Introduction of ADOLOPMENT: a GRADE guidelines development tool_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Zijun ¹ ^# , YAN Liang ² ^# , LIU Lian ¹ , WANG Hao ¹ , ZHOU Qi ³ , WANG Xiaoqin ^4,5,6 ,  CHEN Yaolong ^4,5,6

1. The Second Hospital of Lanzhou University, Lanzhou, 730000, P.R.China;
2. Clinical Evidence Based Medical Research Institute, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China;
3. The First Hospital of Lanzhou University, Lanzhou, 730000, P.R.China;
4. Evidence-based Medicine center, Lanzhou University, Lanzhou, 730000, P.R.China;
5. Chinese GRADE Center, Lanzhou, 730000, P.R.China;
6. Collaborating Centre for Guideline Implementation and Knowledge Translation of WHO, Lanzhou, 730000, P.R.China;

Corresponding?author：

CHEN Yaolong, Email: chenyaolong21@163.com

Keywords：

Guidelines development tool; GRADE; ADOLOPMENT; Methodology

DOI：

10.7507/1672-2531.201706112

Video：

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Adapting the existing guidelines in the context of specific regions can improve the efficiency of guidelines development, and reduce cost and time for developing guidelines. ADOLOPMENT is a methodological tool for guidelines adaptation, which was developed by the GRADE Working Group based on the standardized international guidelines making process. With ADOLOPMENT, developers can effectively use existing guidelines and evidence, avoid duplication of the evidence evaluation, and record the process from evidence to recommendations, which will ensure the transparency of adaptation, help users to understand the process, and improve the acceptability and credibility of guideline adaptation. This paper aims to introduce the ADOLOPMENT and its application.

Citation： WANG Zijun, YAN Liang, LIU Lian, WANG Hao, ZHOU Qi, WANG Xiaoqin, CHEN Yaolong. Introduction of ADOLOPMENT: a GRADE guidelines development tool. Chinese Journal of Evidence-Based Medicine, 2018, 18(1): 109-115. doi: 10.7507/1672-2531.201706112 Copy

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2.	Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 13. Applicability, transferability and adaptation. Health Res Policy Syst, 2006, 4(1): 25.
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4.	Fervers B, Burgers JS, Voellinger R, et al. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation. BMJ Qual Saf, 2011, 20(3): 228-236.
5.	Guyatt GH, Oxman AD, Santesso N, et al. GRADE guidelines: 12. Preparing summary of findings tables-binary outcomes. J Clin Epidemiol, 2013, 66(2): 158-172.
6.	Brozek JL, Bousquet J, Baena-Cagnani CE, et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol, 2010, 126(3): 466-476.
7.	Brozek JL, Baena-Cagnani CE, Bonini S, et al. Methodology for development of the allergic rhinitis and its impact on asthma guideline 2008 update. Allergy, 2008, 63(1): 38-346.
8.	Rosner S, Hackl-Herrwerth A, Leucht S, et al. Acamprosate for alcohol dependence. Cochrane Database Syst Rev, 2010, 9: CD004332.
9.	Fiocchi A, Brozek J, Schunemann H, et al. World allergy organization (WAO) diagnosis and rationale for action against cow’s milk allergy (DRACMA) guidelines. Pediatr Allergy Immunol, 2010, 21(Suppl 21): 1-125.
10.	Fiocchi A, Schunemann HJ, Brozek J, et al. Diagnosis and rationale for action against cow’s milk allergy (DRACMA): a summary report. J Allergy Clin Immunol, 2010, 126(6): 1119-1128.
11.	Santesso N, Schunemann H, Blumenthal P, et al. World health organization guidelines: use of cryotherapy for cervical intraepithelial neoplasia. Int J Gynaecol Obstet, 2012, 118(2): 97-102.
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25.	Guyatt GH, Thorlund K, Oxman AD, et al. GRADE guidelines: 13. Preparing summary of findings tables and evidence profiles-continuous outcomes. J Clin Epidemiol, 2013, 66(2): 173-183.
26.	Santesso N, Carrasco-Labra A, Langendam M, et al. Improving GRADE Evidence Tables part 3: guidance for useful GRADE certainty in the evidence judgments through explanatory footnotes. J Clin Epidemiol, 2016, 74: 28-39.
27.	Schuenemann HJ, Oxman AD, Higgins JPT, et al. Chapter 11: presenting results and ‘Summary of findings’ tables. Cochrane handbook for systematic reviews of interventions, version 510. West Sussex, UK: The Cochrane Collaboration, 2011. Available at: http://www.cochrane-handbook.org/.
28.	Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394.
29.	GRADEpro Guideline Development Tool. Hamilton, Canada: McMaster University, 2015.
30.	Schuenemann HJ, Mustafa R, Brozek J, et al. GRADE Guidelines: 16. GRADE evidence to decision frameworks for tests in clinical practice and public health. J Clin Epidemiol, 2016, 76: 89-98.
31.	NICE. Developing NICE Guidelines: The Manual. Process and Methods Guides No. 20. London: National Institute for Health and Care Excellence (NICE), 2015.
32.	Organization WHO. WHO Handbook for guideline development. Geneva, Switzerland: World Health Organization, 2014.
33.	傅亮, 胡雁, 盧洪洲. 艾滋病相關癥狀管理指南改編的方法及效果評價. 中華護理雜志, 2015, 50(9): 1037-1042.
34.	胡晶, 陳茹, 謝雁鳴, 等. 科學和規范的改編臨床實踐指南. 中國循證兒科雜志, 2012, 7(3): 226-230.

