Article
Weighing and Including Different Types Of Knowledge (WINDTOK) in guideline development
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Authors
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T. Zuiderent-Jerak
- Institute of Health Policy and Management, Erasmus University Rotterdam, The Net, Rotterdam, Netherlands
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F. Forland
- European Centre for Disease Prevention and Control, Stockholm, Sweden; Royal Tropical Institute, Amsterdam, Netherlands
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F. Macbeth
- Natioanl Instiute for Health and Clinical Excellence, London, UK
| Published: | July 10, 2012 |
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| Published with erratum: | July 31, 2012 |
Outline
Text
Methodology development for guidelines has increasingly focused on weighing and including systematic reviews of RCTs. The methods that focus on other types of knowledge is less developed. This dis-balance poses problems in the usability of guidelines and marginalizes evidence that may be best for particular issues.
The panel asks what methods are available or lacking for including different types of knowledge, what are the experiences with these methods and how are they able to produce alternative evidence hierarchies.
Target audience is guideline developers, with a particular relevance for those involved in areas like public health, long-term care, and chronic illnesses, in which highest level evidence is less readily available.
There will be three 20 min presentations and a 30 min panel/ plenary discussion.
- 1.
- Variation in knowledge use in guideline production. Dr. Teun Zuiderent-Jerak will present an AGREE-analysis of 62 Dutch guidelines and results of a survey and interviews carried out to investigate the methods guideline developers use for weighing and including different types of knowledge.
- 2.
- Evidence-based methodologies for public health The issue of giving advice under lack of time and lack of evidence. Dr. Frode Forland will present results from a working group at the ECDC which explored how methods of EBM can be applied in the field of public health.
- 3.
- The NICE Guidelines on Metastatic Spinal Cord Compression. Dr. Fergus Macbeth will by an example from clinical medicine show that many guidelines need to address questions for which RCTs are not the best evidence base.
