TIAN Chen, YANG Qiuyu, SUN Mingyao, LIU Jie, TIAN Jinhui, CHEN Yaolong, YANG Kehu, GE Long. Methods for Developing Rapid and Living Evidence-based Guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 183-191. DOI: 10.12290/xhyxzz.2023-0191
Citation: TIAN Chen, YANG Qiuyu, SUN Mingyao, LIU Jie, TIAN Jinhui, CHEN Yaolong, YANG Kehu, GE Long. Methods for Developing Rapid and Living Evidence-based Guidelines[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 183-191. DOI: 10.12290/xhyxzz.2023-0191

Methods for Developing Rapid and Living Evidence-based Guidelines

Funds: 

National Natural Science Foundation of China 82204931

China Academy of Chinese Medical Sciences Innovation Fund CI2021A05502

More Information
  • Corresponding author:

    GE Long, E-mail: gelong2009@163.com

  • Received Date: April 11, 2023
  • Accepted Date: May 22, 2023
  • Available Online: June 07, 2023
  • Issue Publish Date: January 29, 2024
  • The aims of developing rapid and living guidelines is to keep the recommendations in the guideline up-to-date. Compared with the conventional guideline, the rapid and living guideline can make better use of the existing evidence and apply and transform the evidence in a timely manner. This paper introduces the advantages and usage of rapid and living guidelines, the development process and existing challenges, and offers some insights, in order to provide reference for domestic organizations and scholars engaged in guideline development.
  • [1]
    Institute of Medicine (US). Clinical practice guidelines we can trust[M]. Washington(DC): National Academies Press, 2011.
    [2]
    林夏, 杨克虎, 陈耀龙, 等. 中国临床实践指南的现状与思考[J]. 中国循证医学杂志, 2017, 17(5): 497-500.

    Lin X, Yang K H, Chen Y L, et al. Clinical practice guideline in China: current status and thoughts[J]. Chin J Evid Based Med, 2017, 17(5): 497-500.
    [3]
    World Health Organization. WHO handbook for guideline development[M]. 2nd ed. Geneva: World Health Organization, 2014.
    [4]
    Garritty C M, Norris S L, Moher D. Developing WHO rapid advice guidelines in the setting of a public health emergency[J]. J Clin Epidemiol, 2017, 82: 47-60. DOI: 10.1016/j.jclinepi.2016.08.010
    [5]
    Siemieniuk R A, Agoritsas T, Macdonald H, et al. Introduction to BMJ rapid recommendations[J]. BMJ, 2016, 354: i5191.
    [6]
    Akl E A, Meerpohl J J, Elliott J, et al. Living systematic reviews: 4. Living guideline recommendations[J]. J Clin Epidemiol, 2017, 91: 47-53. DOI: 10.1016/j.jclinepi.2017.08.009
    [7]
    张迁, 王琪, 后亮瑛, 等. 动态指南制订方法及案例介绍[J]. 中国循证医学杂志, 2021, 21(4): 491-496.

    Zhang Q, Wang Q, Hou L Y, et al. An introduction to the development methods and cases of living guidelines[J]. Chin J Evid Based Med, 2021, 21(4): 491-496.
    [8]
    Norris SL. Current definitions of living systematic reviews and living guidelines need to change[J]. J Evid Based Med, 2022, 15(2): 75-76. DOI: 10.1111/jebm.12478
    [9]
    El Mikati I K, Khabsa J, Harb T, et al. A framework for the development of living practice guidelines in health care[J]. Ann Intern Med, 2022, 175(8): 1154-1160. DOI: 10.7326/M22-0514
    [10]
    Vernooij R W M, Sanabria A J, Solà I, et al. Guidance for updating clinical practice guidelines: a systematic review of methodological handbooks[J]. Implement Sci, 2014, 9: 3. DOI: 10.1186/1748-5908-9-3
    [11]
    Bull F C, Al-Ansari S S, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour[J]. Br J Sports Med, 2020, 54(24): 1451-1462. DOI: 10.1136/bjsports-2020-102955
    [12]
    Agarwal A, Hunt B, Stegemann M, et al. A living WHO guideline on drugs for covid-19[J]. BMJ, 2020, 370: m3379.
    [13]
    Vandvik P O, Otto C M, Siemieniuk R A, et al. Transcatheter or surgical aortic valve replacement for patients with severe, symptomatic, aortic stenosis at low to intermediate surgical risk: a clinical practice guideline[J]. BMJ, 2016, 354: i5085.
    [14]
    Jin Y H, Cai L, Cheng Z S, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version)[J]. Mil Med Res, 2020, 7(1): 4.
    [15]
    Lovell-Badge R, Anthony E, Barker R A, et al. ISSCR guidelines for stem cell research and clinical translation: the 2021 update[J]. Stem Cell Reports, 2021, 16(6): 1398-1408. DOI: 10.1016/j.stemcr.2021.05.012
    [16]
    赖鸿皓, 王浙, 李滢, 等. 中医药多元证据整合方法学MERGE框架[J]. 协和医学杂志, 2024, 15(1): 172-182.