1. van der Weijden T, Boivin A, Burgers J, et al. Clinical practice guidelines and patient decision aids. An inevitable relationship. J Clin Epidemiol, 2012, 65(6): 584-589.
2. Schunemann HJ, Fretheim A, Oxman AD. Improving the use of research evidence in guideline development: 13. Applicability, transferability and adaptation. Health Res Policy Syst, 2006, 4(1): 25.
3. Fervers B, Burgers JS, Haugh MC, et al. Adaptation of clinical guidelines: literature review and proposition for a framework and procedure. Int J Qual Health Care, 2006, 18(3): 167-176.
4. Fervers B, Burgers JS, Voellinger R, et al. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation. BMJ Qual Saf, 2011, 20(3): 228-236.
5. Guyatt GH, Oxman AD, Santesso N, et al. GRADE guidelines: 12. Preparing summary of findings tables-binary outcomes. J Clin Epidemiol, 2013, 66(2): 158-172.
6. Brozek JL, Bousquet J, Baena-Cagnani CE, et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol, 2010, 126(3): 466-476.
7. Brozek JL, Baena-Cagnani CE, Bonini S, et al. Methodology for development of the allergic rhinitis and its impact on asthma guideline 2008 update. Allergy, 2008, 63(1): 38-346.
8. Rosner S, Hackl-Herrwerth A, Leucht S, et al. Acamprosate for alcohol dependence. Cochrane Database Syst Rev, 2010, 9: CD004332.
9. Fiocchi A, Brozek J, Schunemann H, et al. World allergy organization (WAO) diagnosis and rationale for action against cow’s milk allergy (DRACMA) guidelines. Pediatr Allergy Immunol, 2010, 21(Suppl 21): 1-125.
10. Fiocchi A, Schunemann HJ, Brozek J, et al. Diagnosis and rationale for action against cow’s milk allergy (DRACMA): a summary report. J Allergy Clin Immunol, 2010, 126(6): 1119-1128.
11. Santesso N, Schunemann H, Blumenthal P, et al. World health organization guidelines: use of cryotherapy for cervical intraepithelial neoplasia. Int J Gynaecol Obstet, 2012, 118(2): 97-102.
12. World Health Organization. Estonian handbook for guidelines development 2011. Available at: http://whqlibdoc.who. int/publications/.
13. Busse JW, Kaur J, Mollon B, et al. Low intensity pulsed ultrasonography for fractures: systematic review of randomised controlled trials. BMJ, 2009, 338: b351.
14. Andrews J, Guyatt G, Oxman AD, et al. GRADE guidelines: 14. Going from evidence to recommendations: the significance and presentation of recommendations. J Clin Epidemiol, 2013, 66(7): 719-725.
15. Andrews JC, Schunemann HJ, Oxman AD, et al. GRADE guidelines: 15. Going from evidence to recommendation-determinants of a recommendation’s direction and strength. J Clin Epidemiol, 2013, 66(7): 726-735.
16. Schunemann HJ, Wiercioch W, Etxeandia I, et al. Guidelines 2.0: systematic development of a comprehensive checklist for a successful guideline enterprise. CMAJ, 2014, 186(3): E123-142.
17. Institute of Medicine Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Clinical practice guidelines we can trust. Washington, DC: The National Academies Press, 2011. Available at: http://www.nap.edu/openbook. php?record_id513058.
