Evidence map›Paper›PMID 32938461›Full record

SynthesisBMC health services research2020

Approaches of integrating the development of guidelines and quality indicators: a systematic review.

Miranda W Langendam, Thomas Piggott, Monika Nothacker, Arnav Agarwal, David Armstrong, Tejan Baldeh, Jeffrey Braithwaite, Carolina Castro Martins, Andrea Darzi, Itziar Etxeandia and 10 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Methodological evaluation of the psychometric properties of medication-related quality indicators in residential aged care homes: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Pooled it
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  4. Application and Impact of Quality Assurance Dashboards in Cytology Laboratories-The CytoLog Application.Cytopathology : official journal of the British Society for Clinical Cytology · 2026
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  14. Developing quality measures for non-pharmacological prevention and rehabilitation in primary health care for chronic conditions: a consensus study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
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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

20 authors.

Miranda W LangendamDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health institute, Amsterdam, Netherlands.
Thomas PiggottDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Monika NothackerInstitute of Medical Knowledge Management, Association of the Scientific Medical Societies, Berlin, Germany.
Arnav AgarwalDepartment of Medicine, University of Toronto, Toronto, ON, Canada.
David ArmstrongFarncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Canada.
Tejan BaldehDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health institute, Amsterdam, Netherlands.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Rd, Sydney, Australia.
Carolina Castro MartinsDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Andrea DarziDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Itziar EtxeandiaIKOetxe - Ikerkuntza Osaungintza, Health Research, Gipuzkoa, Irun, Basque Country, Spain.
Ivan FlorezDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health institute, Amsterdam, Netherlands.
Jan HovingCoronel Institute of Occupational Health and Research Center for Insurance Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Samer G KaramDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Thomas KötterInstitute of Family Medicine, University Medical Center Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Joerg J MeerpohlInstitute for Evidence in Medicine, Medical Center and Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Reem A MustafaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada.
Giovanna E U Muti-SchünemannDepartment of Systemic Pathology, Vita Salute San Raffaele University, Milan, Italy.
Philip J van der WeesDepartment of Rehabilitation and IQ healthcare, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, Netherlands.
Markus FollmannGerman Cancer Society, Freiburg, Germany.
Holger J SchünemannDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada. schuneh@mcmaster.ca.ORCID http://orcid.org/0000-0003-3211-8479

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines and quality indicators (for example as part of a quality assurance scheme) aim to improve health care delivery and health outcomes. Ideally, the development of quality indicators should be grounded in evidence-based, trustworthy guideline recommendations. However, anecdotally, guidelines and quality assurance schemes are developed independently, by different groups of experts who employ different methodologies. We conducted an extension and update of a previous systematic review to identify, describe and evaluate approaches to the integrated development of guidelines and related quality indicators.

methodsOn May 24th, 2019 we searched in Medline, Embase and CINAHL and included studies if they reported a methodological approach to guideline-based quality indicator development and were published in English, French, or German.

resultsOut of 16,034 identified records, we included 17 articles that described a method to integrate guideline recommendations development and quality indicator development. Added to the 13 method articles from original systematic review we included a total 30 method articles. We did not find any evaluation studies. In most approaches, guidelines were a source of evidence to inform the quality indicator development. The criteria to select recommendations (e.g. level of evidence or strength of the recommendation) and to generate, select and assess quality indicators varied widely. We found methodological approaches that linked guidelines and quality indicator development explicitly, however none of the articles reported a conceptual framework that fully integrated quality indicator development into the guideline process or where quality indicator development was part of the question formulation for developing the guideline recommendations.

conclusionsIn our systematic review we found approaches which explicitly linked guidelines with quality indicator development, nevertheless none of the articles reported a comprehensive and well-defined conceptual framework which integrated quality indicator development fully into the guideline development process.

Indexed as

Delivery of Health CareHumansQuality Indicators, Health CareResearch DesignGuidelinesQuality assuranceQuality improvementRecommendations

Identifiers

PMID32938461
PMCPMC7493171

What OpenQuestion holds

Textmetadata
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.