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Methods for Living Guidelines: Early Guidance based on practical experience. Paper 1: Introduction

  • Saskia Cheyne
    Correspondence
    Corresponding author: Saskia Cheyne. Phone: +61 3 9903 0366. Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Level 4, 553 St Kilda Road, Melbourne, Victoria 3004
    Affiliations
    Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia

    NHMRC Clinical Trials Centre, The University of Sydney, Sydney, Australia
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  • David Fraile Navarro
    Affiliations
    Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia

    Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
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  • Kelvin Hill
    Affiliations
    Stroke Foundation, Melbourne, Australia
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  • Steve McDonald
    Affiliations
    Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia
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  • David Tunnicliffe
    Affiliations
    Sydney School of Public Health, The University of Sydney, Sydney, Australia

    Centre for Kidney Research, Westmead Hospital, Sydney, Australia
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  • Heath White
    Affiliations
    Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia
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  • Samuel Whittle
    Affiliations
    Australia and New Zealand Musculoskeletal Clinical Trials Network, Melbourne, Australia

    The Queen Elizabeth Hospital, South Australia, Australia
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  • Justine Karpusheff
    Affiliations
    National Institute of Health and Care Excellence, Manchester, United Kingdom
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  • Reem Mustafa
    Affiliations
    University of Kansas Medical Center, Kansas, United States

    The Evidence Foundation, Cleveland Heights, Ohio, United States
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  • Rebecca L. Morgan
    Affiliations
    The Evidence Foundation, Cleveland Heights, Ohio, United States

    Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada

    School of Medicine, Case Western Reserve University, Cleveland, Ohio, United States
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  • Shahnaz Sultan
    Affiliations
    The Evidence Foundation, Cleveland Heights, Ohio, United States

    University of Minnesota, Minnesota, United States
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  • Tari Turner
    Affiliations
    Australian Living Evidence Consortium, Cochrane Australia, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia
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  • on behalf of theAustralian Living Evidence Consortium Methods and Processes Working Group and Collaborators
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      Abstract

      Objective

      To introduce methods for living guidelines based in practical experiences by the Australian Living Evidence Consortium (ALEC), the National Institute of Health and Care Excellence (NICE) and the Infectious Diseases Society of America (IDSA), with methodological support from the United States (US) Grading of Recommendations, Assessment, Development and Evaluations (GRADE) Network.

      Study design and setting

      Members of ALEC, NICE, and the US GRADE Network, convened a working group to share experiences of the methods used to develop living guidelines and outline the key differences between traditional and living guidelines methods.

      Results

      The guidance includes the following steps: 1) deciding if the guideline is a priority for a living approach, 2) preparing for living guideline development, 3) literature surveillance and frequency of searching, 4) assessment and synthesis of the evidence, 5) publication and dissemination, and 6) transitioning recommendations out of living mode.

      Conclusion

      This paper introduces methods for living guidelines and provides examples of the similarities and differences in approach across multiple organizations conducting living guidelines. It also introduces a series of papers exploring methods living guidelines based on our practical experiences, including: consumer involvement, selecting and prioritising questions, search decisions, and methods decisions.

      Graphical abstract

      Key words

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