370699
BMJ. 2016 Jun 28;353:i2016
pubmed: 27353417
J Clin Epidemiol. 2017 Jun;86:3-10
pubmed: 28412463
Implement Sci. 2018 Jan 25;13(Suppl 1):4
pubmed: 29384080
J Clin Epidemiol. 2017 Jan;81:101-110
pubmed: 27713072
J Clin Epidemiol. 2013 Nov;66(11):1251-61
pubmed: 23953081
Health Res Policy Syst. 2009 Dec 16;7 Suppl 1:S11
pubmed: 20018101
Health Res Policy Syst. 2014 Aug 15;12:40
pubmed: 25128385
BMC Med Res Methodol. 2012 Nov 27;12:181
pubmed: 23185978
Health Res Policy Syst. 2009 Dec 16;7 Suppl 1:I1
pubmed: 20018098
Implement Sci. 2016 May 17;11:72
pubmed: 27189233
Lancet. 2005 Jan 1-7;365(9453):82-93
pubmed: 15639683
Am J Community Psychol. 2009 Jun;43(3-4):267-76
pubmed: 19390961
BMJ. 2010 Mar 23;340:c332
pubmed: 20332509
Health Aff (Millwood). 2002 May-Jun;21(3):166-8
pubmed: 12025980
Health Res Policy Syst. 2018 Mar 2;16(1):19
pubmed: 29499694
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
J Clin Epidemiol. 2013 Aug;66(8):874-82
pubmed: 23810026
J Clin Epidemiol. 2018 Aug;100:103-110
pubmed: 29339215
Int J Integr Care. 2017 Jun 27;17(2):10
pubmed: 28970751
Int J Behav Nutr Phys Act. 2016 May 20;13:60
pubmed: 27206793
Health Promot Pract. 2009 Oct;10(4):505-16
pubmed: 19809004
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000882
pubmed: 30775015
J Clin Epidemiol. 2017 Oct;90:51-58
pubmed: 28720513
Implement Sci. 2010 Oct 25;5:82
pubmed: 20973988
J Clin Epidemiol. 2017 Oct;90:19-27
pubmed: 28720510
J Clin Epidemiol. 2014 Jan;67(1):56-64
pubmed: 24189091
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000899
pubmed: 30775017
BMJ. 2006 Oct 14;333(7572):804-6
pubmed: 17038740
Eur J Public Health. 2011 Aug;21(4):397-8
pubmed: 21771736
Br J Gen Pract. 2012 Jul;62(600):371
pubmed: 22781982
Ann Intern Med. 1992 Jan 1;116(1):78-84
pubmed: 1530753
BMJ. 2014 Mar 07;348:g1687
pubmed: 24609605
Health Res Policy Syst. 2009 Dec 16;7 Suppl 1:S9
pubmed: 20018116
Z Evid Fortbild Qual Gesundhwes. 2015;109(2):103-14
pubmed: 26028447
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000844
pubmed: 30775012
J Health Serv Res Policy. 2011 Oct;16(4):238-44
pubmed: 21965426
BMC Med Res Methodol. 2018 Jan 18;18(1):12
pubmed: 29347910
Cochrane Database Syst Rev. 2015 Jul 16;(7):CD000934
pubmed: 26184394
J Clin Epidemiol. 2016 Jun;74:133-43
pubmed: 26775628
BMJ Open. 2015 Dec 30;5(12):e009002
pubmed: 26719314
J Multidiscip Healthc. 2016 Jul 20;9:303-10
pubmed: 27499628
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
Nurs Inq. 2012 Mar;19(1):18-28
pubmed: 22212367
Am J Public Health. 2013 Jun;103(6):e38-46
pubmed: 23597377
PLoS Med. 2015 Oct 27;12(10):e1001895
pubmed: 26506244
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e001107
pubmed: 30775019
Bull World Health Organ. 2005 Jun;83(6):480
pubmed: 15976900
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000893
pubmed: 30775016
J Clin Epidemiol. 2017 Jan;81:1-2
pubmed: 28215275
J Clin Epidemiol. 2017 Oct;90:43-50
pubmed: 28720516
BMC Med. 2010 Oct 20;8:63
pubmed: 20961442
SSM Popul Health. 2017 Dec;3:132-135
pubmed: 29302610
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000858
pubmed: 30775014
Trials. 2013 Jan 12;14:15
pubmed: 23311722
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
PLoS One. 2017 May 18;12(5):e0177026
pubmed: 28545038
J Clin Epidemiol. 2013 Jul;66(7):726-35
pubmed: 23570745
BMC Med Res Methodol. 2017 Apr 26;17(1):76
pubmed: 28446138
J Clin Epidemiol. 2016 Nov;79:120-129
pubmed: 27387966
Implement Sci. 2017 Feb 15;12(1):21
pubmed: 28202031
BMC Public Health. 2013 Jan 08;13:9
pubmed: 23294803
J Clin Epidemiol. 2016 Jul;75:78-92
pubmed: 26772607
Implement Sci. 2016 Nov 28;11(1):157
pubmed: 27894313
Int J Technol Assess Health Care. 2017 Jan;33(2):135-146
pubmed: 28434414
Implement Sci. 2012 Apr 19;7:33
pubmed: 22515663
J Clin Epidemiol. 2013 Nov;66(11):1230-43
pubmed: 23953082