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- Title
An International Needs Assessment Survey of Guideline Developers Demonstrates Variability in Resources and Challenges to Collaboration between Organizations.
- Authors
Sultan, Shahnaz; Siedler, Madelin R.; Morgan, Rebecca L.; Ogunremi, Toju; Dahm, Philipp; Fatheree, Lisa A.; Getchius, Thomas S. D.; Ginex, Pamela K.; Jakhmola, Priya; McFarlane, Emma; Murad, M. Hassan; Temple Smolkin, Robyn L.; Amer, Yasser S.; Alam, Murad; Kang, Bianca Y.; Falck-Ytter, Yngve; Mustafa, Reem A.
- Abstract
Background: The development of rigorous, high-quality clinical guidelines increases the need for resources and skilled personnel within guideline-producing organizations. While collaboration between organizations provides a unique opportunity to pool resources and save time and effort, the collaboration presents its own unique challenges. Objective: To assess the perceived needs and current challenges of guideline producers worldwide related to guideline development and collaboration efforts. Design: Survey questions were developed by the Guidelines International Network and the US GRADE Network, pilot-tested among attendees of a guideline development workshop, and disseminated electronically using convenience and snowball sampling methods. Participants: A total of 171 respondents representing 30 countries and more than 112 unique organizations were included in this analysis. Main Measures: The survey included free-response, multiple-choice, and seven-point Likert-scale questions. Questions assessed respondents' perceived value of guidelines, resource availability and needs, guideline development processes, and collaboration efforts of their organization. Key Results: Time required to develop high-quality systematic reviews and guidelines was the most relevant need (median=7; IQR=5.5–7). In-house resources to conduct literature searches (median=4; IQR=3–6) and the resources to develop rigorous guidelines rapidly (median=4; IQR=2–5) were perceived as the least available resources. Difficulties reconciling differences in guideline methodology (median=6; IQR=4–7) and the time required to establish collaborative agreements (median=6; IQR=5–6) were the most relevant barriers to collaboration between organizations. Results also indicated a general need for improvement in conflict of interest (COI) disclosure policies. Conclusion: The survey identified organizational challenges in supporting rigorous guideline development, including the time, resources, and personnel required. Connecting guideline developers to existing databases of high-quality systematic reviews and the use of freely available online platforms may facilitate guideline development. Guideline-producing organizations may also consider allocating resources to hiring or training personnel with expertise in systematic review methodologies or utilizing resources more effectively by establishing collaborations with other organizations.
- Subjects
NEEDS assessment; CONVENIENCE sampling (Statistics); SNOWBALL sampling; ORGANIZATION; CONFLICT of interests
- Publication
JGIM: Journal of General Internal Medicine, 2022, Vol 37, Issue 11, p2669
- ISSN
0884-8734
- Publication type
Article
- DOI
10.1007/s11606-021-07112-w