18. Qaseem A, Forland F, Macbeth F, et al. Guidelines international network: toward international standards for clinical practice guidelines. Ann Intern Med, 2012, 156(7): 525-531.
19. GRADE Evidence to Decision (EtD) frameworks for adoption, adaptation, and de novo development of trustworthy recommendations: GRADE-ADOLOPMENT. J Clin Epidemiol, 2016, 81: 101-110.
20. The Saudi Center for Evidence Based Healthcare (EBHC): ClinicalPractice Guidelines. Available at: http://www. moh.gov.sa/endepts/.
21. Alonso-Coello P, Oxman AD, Moberg J, et al. GRADE evidence to decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 2: Clinical practice guidelines. BMJ, 2016, 353: i2089.
22. Alonso-Coello P, Schunemann HJ, Moberg J, et al. GRADE evidence to decision (EtD) frameworks: a systematic and transparent approach to making well informed healthcare choices. 1: Introduction. BMJ, 2016, 353. i2016.
23. Schunemann HJ, Mustafa R, Brozek J. Diagnostic accuracy and linked evidenceetesting the chain. Z Evid Fortbild Qual Gesundhwes, 2012, 106(3): 153-160.
24. Schunemann HJ, Oxman AD, Akl EA, et al. Moving from evidence to developing recommendations in guidelines: article 11 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. Proc Am Thorac Soc, 2012, 9(5): 282-292.
25. Guyatt GH, Thorlund K, Oxman AD, et al. GRADE guidelines: 13. Preparing summary of findings tables and evidence profiles-continuous outcomes. J Clin Epidemiol, 2013, 66(2): 173-183.
26. Santesso N, Carrasco-Labra A, Langendam M, et al. Improving GRADE Evidence Tables part 3: guidance for useful GRADE certainty in the evidence judgments through explanatory footnotes. J Clin Epidemiol, 2016, 74: 28-39.
27. Schuenemann HJ, Oxman AD, Higgins JPT, et al. Chapter 11: presenting results and ‘Summary of findings’ tables. Cochrane handbook for systematic reviews of interventions, version 510. West Sussex, UK: The Cochrane Collaboration, 2011. Available at: http://www.cochrane-handbook.org/.
28. Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol, 2011, 64(4): 383-394.
29. GRADEpro Guideline Development Tool. Hamilton, Canada: McMaster University, 2015.
30. Schuenemann HJ, Mustafa R, Brozek J, et al. GRADE Guidelines: 16. GRADE evidence to decision frameworks for tests in clinical practice and public health. J Clin Epidemiol, 2016, 76: 89-98.
31. NICE. Developing NICE Guidelines: The Manual. Process and Methods Guides No. 20. London: National Institute for Health and Care Excellence (NICE), 2015.
32. Organization WHO. WHO Handbook for guideline development. Geneva, Switzerland: World Health Organization, 2014.
33. 傅亮, 胡雁, 盧洪洲. 艾滋病相關癥狀管理指南改編的方法及效果評價. 中華護理雜志, 2015, 50(9): 1037-1042.
34. 胡晶, 陳茹, 謝雁鳴, 等. 科學和規范的改編臨床實踐指南. 中國循證兒科雜志, 2012, 7(3): 226-230.

Chinese Journal of Evidence-Based Medicine

Introduction of ADOLOPMENT: a GRADE guidelines development tool

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