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How to write a guideline: a proposal for a manuscript template that supports the creation of trustworthy guidelines

2021· article· en· W3199862571 on OpenAlexaff
Robby Nieuwlaat, Wojtek Wiercioch, Jan Brożek, Nancy Santesso, Robert A. Kunkle, Pablo Alonso‐Coello, David R. Anderson, Shannon M. Bates, Philipp Dahm, Alfonso Iorio, Wendy Lim, Gary H. Lyman, Saskia Middeldorp, Paul Monagle, Reem A. Mustafa, Ignacio Neumann, Thomas L. Ortel, Bram Rochwerg, Sara K. Vesely, Daniel M. Witt, Adam Cuker, Holger J. Schünemann

Bibliographic record

VenueBlood Advances · 2021
Typearticle
Languageen
FieldMedicine
TopicClinical practice guidelines implementation
Canadian institutionsDalhousie UniversityMcMaster UniversityImpactCochrane
Fundersnot available
KeywordsGuidelineGrading (engineering)Computer scienceProcess (computing)Process managementKey (lock)TrustworthinessMedicineEngineeringPathology

Abstract

fetched live from OpenAlex

Trustworthy health guidelines should provide recommendations, document the development process, and highlight implementation information. Our objective was to develop a guideline manuscript template to help authors write a complete and useful report. The McMaster Grading of Recommendations Assessment, Development and Evaluation Centre collaborated with the American Society of Hematology (ASH) to develop guidelines for the management of venous thromboembolism. A template for reporting the guidelines was developed based on prior approaches and refined using input from other key stakeholders. The proposed guideline manuscript template includes: (1) title for guideline identification, (2) abstract, including a summary of key recommendations, (3) overview of all recommendations (executive summary), and (4) the main text, providing sufficient detail about the entire process, including objectives, background, and methodological decisions from panel selection and conflict-of-interest management to criteria for updating, as well as supporting information, such as links to online (interactive) tables. The template further allows for tailoring to the specific topic, using examples. Initial experience with the ASH guideline manuscript template was positive, and challenges included drafting descriptions of recommendations involving multiple management pathways, tailoring the template for a specific guideline, and choosing key recommendations to highlight. Feedback from a larger group of guideline authors and users will be needed to evaluate its usefulness and refine. The proposed guideline manuscript template is the first detailed template for transparent and complete reporting of guidelines. Consistent application of the template may simplify the preparation of an evidence-based guideline manuscript and facilitate its use.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.268
metaresearch head score (Gemma)0.625
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesMetaresearch
DomainCandidate signal: Reporting · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: none
Teacher disagreement score0.732
Threshold uncertainty score0.903

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.2680.625
Meta-epidemiology (narrow)0.0020.004
Meta-epidemiology (broad)0.0030.007
Bibliometrics0.0150.009
Science and technology studies0.0060.009
Scholarly communication0.0250.025
Open science0.0090.013
Research integrity0.0220.020
Insufficient payload (model declined to judge)0.0300.043

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.150
GPT teacher head0.456
Teacher spread0.306 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; the direct Gemma label and the distilled Codex classifier agree on what is shown here.

Study designTheoretical or conceptual
DomainReporting
GenreMethods

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations21
Published2021
Admission routes1
Has abstractyes

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