ArticleQuality in health care : QHC2001
Formal consensus: the development of a national clinical guideline.
Article in Quality in health care : QHC, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Lack of Cited Evidence Underpinning Recommendations for Objective Assessment of Cardiovascular Function to Inform Exercise Prescription: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Pooled it
- Serum ferritin thresholds for the diagnosis of iron deficiency in pregnancy: a systematic review.Transfusion medicine (Oxford, England) · 2017Pooled it
- Diagnosis and management of acute appendicitis. EAES consensus development conference 2015.Surgical endoscopy · 2016Guideline
- Bioethics committee approvals in multicentre laryngology research across Europe: the European Laryngological Society's consensus on legal basis and quality assurance.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Accuracy of Nutrition-Related Awareness Messages on Twitter (Rebranded as X) by the Nutrition Awareness Providers in the Kingdom of Saudi Arabia: Validity Content Analysis.Online journal of public health informatics · 2025Article
- Using Implementation Theories to Tailor International Clinical Guidelines for Post-Stroke Gait Disorders.Healthcare (Basel, Switzerland) · 2025Article
- Consensus on innovations and future directions of community first responder schemes in United Kingdom: a national nominal group technique study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers.BMJ quality & safety · 2023Article
- Committee experiences of using formal consensus in healthcare guidelines: a longitudinal qualitative study.BMC medical informatics and decision making · 2023Article
- How Can We Use the Promoting Action on Research in Health Services (PARIHS) Framework to Move from What We Know to What We Should Do for the Rehabilitation of a Painful Hemiplegic Shoulder (PHS)?Journal of multidisciplinary healthcare · 2022Article
- Nominal group technique to establish the core components of home-based rehabilitation for survivors of stroke with severe disability.BMJ open · 2021Article
- A demonstration of using formal consensus methods within guideline development; a case study.BMC medical research methodology · 2021Article
- Toward Complete, Candid, and Unbiased International Consensus Statements on Concussion in Sport.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2021Article
- Consensus on international guidelines for management of groin hernias.Surgical endoscopy · 2020Article
- The generation of consensus guidelines for carrying out process evaluations in rehabilitation research.BMC medical research methodology · 2018Article
- Canadian National Guidelines and Recommendations for Integrating Career Advising Into Medical School Curricula.Academic medicine : journal of the Association of American Medical Colleges · 2017Article
- Developmental procedures for the clinical practice guidelines for conscious sedation in dentistry for the Korean Academy of Dental Sciences.Journal of dental anesthesia and pain medicine · 2016Article
- Study on the trends in Korean clinical practice guidelines development.Journal of dental anesthesia and pain medicine · 2016Article
- The quality of clinical practice guidelines in traditional medicine in Korea: appraisal using the AGREE II instrument.Implementation science : IS · 2015Article
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is currently a political enthusiasm for the development and use of clinical guidelines despite, paradoxically, there being relatively few healthcare issues that have a sound research evidence base. As decisions have to be made even where there is an undetermined evidence base and that limiting recommendations to where evidence exists may reduce the scope of guidelines, thus limiting their value to practitioners, guideline developers have to rely on various different sources of evidence and adapt their methods accordingly. This paper outlines a method for guideline development which incorporates a consensus process devised to tackle the challenges of a variable research evidence base for the development of a national clinical guideline on risk assessment and prevention of pressure ulcers.
methodTo inform the recommendations of the guideline a formal consensus process based on a nominal group technique was used to incorporate three strands of evidence: research, clinical expertise, and patient experience.
resultsThe recommendations for this guideline were derived directly from the statements agreed in the formal consensus process and from key evidence-based findings from the systematic reviews. The existing format of the statements that participants had rated allowed a straightforward revision to "active" recommendations, thus reducing further risk of subjectivity entering into the process.
conclusionsThe method outlined proved to be a practical and systematic way of integrating a number of different evidence sources. The resultant guideline is a mixture of research based and consensus based recommendations. Given the lack of available guidance on how to mix research with expert opinion and patient experiences, the method used for the development of this guideline has been outlined so that other guideline developers may use, adapt, and test it further.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.