publication . Article . 2016

South African Guidelines Excellence (SAGE): Adopt, adapt, or contextualise?

J M Dizon; K Grimmer; Q Louw; T Kredo; T Young; S Machingaidze;
Open Access
  • Published: 01 Dec 2016 Journal: South African Medical Journal, volume 106, page 1,177 (eissn: 2078-5135, Copyright policy)
  • Publisher: South African MedicalAssociation NPC
  • Country: United States
Abstract
Clinical practice guideline (CPG) activities must be planned carefully for efficient use of available resources and evidence-based implementation. De novo development of CPGs may sometimes ‘recreate the wheel’ and delay implementation. Three innovative alternatives to de novo CPG development (adopt, contextualise or adapt) are outlined, which have greater potential than de novo development to best use the limited available resources, personnel and time in settings such as South Africa.
Subjects
free text keywords: clinical practice guidelines, evidence-informed healthcare decisions, improve healthcarepractices, Clinical Practice, Excellence, media_common.quotation_subject, media_common, Evidence based healthcare, Medicine, business.industry, business, Nursing, Alternative medicine, medicine.medical_specialty, Guideline, Pathology
20 references, page 1 of 2

1. Schünemann HJ, Wiercioch W, Etxeandia I, et al. Guidelines 2.0: Systematic development of a comprehensive checklist for a successful guideline enterprise. Can Med Assoc J 2014;186(3):E123-E142. http://dx.doi.org/10.1503/cmaj.131237

2. National Institute for Health and Care Excellence. http://www.nice.org.uk/ (accessed 26 April 2016).

3. Scottish Intercollegiate Guidelines Network. http://www.sign.ac.uk/ (accessed 26 April 2016).

4. National Health and Medical Research Council. http://www.nhmrc.gov.au/ (accessed 26 April 2016).

5. World Health Organization. http://www.who.int/publications/guidelines/en/ (accessed 26 April 2016).

6. Birbeck G, Wiysonge C, Mills E, Frenk J, Xiao-Nong Z, Jha P. Global health: eTh importance of evidence-based medicine. BMC Med 2013;11:223. http://dx.doi.org/10.1186/1741-7015-11-223 [OpenAIRE]

7. Kredo T, Gerritsen A, van Heerden J, et al. Clinical practice guidelines within the Southern African development community: A descriptive study of the quality of guideline development and concordance with best evidence for vfie priority diseases. Health Res Pol Syst 2012;10(1):1-13. http:// dx.doi.org/10.1186/1478-4505-10-1 [OpenAIRE]

8. Machingaidze S, Zani B, Abrams A, et al. Quality and Reporting Standards of South African Primary Care Clinical Practice Guidelines. J Clin Epidemiol 2016 (in press).

9. Machingaidze S, Kredo T, Young T, Louw Q, Grimmer K. South African Guidelines Excellence (SAGE): Clinical practice guidelines - quality and credibility. S Afr Med J 2015;105(9):743-745. http:// dx.doi.org/10.7196/SAMJnew.7697 [OpenAIRE]

10. Kredo T, Machingaidze S, Louw Q, Young T, Grimmer K. South African Guidelines Excellence (SAGE): What's in a name? S Afr Med J 2016;106(1):18-20. http://dx.doi.org/10.7196/SAMJ.2016.v106i1.10286 [OpenAIRE]

11. Grimmer K. Louw Q, Kredo T, Young T, Machingaidze S, Dizon JMR. South African Guidelines Excellence (SAGE): Eficient, eefctive and unbiased clinical practice guideline teams. S Afr Med J 2016;106(5):440-441. http://dx.doi.org/10.7196/SAMJ.2016.v106i5.10770 [OpenAIRE]

12. Grimmer K, Machingaidze S, Dizon JMR, Kredo T, Louw Q, Young T. South African clinical practice guidelines quality measured with complex and rapid appraisal instruments. BMC Res Notes 2016;9:244. http://dx.doi.org/10.1186/s13104-016-2053-z [OpenAIRE]

13. Siering U, Eikermann M, Hausner E, et al. Appraisal tools for clinical practice guidelines: A systematic review. PLoS One 2013;8:e82915. http://dx.doi.org/10.1371/journal.pone.0082915 [OpenAIRE]

14. AGREE Organization. http://www.agreetrust.org/agree-ii/ (accessed 26 April 2016).

15. Grimmer K, Dizon J, Milanese S. Eficient clinical evaluation of guideline quality: Development and testing of a new tool. BMC Res Notes 2014;14(63):1-10. http://dx.doi.org/10.1186/1471-2288-14-63 [OpenAIRE]

