gms | German Medical Science

Prävention zwischen Evidenz und Eminenz
15. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin

Deutsches Netzwerk Evidenzbasierte Medizin e. V.

13.03. - 15.03.2014, Halle (Saale)

How to use the GRADE “Evidence-to-Decisions Framework” for healthcare recommendations

Meeting Abstract

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  • Holger Schünemann - McMaster University, Hamilton, Canada; GRADE Working Group
  • corresponding author Joerg Meerpohl - German Cochrane Centre, Freiburg, Germany; GRADE Working Group

Prävention zwischen Evidenz und Eminenz. 15. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin. Halle, 13.-15.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14ebmPK1

doi: 10.3205/14ebm033, urn:nbn:de:0183-14ebm0330

Published: March 10, 2014

© 2014 Schünemann et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Moving from evidence to decisions and recommendations in healthcare requires balancing evidence quality with the benefits and harms of interventions, patient preferences, and resource and cost considerations. The GRADE Working Group, has developed an approach to integrate these factors into development of clinical practice recommendations and other decisions that is currently further defined in the DECIDE (Developing and Evaluating Communication Strategies to Support Informed Decisions and Practice Based on Evidence) project.

Objectives: To explore views of decision-makers and those working with guideline panels about decision-making process for development of recommendations using the GRADE “Evidence-to-Decisions Framework (EtD)”.

Target Audience: Healthcare decision makers, guideline developers, especially those working with guideline panels, to develop recommendations for clinical practice.

Description of the workshop: An overview of the GRADE EtD Framework will be followed by facilitated small group work to develop guideline recommendations. Participants will work together in a simulated guideline panel, and be asked to develop guideline recommendations taking into consideration the criteria of the GRADE EtD Framework. Facilitators will guide the small workgroups through the decision-making process using materials from recent examples of guidelines and request feedback using interactive exercises.