gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

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MAGIC (Making GRADE the Irresistible Choice): Research program for optimal authoring, dissemination and dynamic updating of electronically structured GRADE guidelines

Meeting Abstract

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  • P. O. Vandvik - Department of Medicine, Innlandet Hospital Trust-division Gjøvik, Gjøvik, Norway
  • L. Brandt - Department of Medicine, Innlandet Hospital Trust-division Gjøvik, Gjøvik, Norway
  • A. Kristiansen - Department of Medicine, Innlandet Hospital Trust-division Gjøvik, Gjøvik, Norway
  • Ø. H. Lie - Department of Medicine, Innlandet Hospital Trust-division Gjøvik, Gjøvik, Norway
  • E. Akl - Department of Medicine, State University of New York at Buffalo, Buffalo, USA
  • P. Alonso - Iberoamerican Cochrane Centre, Institute of Biomedical Research (IIB Sant Pau), Barcelona, Spain
  • S. Treweek - Population Health Sciences, University of Dundee, Dundee, Scotland
  • G. Guyatt - Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP151

doi: 10.3205/12gin263, urn:nbn:de:0183-12gin2631

Published: July 10, 2012

© 2012 Vandvik et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Background: The GRADE methodology facilitates a systematic and transparent process for evaluating and reporting quality of research evidence and for moving from evidence to recommendations in guideline development. It is equally important to facilitate authoring, maintenance and use of guidelines at the point of care.

Objectives: To develop a conceptual framework, methodology and technology for GRADE guidelines to allow efficient authoring, optimal presentation, customized processes for adaptation and dynamic updating, and tools for shared decision making.

Methods: The MAGIC research program includes a multidisciplinary team of guideline developers, clinicians, methodologists, interaction designers and programmers. MAGIC will create an electronic platform and a template for an authoring tool ultimately to be made available for all GL organizations through tight collaboration with DECIDE (http://www.decide-collaboration.eu/) and GRADE working group.

Results: 3 separate research projects have been initiated to address key objectives in the MAGIC program: SNAP IT develops and tests our electronic platform and template authoring tool by performing real life adaptation of an international antithrombotic guideline (ACCP AT9 with 600 recommendations) in Norway. PLUGGED IN develops prototypes for incorporation of guidelines into the EMR, linked to patient specific data. SHARE IT develops Decision aid cards linked to guideline recommendations to allow shared decision making in consultations.

Discussion: The MAGIC program may ultimately provide solutions to some current shortcomings in guideline development, dissemination and updating.

Implications for guideline developers: A common framework for authoring, updating and disseminating high quality guidelines should reduce resource demands and increase use of guidelines at the point of care.