Idiopathic Pulmonary Fibrosis Guideline Recommendations: Need for Adherence to Institute of Medicine Methodology?

Annals of the American Thoracic Society
Kevin C WilsonGanesh Raghu

Abstract

The 2018 Idiopathic Pulmonary Fibrosis (IPF) guidelines were developed using an approach that adhered to the Institute of Medicine (IOM) Standards, in which each recommendation was informed by a systematic review. The Convergence of Opinion on Recommendations and Evidence (CORE) process is a modified Delphi process that does not require a systematic review, but yields similar recommendations. To determine the importance of the systematic reviews to the recommendations made by the IPF guidelines. IPF experts who were not on the IPF guideline panel and had no knowledge of the guideline's evidence synthesis or recommendations were recruited to answer the same questions as the guidelines but using a modified CORE process. Recommendations derived from the modified CORE process and IOM-adherent process were then compared. Concordance of the course of action, strength of recommendation, and quality of evidence were measured. Ten questions were addressed. The modified CORE process and IOM-adherent process yielded concordant recommendations for 9 out of 10 (90%) questions (ĸ agreement 0.84, 95%] CI 0.55-1.00). The strength of the recommendations was the same for 7 out of 8 (88%) graded recommendations (ĸ agreement 0.75, 95% CI 0.31-1.00...Continue Reading

References

Aug 26, 2006·American Journal of Respiratory and Critical Care Medicine·Holger J SchünemannUNKNOWN ATS Documents Development and Implementation Committee
Apr 8, 2011·American Journal of Respiratory and Critical Care Medicine·Ganesh RaghuUNKNOWN ATS/ERS/JRS/ALAT Committee on Idiopathic Pulmonary Fibrosis
Jul 16, 2015·American Journal of Respiratory and Critical Care Medicine·Ganesh RaghuUNKNOWN Latin American Thoracic Association
Jul 22, 2017·American Journal of Respiratory and Critical Care Medicine·Noah C SchoenbergKevin C Wilson
Jan 19, 2018·American Journal of Respiratory and Critical Care Medicine·Noah C SchoenbergUNKNOWN all authors
Sep 1, 2018·American Journal of Respiratory and Critical Care Medicine·Ganesh RaghuUNKNOWN American Thoracic Society, European Respiratory Society, Japanese Respiratory Society, and Latin American Thoracic Society

❮ Previous
Next ❯

Citations

May 16, 2020·American Journal of Respiratory and Critical Care Medicine·Sydney B MontesiKerri A Johannson
Oct 7, 2020·European Respiratory Review : an Official Journal of the European Respiratory Society·Chunxue BaiKevin C Wilson
Aug 6, 2020·Anaesthesia Critical Care & Pain Medicine·Claire RogerMarc Leone
Sep 24, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kevin C WilsonRaed Dweik

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Software Mentioned

SurveyMonkey

Related Concepts

Related Feeds

American Thoracic Association Journals

Discover the latest respiratory research published by the journals from the American Thoracic Society.

Related Papers

American Journal of Respiratory and Critical Care Medicine
Noah C SchoenbergKevin C Wilson
American Journal of Respiratory and Critical Care Medicine
Ganesh RaghuATS/ERS/JRS/ALAT Committee on Idiopathic Pulmonary Fibrosis
Journal of Pain and Symptom Management
Christopher J RyersonHarold R Collard
International Journal of Technology Assessment in Health Care
Shannon E KellyTammy J Clifford
Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
Yoshio Taguchi
© 2022 Meta ULC. All rights reserved