Evidence map›Paper›PMID 28412464›Full record

ArticleJournal of clinical epidemiology2017

GRADE equity guidelines 1: considering health equity in GRADE guideline development: introduction and rationale.

Vivian A Welch, Elie A Akl, Gordon Guyatt, Kevin Pottie, Javier Eslava-Schmalbach, Mohammed T Ansari, Hans de Beer, Matthias Briel, Tony Dans, Inday Dans and 16 more

Abstract read
In one paragraph

Article in Journal of clinical epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Guideline
  6. Association Between Smoking Behavior and Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Pooled it
  7. Pooled it
  8. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2022
    Guideline
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Reversal versus classic stapedotomy for otosclerosis: a systematic review and meta-analysis.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 · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
  20. Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Vivian A WelchBruyère Research Institute, Bruyère Continuing Care, University of Ottawa, 304b-85 Primrose Avenue, Ottawa, Ontario, Canada K1R 6M1; School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Faculty of Medicine, Room 101, 600 Peter Morand Crescent, Ottawa, Ontario, Canada K1G-5Z3. Electronic address: vivian.welch@uottawa.ca.
Elie A AklDepartment of Internal Medicine, American University of Beirut, P.O. Box 11-0236, Riad-El-Solh Beirut 1107 2020, Beirut, Lebanon; Department of Health Research Methods, Evidence, and Impact (formerly "Clinical Epidemiology and Biostatistics") and Department of Medicine, McMaster University Health Sciences Centre, McMaster University, 1280 Main Street West, Room HSC-2C12, Hamilton, Ontario, Canada L8S 4K1.
Gordon GuyattDepartment of Health Research Methods, Evidence, and Impact (formerly "Clinical Epidemiology and Biostatistics") and Department of Medicine, McMaster University Health Sciences Centre, McMaster University, 1280 Main Street West, Room HSC-2C12, Hamilton, Ontario, Canada L8S 4K1.
Kevin PottieDepartments of Family Medicine and Epidemiology and Community Medicine, and School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Faculty of Medicine, Room 3105, 451 Smyth Road, Roger-Guindon Building, Ottawa, Ontario, Canada K1H 8M5.
Javier Eslava-SchmalbachHospital Universitario Nacional de Colombia, Equity-in-Health Group, Faculty of Medicine, Universidad Nacional de Colombia, University Campus, Cra 30 45-03, Bogota, Colombia; Technology Development Centre, Colombian Society of Anaesthesiology and Resuscitation (S.C.A.R.E.), Carrera 15A 120-74, Bogota, Colombia.
Mohammed T AnsariSchool of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Faculty of Medicine, Room 101, 600 Peter Morand Crescent, Ottawa, Ontario, Canada K1G-5Z3.
Hans de BeerGuide2Guidance, Lemelerberg 7, 3524 LC, Utrecht, The Netherlands; International Institute of Social History, Cruquiusweg 31, 1019 AT Amsterdam, The Netherlands.
Matthias BrielDepartment of Health Research Methods, Evidence, and Impact (formerly "Clinical Epidemiology and Biostatistics") and Department of Medicine, McMaster University Health Sciences Centre, McMaster University, 1280 Main Street West, Room HSC-2C12, Hamilton, Ontario, Canada L8S 4K1; Department of Clinical Research, Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel and University of Basel, Spitalstrasse 12, 4031 Basel, Switzerland.
Tony DansCollege of Medicine, University of the Philippines, Manila, Philippines.
Inday DansDepartment of Pediatrics, University of the Philippines-Manila, Taft Avenue, Manila 1000, Philippines.
Monica HultcrantzSwedish Agency for Health Technology Assessment and Assessment of Social Services (SBU), S:t Eriksgatan 117, SE-102 33, Stockholm, Sweden; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Tomtebodav. 18 A, SE-171 77, Stockholm, Sweden.
Janet JullBruyère Research Institute, Bruyère Continuing Care, University of Ottawa, 304b-85 Primrose Avenue, Ottawa, Ontario, Canada K1R 6M1.
Srinivasa Vittal KatikireddiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Top Floor, 200 Renfield Street, Glasgow G2 3QB, United Kingdom.
Joerg MeerpohlCochrane Germany, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany; Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité - U1153, Inserm/Université Paris Descartes, Cochrane France, Hôpital Hôtel-Dieu, Paris, France.
Rachael MortonNHMRC Clinical Trials Centre, The University of Sydney, Medical Foundation Building Level 6, 92-94 Parramatta Road, Camperdown, NSW, 2050, Australia.
Annhild MosdolKnowledge Centre for the Health Services, Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, N-0403 Oslo, Norway.
Jennifer PetkovicBruyère Research Institute, Bruyère Continuing Care, University of Ottawa, 304b-85 Primrose Avenue, Ottawa, Ontario, Canada K1R 6M1.
Holger J SchünemannDepartment of Health Research Methods, Evidence, and Impact (formerly "Clinical Epidemiology and Biostatistics") and Department of Medicine, McMaster University Health Sciences Centre, McMaster University, 1280 Main Street West, Room HSC-2C12, Hamilton, Ontario, Canada L8S 4K1.
Ravi N SharafDivision of Gastroenterology, Department of Medicine, Northwell Health/Hofstra University School of Medicine, 300 Community Drive, Manhasset, New York, 11030 USA.
Jasvinder A SinghUniversity of Alabama at Birmingham, Faculty Office Tower 805B, 510 20th Street S, Birmingham, AL 35294, USA.
Roger StanevInstitute of Technology, University of Washington, 1900 Commerce St., Tacoma, WA, USA, 98402.
Thomy ToniaUniversity of Bern, Institute of Social and Preventive Medicine, Niesenweg 6, 3012, Bern, Switzerland.
Mario TristanIHCAI Foundation & Cochrane Central America & Spanish Speaking Caribbean Av 7 calles 35 y 37 No 35 30 Codigo Postal 10106 San Jose Costa Rica.
Sigurd VitolsDepartment of Medicine, Clinical Pharmacology Unit, Karolinska Institute, L7:03, Karolinska University Hospital, SE-171 76 Stockholm, Sweden.
Joseph WatineLaboratory Medicine, Hôpital La Chartreuse, Villefranche-de-Rouergue, France.
Peter TugwellDepartment of Medicine, University of Ottawa, Faculty of Medicine, Ottawa, Canada K1H 8M5.

Funding

Chief Scientist Office SCAF/15/02Chief Scientist Office SPHSU13Chief Scientist Office SPHSU15Medical Research Council MC_UU_12017/13Medical Research Council MC_UU_12017/15
6 · The paper itself

Abstract

objectivesThis article introduces the rationale and methods for explicitly considering health equity in the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology for development of clinical, public health, and health system guidelines. STUDY DESIGN AND

settingWe searched for guideline methodology articles, conceptual articles about health equity, and examples of guidelines that considered health equity explicitly. We held three meetings with GRADE Working Group members and invited comments from the GRADE Working Group listserve.

resultsWe developed three articles on incorporating equity considerations into the overall approach to guideline development, rating certainty, and assembling the evidence base and evidence to decision and/or recommendation.

conclusionClinical and public health guidelines have a role to play in promoting health equity by explicitly considering equity in the process of guideline development.

Indexed as

Health EquityVulnerable PopulationsEvidence-Based PracticeHumansPractice Guidelines as TopicResearch DesignGRADEGuidelinesHealth equitySocially disadvantagedSpecific populationsUnderserved

Identifiers

PMID28412464
PMCPMC5675012

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.