    Lai H H, Wang Z, Li Y, et al. Multi-evidence Integration Methodology for Traditional Chinese Medicine: the MERGE Framework[J]. Med J PUMCH, 2024, 15(1): 172-182.
    [17]
    陈耀龙, 杨克虎, 王小钦, 等. 中国制订/修订临床诊疗指南的指导原则(2022版)[J]. 中华医学杂志, 2022, 102(10): 697-703.

    Chen Y L, Yang K H, Wang X Q, et al. Guiding principles for formulating/revising clinical diagnosis and treatment guidelines in China (2022 Edition)[J]. Natl Med J Chin, 2022, 102(10): 697-703.
    [18]
    Alonso-Coello P, Martínez García L, Carrasco J M, et al. The updating of clinical practice guidelines: insights from an international survey[J]. Implement Sci, 2011, 6: 107. DOI: 10.1186/1748-5908-6-107
    [19]
    Elliott J H, Synnot A, Turner T, et al. Living systematic review: 1. Introduction-the why, what, when, and how[J]. J Clin Epidemiol, 2017, 91: 23-30. DOI: 10.1016/j.jclinepi.2017.08.010
    [20]
    Cheyne S, Fraile Navarro D, Buttery A K, et al. Methods for living guidelines: early guidance based on practical experience. Paper 3: selecting and prioritizing questions for living guidelines[J]. J Clin Epidemiol, 2023, 155: 73-83. DOI: 10.1016/j.jclinepi.2022.12.021
    [21]
    田晨, 孙铭谣, 李颖, 等. 快速动态循证要览制订方法与流程[J]. 中国循证医学杂志, 2023, 23(4): 450-456.

    Tian C, Sun M Y, Li Y, et al. Rapid, living evidence-based points: methods and processes of development[J]. Chin J Evid Based Med, 2023, 23(4): 450-456.
    [22]
    Guyatt G, Oxman A D, Akl E A, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables[J]. J Clin Epidemiol, 2011, 64(4): 383-394. DOI: 10.1016/j.jclinepi.2010.04.026
    [23]
    Santesso N, Glenton C, Dahm P, et al. GRADE guidelines 26: informative statements to communicate the findings of systematic reviews of interventions[J]. J Clin Epidemiol, 2020, 119: 126-135. DOI: 10.1016/j.jclinepi.2019.10.014
    [24]
    Fraile Navarro D, Cheyne S, Hill K, et al. Methods for living guidelines: early guidance based on practical experience. Paper 5: decisions on methods for evidence synthesis and recommendation development for living guidelines[J]. J Clin Epidemiol, 2023, 155: 118-128. DOI: 10.1016/j.jclinepi.2022.12.022
    [25]
    Cheyne S, Fraile Navarro D, Hill K, et al. Methods for living guidelines: early guidance based on practical experience. Paper 1: Introduction[J]. J Clin Epidemiol, 2023, 155: 84-96. DOI: 10.1016/j.jclinepi.2022.12.024
    [26]
    Hanson K E, Caliendo A M, Arias C A, et al. The Infectious Diseases Society of America guidelines on the diagnosis of COVID-19: molecular diagnostic testing[J/OL]. [2023-06-02]. https://doi.org/10.1093/cid/ciab048.
    [27]
    Hanson K E, Altayar O, Caliendo A M, et al. The Infectious Diseases Society of America guidelines on the diagnosis of COVID-19: antigen testing[J/OL]. [2023-06-02]. https://doi.org/10.1093/cid/ciab557.
    [28]
    Hanson K E, Caliendo A M, Arias C A, et al. Infectious Diseases Society of America guidelines on the diagnosis of COVID-19: serologic testing[J/OL]. [2023-06-02]. https://doi.org/10.1093/cid/ciaa1343.
    [29]
    McDonald S, Sharp S, Morgan R L, et al. Methods for living guidelines: early guidance based on practical experience. Paper 4: search methods and approaches for living guidelines[J]. J Clin Epidemiol, 2023, 155: 108-117. DOI: 10.1016/j.jclinepi.2022.12.023
    [30]
    World Health Organization. Bridging the "know-do" gap: meeting on knowledge translation in global health : WHO/EIP/KMS/2006.2[R]. Geneva: World Health Organiza-tion, 2006.
    [31]
    Weissbach L. Which components should living guidelines contain?[J]. Urologe A, 2012, 51(1): 57-59. DOI: 10.1007/s00120-011-2714-4
    [32]
    Qaseem A, Yost J, Forciea M A, et al. The development of living, rapid practice points: summary of methods from the scientific medical policy committee of the American College of Physicians[J]. Ann Intern Med, 2021, 174(8): 1126-1132. DOI: 10.7326/M20-7641
    [33]
    World Health Organization. Therapeutics and COVID-19: living guideline, 13 January 2023: WHO/2019-nCoV/therapeutics/2023.1[R]. Geneva: World Health Organization, 2023.
    [34]
    Pielenz C, Schneider M, Salveridou-Hof E, et al. From conventional to living guidelines-faster updates for better informed guidance? A scoping review[J]. Z Evid Fortbild Qual Gesundhwes, 2022, 174: 20-31.
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