Enhancing the Trustworthiness of the Endocrine Society’s Clinical Practice Guidelines

Author:

McCartney Christopher R1ORCID,Corrigan Maureen D2ORCID,Drake Matthew T3ORCID,El-Hajj Fuleihan Ghada4ORCID,Korytkowski Mary T5ORCID,Lash Robert W2ORCID,Lieb David C6,McCall Anthony L1,Muniyappa Ranganath7ORCID,Piggott Thomas89ORCID,Santesso Nancy89,Schünemann Holger J8910ORCID,Wiercioch Wojtek89ORCID,McDonnell Marie E11ORCID,Murad M Hassan12ORCID

Affiliation:

1. Division of Endocrinology and Metabolism, Department of Medicine, University of Virginia School of Medicine , Charlottesville, VA 22908 , USA

2. Endocrine Society , Washington, DC 20036 , USA

3. Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic , Rochester, MN 55902 , USA

4. Division of Endocrinology, Calcium Metabolism and Osteoporosis Program, World Health Organization Collaborating Center for Metabolic Bone Disorders, Department of Internal Medicine, American University of Beirut , Beirut , 1107 2020, Lebanon

5. Division of Endocrinology and Metabolism, Department of Medicine, University of Pittsburgh , Pittsburgh, PA 15260 , USA

6. Division of Endocrine and Metabolic Disorders, Department of Internal Medicine, Eastern Virginia Medical School , Norfolk, VA 23501-1980 , USA

7. Clinical Endocrinology Section, Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health , Bethesda, MD 20892 , USA

8. Department of Health Research Methods, Evidence, and Impact, McMaster University , Hamilton, ON L8S 4L8 , Canada

9. Michael G. DeGroote Cochrane Canada and McMaster GRADE Centres, McMaster University , Hamilton, Ontario , L8S 4L8, Canada

10. Department of Medicine, McMaster University , Hamilton, Ontario , L8S 4L8, Canada

11. Division of Endocrinology, Diabetes and Hypertension, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School , Boston, MA 02115 , USA

12. Evidence-Based Practice Center, Mayo Clinic , Rochester, MN 55902 , USA

Abstract

Abstract In an effort to enhance the trustworthiness of its clinical practice guidelines, the Endocrine Society has recently adopted new policies and more rigorous methodologies for its guideline program. In this Clinical Practice Guideline Communication, we describe these recent enhancements—many of which reflect greater adherence to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach to guideline development—in addition to the rationale for such changes. Improvements to the Society’s guideline development practices include, but are not limited to, enhanced inclusion of nonendocrinologist experts, including patient representatives, on guideline development panels; implementation of a more rigorous conflict/duality of interest policy; a requirement that all formal recommendations must be demonstrably underpinned by systematic evidence review; the explicit use of GRADE Evidence-to-Decision frameworks; greater use and explanation of standardized guideline language; and a more intentional approach to guideline updating. Lastly, we describe some of the experiential differences our guideline readers are most likely to notice.

Funder

Endocrine Society

National Institutes of Health

Publisher

The Endocrine Society

Subject

Biochemistry (medical),Clinical Biochemistry,Endocrinology,Biochemistry,Endocrinology, Diabetes and Metabolism

Reference46 articles.

1. Management of hyperglycemia in hospitalized patients in non-critical care settings: an Endocrine Society clinical practice guideline;Korytkowski;J Clin Endocrinol Metab,2022

2. Practice guidelines, a new reality in medicine. II. Methods of developing guidelines;Woolf;Arch Intern Med.,1992

3. Clinical practice guidelines: a primer on development and dissemination;Murad;Mayo Clin Proc.,2017

4. Letters, numbers, symbols and words: how to communicate grades of evidence and recommendations;Schunemann;Can Med Assoc J.,2003

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