20 references, page 1 of 2
Abstract
Clinical practice guideline (CPG) activities must be planned carefully for efficient use of available resources and evidence-based implementation. De novo development of CPGs may sometimes ‘recreate the wheel’ and delay implementation. Three innovative alternatives to de novo CPG development (adopt, contextualise or adapt) are outlined, which have greater potential than de novo development to best use the limited available resources, personnel and time in settings such as South Africa.
Subjects
free text keywords: clinical practice guidelines, evidence-informed healthcare decisions, improve healthcarepractices, Clinical Practice, Excellence, media_common.quotation_subject, media_common, Evidence based healthcare, Medicine, business.industry, business, Nursing, Alternative medicine, medicine.medical_specialty, Guideline, Pathology
20 references, page 1 of 2

1. Schünemann HJ, Wiercioch W, Etxeandia I, et al. Guidelines 2.0: Systematic development of a comprehensive checklist for a successful guideline enterprise. Can Med Assoc J 2014;186(3):E123-E142. http://dx.doi.org/10.1503/cmaj.131237

2. National Institute for Health and Care Excellence. http://www.nice.org.uk/ (accessed 26 April 2016).

3. Scottish Intercollegiate Guidelines Network. http://www.sign.ac.uk/ (accessed 26 April 2016).

4. National Health and Medical Research Council. http://www.nhmrc.gov.au/ (accessed 26 April 2016).

5. World Health Organization. http://www.who.int/publications/guidelines/en/ (accessed 26 April 2016).

6. Birbeck G, Wiysonge C, Mills E, Frenk J, Xiao-Nong Z, Jha P. Global health: eTh importance of evidence-based medicine. BMC Med 2013;11:223. http://dx.doi.org/10.1186/1741-7015-11-223 [OpenAIRE]

7. Kredo T, Gerritsen A, van Heerden J, et al. Clinical practice guidelines within the Southern African development community: A descriptive study of the quality of guideline development and concordance with best evidence for vfie priority diseases. Health Res Pol Syst 2012;10(1):1-13. http:// dx.doi.org/10.1186/1478-4505-10-1 [OpenAIRE]

8. Machingaidze S, Zani B, Abrams A, et al. Quality and Reporting Standards of South African Primary Care Clinical Practice Guidelines. J Clin Epidemiol 2016 (in press).

9. Machingaidze S, Kredo T, Young T, Louw Q, Grimmer K. South African Guidelines Excellence (SAGE): Clinical practice guidelines - quality and credibility. S Afr Med J 2015;105(9):743-745. http:// dx.doi.org/10.7196/SAMJnew.7697 [OpenAIRE]

10. Kredo T, Machingaidze S, Louw Q, Young T, Grimmer K. South African Guidelines Excellence (SAGE): What's in a name? S Afr Med J 2016;106(1):18-20. http://dx.doi.org/10.7196/SAMJ.2016.v106i1.10286 [OpenAIRE]

11. Grimmer K. Louw Q, Kredo T, Young T, Machingaidze S, Dizon JMR. South African Guidelines Excellence (SAGE): Eficient, eefctive and unbiased clinical practice guideline teams. S Afr Med J 2016;106(5):440-441. http://dx.doi.org/10.7196/SAMJ.2016.v106i5.10770 [OpenAIRE]

12. Grimmer K, Machingaidze S, Dizon JMR, Kredo T, Louw Q, Young T. South African clinical practice guidelines quality measured with complex and rapid appraisal instruments. BMC Res Notes 2016;9:244. http://dx.doi.org/10.1186/s13104-016-2053-z [OpenAIRE]

13. Siering U, Eikermann M, Hausner E, et al. Appraisal tools for clinical practice guidelines: A systematic review. PLoS One 2013;8:e82915. http://dx.doi.org/10.1371/journal.pone.0082915 [OpenAIRE]

14. AGREE Organization. http://www.agreetrust.org/agree-ii/ (accessed 26 April 2016).

15. Grimmer K, Dizon J, Milanese S. Eficient clinical evaluation of guideline quality: Development and testing of a new tool. BMC Res Notes 2014;14(63):1-10. http://dx.doi.org/10.1186/1471-2288-14-63 [OpenAIRE]

20 references, page 1 of 2
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publication . Article . 2016

South African Guidelines Excellence (SAGE): Adopt, adapt, or contextualise?

J M Dizon; K Grimmer; Q Louw; T Kredo; T Young; S Machingaidze;