Co-creation of a step-by-step guide for specifying the test-management pathway to formulate focused guideline questions about healthcare related tests.

IF 3.9 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES BMC Medical Research Methodology Pub Date : 2024-10-16 DOI:10.1186/s12874-024-02365-5

Mariska K Tuut, Gowri Gopalakrishna, Mariska M Leeflang, Patrick M Bossuyt, Trudy van der Weijden, Jako S Burgers, Miranda W Langendam

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引用次数: 0

Abstract

Background: Guideline development on testing is known to be difficult for guideline developers. It requires consideration of various aspects, such as accuracy, purpose of testing, and consequences on management and people-important outcomes. This can be outlined in a test-management pathway. We aimed to create and user-test a step-by-step guide for guideline developers for designing a test-management pathway.

Methods: Developmental design with a co-creative strategy. We created a draft step-by-step guide, that was user tested in a workshop with 19 experts, and by interviewing 7 guideline panel members.

Results: Our proposed guide consists of five blocks of signalling questions: patients/population, index test(s), current practice/comparison/control, people-important outcomes, and the link between testing and outcome(s). The user testing led to refinement of the signalling questions, the use of inclusive terminology, and addition of a test-management pathway figure with detailed explanation.

Conclusions: The step-by-step guide for formulating focused guideline questions regarding healthcare related testing can help in identifying relevant characteristics of the population, tests, and outcomes and to create a test management pathway. This should facilitate the formulation of evidence-based guideline recommendations about healthcare related testing.

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共同创建一个分步指南，用于明确检验管理路径，以制定有关医疗保健相关检验的重点指南问题。

背景：众所周知，制定检验指南对指南制定者来说是一件难事。它需要考虑多方面的因素，如准确性、检测目的、对管理的影响以及对人有重要影响的结果。这可以用测试管理路径来概括。我们的目标是为指南制定者设计一个测试管理路径的分步指南，并对用户进行测试：方法：采用共同创造策略进行开发设计。我们创建了一份分步指南草案，并通过与 19 位专家的研讨会和与 7 位指南小组成员的访谈对该草案进行了用户测试：结果：我们提出的指南由五个信号问题组成：患者/人群、指标测试、当前实践/比较/对照、对人重要的结果以及测试与结果之间的联系。通过用户测试，对信号问题进行了改进，使用了包容性术语，并增加了附有详细解释的测试管理路径图：结论：就医疗相关检验制定重点指南问题的分步指南有助于确定人群、检验和结果的相关特征，并创建检验管理路径。这将有助于制定以证据为基础的医疗相关检查指南建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Medical Research Methodology 医学-卫生保健

CiteScore

6.50

自引率

2.50%

发文量

298

审稿时长

3-8 weeks

期刊介绍： BMC Medical Research Methodology is an open access journal publishing original peer-reviewed research articles in methodological approaches to healthcare research. Articles on the methodology of epidemiological research, clinical trials and meta-analysis/systematic review are particularly encouraged, as are empirical studies of the associations between choice of methodology and study outcomes. BMC Medical Research Methodology does not aim to publish articles describing scientific methods or techniques: these should be directed to the BMC journal covering the relevant biomedical subject area.