A demonstration of using formal consensus methods within guideline development; a case study
Abstract Background Recommendations within guidelines are developed by synthesising the best available evidence; when limited evidence is identified recommendations are generally based on informal consensus. However, there are potential biases in group decision making, and formal consensus methods m...
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doaj-11105eadf01b456ea4521cae1932a2942021-04-18T11:03:06ZengBMCBMC Medical Research Methodology1471-22882021-04-012111910.1186/s12874-021-01267-0A demonstration of using formal consensus methods within guideline development; a case studyP. Carter0K. J. M. O’Donoghue1K. Dworzynski2L. O’Shea3V. Roberts4T. Reeves5A. Bastounis6M. A. Mugglestone7J. Fawke8S. Pilling9Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College LondonNational Guideline Alliance, Royal College of Obstetricians and GynaecologistsNational Guideline Alliance, Royal College of Obstetricians and GynaecologistsNational Guideline Alliance, Royal College of Obstetricians and GynaecologistsCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College LondonNational Guideline Alliance, Royal College of Obstetricians and GynaecologistsCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College LondonCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College LondonLeicester Neonatal Service, University Hospitals Leicester Infirmary SquareCentre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational & Health Psychology, University College LondonAbstract Background Recommendations within guidelines are developed by synthesising the best available evidence; when limited evidence is identified recommendations are generally based on informal consensus. However, there are potential biases in group decision making, and formal consensus methods may help reduce these. Methods We conducted a case study using formal consensus, to develop one set of recommendations within the Neonatal Parenteral Nutrition guideline being produced for the National Institute for Health and Care Excellence. Statements were generated through identification of published guidelines on several topics relating to neonatal parenteral nutrition. Ten high quality guidelines were included, and 28 statements were generated; these statements were rated by the committee via two rounds of voting. The statements which resulted in agreement were then used to develop the recommendations. Results The approach was systematic and provided transparency. Additionally, a number of lessons were learnt; including the value of selecting the appropriate topic, giving adequate time to the process, and ensuring methodologies are understood by the committee for their value and relevance. Conclusion Formal consensus is a valuable option for use within guideline development when specific criteria are met. The approach provides transparent methodology, ensuring clarity on how recommendations are developed.https://doi.org/10.1186/s12874-021-01267-0Formal consensusGuideline developmentMethodology |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
P. Carter K. J. M. O’Donoghue K. Dworzynski L. O’Shea V. Roberts T. Reeves A. Bastounis M. A. Mugglestone J. Fawke S. Pilling |
spellingShingle |
P. Carter K. J. M. O’Donoghue K. Dworzynski L. O’Shea V. Roberts T. Reeves A. Bastounis M. A. Mugglestone J. Fawke S. Pilling A demonstration of using formal consensus methods within guideline development; a case study BMC Medical Research Methodology Formal consensus Guideline development Methodology |
author_facet |
P. Carter K. J. M. O’Donoghue K. Dworzynski L. O’Shea V. Roberts T. Reeves A. Bastounis M. A. Mugglestone J. Fawke S. Pilling |
author_sort |
P. Carter |
title |
A demonstration of using formal consensus methods within guideline development; a case study |
title_short |
A demonstration of using formal consensus methods within guideline development; a case study |
title_full |
A demonstration of using formal consensus methods within guideline development; a case study |
title_fullStr |
A demonstration of using formal consensus methods within guideline development; a case study |
title_full_unstemmed |
A demonstration of using formal consensus methods within guideline development; a case study |
title_sort |
demonstration of using formal consensus methods within guideline development; a case study |
publisher |
BMC |
series |
BMC Medical Research Methodology |
issn |
1471-2288 |
publishDate |
2021-04-01 |
description |
Abstract Background Recommendations within guidelines are developed by synthesising the best available evidence; when limited evidence is identified recommendations are generally based on informal consensus. However, there are potential biases in group decision making, and formal consensus methods may help reduce these. Methods We conducted a case study using formal consensus, to develop one set of recommendations within the Neonatal Parenteral Nutrition guideline being produced for the National Institute for Health and Care Excellence. Statements were generated through identification of published guidelines on several topics relating to neonatal parenteral nutrition. Ten high quality guidelines were included, and 28 statements were generated; these statements were rated by the committee via two rounds of voting. The statements which resulted in agreement were then used to develop the recommendations. Results The approach was systematic and provided transparency. Additionally, a number of lessons were learnt; including the value of selecting the appropriate topic, giving adequate time to the process, and ensuring methodologies are understood by the committee for their value and relevance. Conclusion Formal consensus is a valuable option for use within guideline development when specific criteria are met. The approach provides transparent methodology, ensuring clarity on how recommendations are developed. |
topic |
Formal consensus Guideline development Methodology |
url |
https://doi.org/10.1186/s12874-021-01267-0 |
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