Clinical guidelines using the GRADE system (Grading of Recommendations Assessment, Development and Evaluation)

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dc.contributor.authorMendoza, Carolina
dc.contributor.authorKraemer, Patricia
dc.contributor.authorHerrera, Paloma
dc.contributor.authorBurdiles, Pamela
dc.contributor.authorSepulveda, Dino
dc.contributor.authorNunez, Eliozka
dc.contributor.authorMunoz, Cecilia
dc.contributor.authorNeumann, Ignacio
dc.date.accessioned2024-01-10T13:46:53Z
dc.date.available2024-01-10T13:46:53Z
dc.date.issued2017
dc.description.abstractThe Ministry of Health of Chile, aiming to improve the quality of clinical practice guidelines, gradually incorporated the GRADE system (Grading of Recommendations, Assessment, Development and Evaluation) to develop evidence based recommendations. This system summarizes and evaluates the certainty of the available evidence. It moves from evidence to decision in a systematic and transparent manner, based on four main dimensions: balance between benefits and harms, certainty of evidence, patient's values and preferences and use of resources. The GRADE system produces strong and conditional recommendations. Strong recommendations provide confidence that the favorable consequences of an intervention clearly outweigh the adverse consequences, or vice versa. These recommendations apply to a broad range of patients and circumstances. Conditional recommendations, however, indicate that there is a close balance between favorable and unfavorable consequences of the intervention, there is uncertainty in the magnitude of benefits or adverse effects, there is uncertainty or variability in values and preferences of individuals or costs are not justified. These recommendations apply to many patients, but not all of them: ideally they should be discussed with each person. To achieve a better implementation of the recommendations made with GRADE methodology, health professionals should know the meaning of strong and conditional recommendations and they should be able to critically assess of them.
dc.format.extent8 páginas
dc.fuente.origenWOS
dc.identifier.eissn0717-6163
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:29664529
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79210
dc.identifier.wosidWOS:000429615100012
dc.information.autorucMedicina;Neumann I ;S/I;13498
dc.issue.numero11
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final1470
dc.pagina.inicio1463
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsregistro bibliográfico
dc.subjectChile
dc.subjectEvidence-Based Practice
dc.subjectPractice Guidelines as Topic
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleClinical guidelines using the GRADE system (Grading of Recommendations Assessment, Development and Evaluation)
dc.typeartículo
dc.volumen145
sipa.codpersvinculados13498
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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