GRADE Guidance 34: update on rating imprecision using a minimally contextualized approach.

Humans Systematic Reviews as Topic GRADE Approach Sample Size
GRADE Guideline Imprecision Minimally contextualized approach Systematic review

Journal

Journal of clinical epidemiology
ISSN: 1878-5921
Titre abrégé: J Clin Epidemiol
Pays: United States
ID NLM: 8801383

Informations de publication

Date de publication:
10 2022
Historique:
received: 01 12 2021
revised: 01 03 2022
accepted: 25 07 2022
pubmed: 8 8 2022
medline: 17 12 2022
entrez: 7 8 2022
Statut: ppublish

Résumé

The aim of this study is to provide updated guidance on when The Grading of Recommendations Assessment, Development and Evaluation (GRADE) users should consider rating down more than one level for imprecision using a minimally contextualized approach. Based on the first GRADE guidance addressing imprecision rating in 2011, a project group within the GRADE Working Group conducted iterative discussions and presentations at GRADE Working Group meetings to produce this guidance. GRADE suggests aligning imprecision criterion for systematic reviews and guidelines using the approach that relies on thresholds and confidence intervals (CI) of absolute effects as a primary criterion for imprecision rating (i.e., CI approach). Based on the CI approach, when a CI appreciably crosses the threshold(s) of interest, one should consider rating down two or three levels. When the CI does not cross the threshold(s) and the relative effect is large, one should implement the optimal information size (OIS) approach. If the sample size of the meta-analysis is far less than the OIS, one should consider rating down more than one level for imprecision. GRADE provides updated guidance for imprecision rating in a minimally contextualized approach, with a focus on the circumstances in which one should seriously consider rating down two or three levels for imprecision.

Identifiants

DOI: 10.1016/j.jclinepi.2022.07.014 PMID: 35934265
pubmed: 35934265
pii: S0895-4356(22)00187-1
doi: 10.1016/j.jclinepi.2022.07.014
pii:
doi:

Types de publication

Meta-Analysis Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

216-224

Informations de copyright

Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.

Auteurs

Linan Zeng (L)

Pharmacy Department/Evidence-based Pharmacy Centre, West China Second University Hospital, Sichuan University and Key Laboratory of Birth Defects and Related Disease of Women and Children, Ministry of Education, No. 20, Section 3, South Renmin Road, Chengdu 610041, China; Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada. Electronic address: zengl15@mcmaster.ca.

Romina Brignardello-Petersen (R)

Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada.

Monica Hultcrantz (M)

Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU), S:t Eriksgatan 117, Stockholm 102 33, Sweden.

Reem A Mustafa (RA)

Division of Nephrology and Hypertension, Department of Internal Medicine, University of Kansas Medical Centre, 3901 Rainbow Blvd, MS3002, Kansas City, KS 61160, USA.

Mohammad H Murad (MH)

Evidence-based Practice Center, Mayo Clinic, 200 1st ST. SW, Rochester, MN 55905, USA.

Alfonso Iorio (A)

Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada; Department of Medicine, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada.

Gregory Traversy (G)

Public Health Agency of Canada, 785 Carling Avenue, Ottawa, K1A 0K9 Ontario, Canada.

Elie A Akl (EA)

Department of Internal Medicine, American University of Beirut, P.O.Box 11-0236, Beirut, Lebanon.

Martin Mayer (M)

EBSCO Clinical Decisions, EBSCO, 10 Estes StIpswich, MA 01938, USA; Triad Hospitalists, Cone Health, 1200 North Elm St, Greensboro, NC 27401, USA; Open Door Clinic, Cone Health, 319 N Graham Hopedale Rd, Burlington, NC 27217, USA.

Holger J Schünemann (HJ)

Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada; Department of Medicine, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada.

Gordon H Guyatt (GH)

Department of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada; Department of Medicine, McMaster University, 1280 Main Street West, Hamilton, L8S 4L8 Ontario, Canada.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › GRADE Guidance 34: update on rating...
questionsmedicales.fr › Sciences de l'information › Sources d'information › Moyens de communication › Publications › Littérature de revue comme sujet › Revues systématiques comme sujet › GRADE Guidance 34: update on rating...
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