Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive

The large and diverse nature of guideline committees can make consensus difficult. Roman Jaeschke and colleagues describe a simple technique for clarifying opinion

[1]  Rosalind Raine,et al.  Developing clinical guidelines: a challenge to current methods , 2005, BMJ : British Medical Journal.

[2]  C. Natanson,et al.  Surviving sepsis--practice guidelines, marketing campaigns, and Eli Lilly. , 2006, The New England journal of medicine.

[3]  A. Oxman,et al.  Improving the use of research evidence in guideline development: 5. Group processes , 2006, Health research policy and systems.

[4]  Gordon H Guyatt,et al.  GrADe : what is “ quality of evidence ” and why is it important to clinicians ? rATING quALITY of evIDeNCe AND STreNGTH of reCommeNDATIoNS , 2022 .

[5]  A. Horvath,et al.  Grading quality of evidence and strength of recommendations for diagnostic tests and strategies. , 2009, Clinical chemistry.

[6]  Michael K Gould,et al.  An official ATS statement: grading the quality of evidence and strength of recommendations in ATS guidelines and recommendations. , 2006, American journal of respiratory and critical care medicine.

[7]  D. McAuley Development of core competencies for an international training programme in intensive care medicine. The CoBaTrICE Collaboration , 2006 .

[8]  Gordon H Guyatt,et al.  GRADE: grading quality of evidence and strength of recommendations for diagnostic tests and strategies , 2008, BMJ : British Medical Journal.

[9]  K. Vella,et al.  Use of consensus development to establish national research priorities in critical care , 2000, BMJ : British Medical Journal.

[10]  G. Guyatt,et al.  Going from evidence to recommendations , 2008, BMJ : British Medical Journal.

[11]  D. Spiegelhalter,et al.  Consensus development methods, and their use in clinical guideline development. , 1998, Health technology assessment.

[12]  Andrew D Oxman,et al.  Improving the use of research evidence in guideline development , 2007 .

[13]  A. Oxman,et al.  Improving the use of research evidence in guideline development: 3. Group composition and consultation process , 2006, Health research policy and systems.

[14]  C Duffield,et al.  The Delphi technique. , 1988, The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation.

[15]  Gordon H Guyatt,et al.  Incorporating considerations of resources use into grading recommendations , 2008, BMJ : British Medical Journal.

[16]  M. Levy,et al.  Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008 , 2007, Intensive Care Medicine.

[17]  G. Guyatt,et al.  GRADE: an emerging consensus on rating quality of evidence and strength of recommendations , 2008, BMJ : British Medical Journal.