Guidelines that use the GRADE approach often fail to provide complete economic information for recommendations: a systematic survey

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dc.creatorJohn Riva
dc.creatorMeha Bhatt
dc.creatorDavid Brunarski
dc.creatorJason Busse
dc.creatorCarolina de Castro Martins
dc.creatorFeng Xie
dc.creatorHolger Schünemann
dc.creatorJan Brozek
dc.date.accessioned2024-04-30T19:07:14Z
dc.date.accessioned2025-09-09T00:19:27Z
dc.date.available2024-04-30T19:07:14Z
dc.date.issued2021-08
dc.identifier.doihttps://doi.org/10.1016/j.jclinepi.2021.04.018
dc.identifier.issn1878-5921
dc.identifier.urihttps://hdl.handle.net/1843/68004
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Clinical Epidemiology
dc.rightsAcesso Restrito
dc.subjectCost-benefit analysis
dc.subjectEconomics
dc.subjectHealth care costs
dc.subjectEvidence-based medicine
dc.subjectPractice guideline
dc.subjectEpidemiologic research design
dc.subject.otherCost-benefit analysis
dc.subject.otherEconomics
dc.subject.otherHealth care costs
dc.subject.otherEvidence-based medicine
dc.subject.otherPractice guidelines
dc.subject.otherEpidemiological research design
dc.titleGuidelines that use the GRADE approach often fail to provide complete economic information for recommendations: a systematic survey
dc.typeArtigo de periódico
local.citation.epage215
local.citation.spage203
local.citation.volume136
local.description.resumoObjective: Little is known about how developers and panel members report cost and cost effectiveness considerations in GRADE guideline Evidence-to-Decision (EtD) frameworks. A systematic survey was conducted to explore approaches and factors contributing to variability in economic information reporting. Study Design and Setting: Guideline organization websites were systematically searched to create a convenience sample of guidelines. Reviewers screened published EtD frameworks and generated frequencies of reporting approaches. We used thematic analysis to summarize factors related to variability of economic information reporting. Results: We included 142 guidelines. The overall rate of reporting economic information was high (91%); however, there was variability across completion of predefined EtD Likert-type judgments (70%), noting information as not identified across EtD framework domains (57%), and providing remarks to justify recommendations (38%). Six themes contributing to variability emerged, related to: intervention, population, payor, provider, healthcare resource use, and economic model building factors. Only 2 guidelines performed a GRADE certainty appraisal of economic outcomes. Conclusion: Completing predefined EtD Likert-type judgments, specifically reporting a literature review approach, study selection criteria and economic model building limitations, as well as linking these to recommendation justification remarks are potential areas for improved use, adoption and adaptation of recommendation, and transparency of GRADE EtD frameworks.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://www.jclinepi.com/article/S0895-4356(21)00141-4/fulltext

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