GRADE: Assessing the quality of evidence in environmental and occupational health

Environment International
Rebecca L MorganHolger Schünemann

Abstract

There is high demand in environmental health for adoption of a structured process that evaluates and integrates evidence while making decisions and recommendations transparent. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework holds promise to address this demand. For over a decade, GRADE has been applied successfully to areas of clinical medicine, public health, and health policy, but experience with GRADE in environmental and occupational health is just beginning. Environmental and occupational health questions focus on understanding whether an exposure is a potential health hazard or risk, assessing the exposure to understand the extent and magnitude of risk, and exploring interventions to mitigate exposure or risk. Although GRADE offers many advantages, including its flexibility and methodological rigor, there are features of the different sources of evidence used in environmental and occupational health that will require further consideration to assess the need for method refinement. An issue that requires particular attention is the evaluation and integration of evidence from human, animal, in vitro, and in silico (computer modeling) studies when determining whether an environmental f...Continue Reading

References

Jan 1, 1994·American Indian and Alaska Native Mental Health Research : the Journal of the National Center·D Johnson, R LaDue
Feb 1, 1993·Acta Paediatrica·N R Roberton
Nov 19, 2004·Journal of Neurology, Neurosurgery, and Psychiatry·J MandrioliP Panzetti
Apr 26, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Apr 2, 2009·Environmental Health Perspectives·John R Bucher
May 30, 2009·Environmental Health Perspectives·Richard JudsonEdwin Smith
Dec 28, 2010·Journal of Clinical Epidemiology·Gordon H GuyattAndre Knottnerus
Jan 5, 2011·Journal of Clinical Epidemiology·Gordon H GuyattHolger J Schünemann
Jan 5, 2011·Journal of Clinical Epidemiology·Gordon GuyattHolger J Schünemann
Jan 7, 2011·Journal of Clinical Epidemiology·Howard BalshemGordon H Guyatt
Jan 21, 2011·Journal of Clinical Epidemiology·Gordon H GuyattHolger J Schünemann
May 11, 2011·Health Affairs·Tracey J WoodruffUNKNOWN Navigation Guide Work Group
Aug 2, 2011·Journal of Clinical Epidemiology·Gordon H GuyattUNKNOWN GRADE Working Group
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Mar 13, 2012·Journal of Clinical Epidemiology·Judith ThorntonKathryn Chamberlain
Jul 28, 2012·BMJ : British Medical Journal·Manav V VyasDaniel G Hackam
Nov 16, 2012·BMJ : British Medical Journal·Frederick A SpencerGordon H Guyatt
Jan 15, 2013·Journal of Clinical Epidemiology·Jeff AndrewsHolger J Schünemann
Jan 23, 2013·ALTEX·Ellen Silbergeld, Roberta W Scherer
Apr 23, 2013·Environmental Health Perspectives·Raymond R TiceJohn R Bucher
Jan 1, 2012·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Holger J Schünemann
Jun 28, 2013·Scandinavian Journal of Work, Environment & Health·Sharea IjazKaisa Neuvonen
Apr 24, 2014·Environmental Health Perspectives·Andrew A RooneyKristina A Thayer
Mar 15, 2015·Journal of Clinical Epidemiology·Benjamin DjulbegovicGordon H Guyatt
Jun 20, 2015·Environmental Health Perspectives·Daniele Mandrioli, Ellen K Silbergeld

❮ Previous
Next ❯

Citations

Apr 30, 2016·Environment International·Kristina A Thayer, Holger J Schünemann
Jul 17, 2016·The Annals of Occupational Hygiene·Maximilien DebiaVladimir Murashov
Nov 8, 2016·Accountability in Research·David B Resnik, Adil E Shamoo
Nov 30, 2016·Nanotoxicology·Raluca MihalachePieter van Broekhuizen
Feb 23, 2018·International Journal of Environmental Research and Public Health·Elise van KempenMaria Foraster
Nov 8, 2017·Journal of Occupational and Environmental Medicine·Kenneth A MundtPaolo Boffetta
Apr 21, 2018·International Journal of Environmental Research and Public Health·Dorota JarosińskaElizabet Paunović
Jan 13, 2018·American Journal of Industrial Medicine·Jos Verbeek, Jani Ruotsalainen
Jun 14, 2019·Toxicological Sciences : an Official Journal of the Society of Toxicology·Martin L StephensKatya Tsaioun
Jul 2, 2019·Human Reproduction Update·Nina ShigesiChristian M Becker
Jan 13, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·P Daniel PattersonChristian Martin-Gill
Jan 13, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Christian Martin-GillP Daniel Patterson
Jan 13, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·P Daniel Patterson, Christian Martin-Gill
Nov 30, 2019·Multiple Sclerosis : Clinical and Laboratory Research·Jeffrey A CohenRuth Ann Marrie
Jan 14, 2020·Hypertension·Konark MalhotraGeorgios Tsivgoulis
Jul 6, 2020·European Journal of Pain : EJP·Scott F FarrellMichele Sterling
Nov 20, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·P Daniel PattersonChristian Martin-Gill
Oct 25, 2017·Systematic Reviews·Annette M O'ConnorSusanna G Von Essen
Oct 18, 2019·BMC Veterinary Research·Andreas W OehmSonja Hartnack
May 16, 2017·Archives of Toxicology·Sebastian HoffmannKatya Tsaioun
Sep 28, 2017·Journal of Toxicology and Environmental Health. Part B, Critical Reviews·Judy S LaKindMichael Goodman
Apr 18, 2019·BMJ : British Medical Journal·Lisa A BeroMark A Lawrence
Aug 11, 2017·Environmental Health : a Global Access Science Source·Rodolfo Saracci
Sep 1, 2018·Nature Sustainability·Edward T GameWilliam J Sutherland
Aug 3, 2017·EFSA Journal·UNKNOWN EFSA Scientific CommitteeMaged Younes
Dec 11, 2020·International Journal of Toxicology·Emily May LentMark S Johnson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.