The GRADE Evidence to Decision (EtD) framework for health system and public health decisions

Health Research Policy and Systems
Jenny MobergGRADE Working Group

Abstract

To describe a framework for people making and using evidence-informed health system and public health recommendations and decisions. We developed the GRADE Evidence to Decision (EtD) framework for health system and public health decisions as part of the DECIDE project, in which we simultaneously developed frameworks for these and other types of healthcare decisions, including clinical recommendations, coverage decisions and decisions about diagnostic tests. Building on GRADE EtD tables, we used an iterative approach, including brainstorming, consultation of the literature and with stakeholders, and an international survey of policy-makers. We applied the framework to diverse examples, conducted workshops and user testing with health system and public health guideline developers and policy-makers, and observed and tested its use in real-life guideline panels. All the GRADE EtD frameworks share the same basic structure, including sections for formulating the question, making an assessment and drawing conclusions. Criteria listed in the assessment section of the health system and public health framework cover the important factors for making these types of decisions; in addition to the effects and economic impact of an option, the...Continue Reading

References

Feb 7, 2002·JAMA : the Journal of the American Medical Association·Niteesh K ChoudhryAllan S Detsky
Dec 5, 2006·Health Research Policy and Systems·Elizabeth A Boyd, Lisa A Bero
May 10, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Sep 18, 2008·Bulletin of the World Health Organization·Samuli I SaarniIlona Autti-Rämö
Sep 8, 2009·American Journal of Respiratory and Critical Care Medicine·Holger J SchünemannUNKNOWN ATS Ethics and Conflict of Interest Committee and the Documents Development and Implementation Committee
Dec 19, 2009·Health Research Policy and Systems·Andrew D OxmanSimon Lewin
May 19, 2010·Annals of Internal Medicine·Gordon GuyattHolger Schünemann
Dec 21, 2010·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Mareike Schad, Jürgen John
Apr 8, 2011·Tropical Medicine & International Health : TM & IH·Nicholas M FiskRifat Atun
Jan 15, 2013·Journal of Clinical Epidemiology·Jeff AndrewsHolger J Schünemann
Apr 11, 2013·Journal of Clinical Epidemiology·Jeffrey C AndrewsGordon Guyatt
Jun 18, 2015·Health Promotion International·Karin GuldbrandssonRegina Winzer
Oct 6, 2015·Annals of Internal Medicine·Holger J SchünemannUNKNOWN Board of Trustees of the Guidelines International Network
Jan 23, 2016·The Lancet Global Health·Hannah BlencoweUNKNOWN Lancet Stillbirth Epidemiology Investigator Group
Mar 5, 2016·Journal of Clinical Epidemiology·Holger J SchünemannUNKNOWN GRADE Working Group

❮ Previous
Next ❯

Citations

Mar 13, 2019·JAMA : the Journal of the American Medical Association·Markus M MuellerUNKNOWN ICC PBM Frankfurt 2018 Group
Oct 28, 2019·British Journal of Clinical Pharmacology·Filomena FortinguerraAntonio Addis
May 18, 2020·Journal of the American Medical Informatics Association : JAMIA·Heather SmithCraig Kuziemsky
Jul 21, 2020·Journal of Athletic Training·Vere BorraEmmy De Buck
Dec 7, 2018·Medical Sciences : Open Access Journal·Jack Dowie, Mette Kjer Kaltoft
Mar 13, 2019·Transfusion Medicine·T BullockJ McCullagh
Mar 7, 2020·The European Respiratory Journal·Dennis FalzonTereza Kasaeva
Dec 7, 2019·Hematology·Michael F Murphy, Antony Palmer
Apr 18, 2020·Health and Quality of Life Outcomes·Gian Loreto D'AlòUNKNOWN ISACA guideline working group
May 2, 2020·Israel Journal of Health Policy Research·Ulrike Nimptsch
Dec 23, 2020·PloS One·Maíra Catharina RamosEverton Nunes da Silva
Oct 4, 2020·Journal of Clinical Epidemiology·Elie A AklHolger Schünemann
Jan 20, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Francesco BrancaFranco Sassi
Jan 22, 2021·American Journal of Public Health·Luke WolfendenSze Lin Yoong
Jan 27, 2021·Health and Quality of Life Outcomes·Gian Loreto D'AlòUNKNOWN ISACAGuideline Working Group
Nov 16, 2020·The Medical Journal of Australia·Rosemary WyberUNKNOWN END RHD CRE Investigators Collaborators
Mar 21, 2021·Implementation Science : IS·Ross C BrownsonDebra Haire-Joshu
Aug 24, 2019·Evaluation and Program Planning·Madiha Said Abd El Razik, Marwa Rashad Salem
Apr 7, 2021·Journal of the Academy of Nutrition and Dietetics·Tanis R FentonLisa Moloney
Apr 18, 2020·Journal of the Academy of Nutrition and Dietetics·Mary RozgaAlison Steiber
May 27, 2021·BMC Medical Informatics and Decision Making·Jose Francisco Meneses-EchavezPablo Alonso-Coello
Jun 23, 2020·Journal of the Academy of Nutrition and Dietetics·Catherine M McDonaldMary Rozga

❮ Previous
Next ❯

Software Mentioned

DECIDE
GRADE Evidence to Decision
GRADE
EtD
GRADEpro GDT

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.