How to use existing related guidelines in the development of a new guideline?

Article type
Authors
wang J1, Mu Y2, Chen K2, Li X3, Chen Y4
1Affiliated Hospital of Academy of Military Medical Sciences (PLA 307 Hospital) Beijing, 100071
2Department of Endocrinology, Chinese PLA General Hospital, Beijing 100853
3Department of Gerontology, First Affiliated Hospital of Kunming Medical University, Kunming 650031
4Evidence-Based Medicine Center, Basic Medical Sciences, Lanzhou University, Lanzhou 730000
Abstract
Background: Appropriate use of the recommendations and supporting evidence in published related guidelines might help develop a new guideline.

Objectives: To explore how to use published related guidelines in the development of Chinese Perioperative Blood Glucose Management Guideline.

Methods: Two independent researchers identified guidelines with recommendations on perioperative blood glucose management by searching PubMed, Wan fang Data, US National Guideline Clearinghouse, the Guidelines International Network and Google from the inception to 31 December 2015. We used GRADE evidence to decision framework to integrate the data of related guidelines into our new guideline.

Results: A total of 31 guidelines published between 2011 and 2016 from the 7 countries and international organisations were included. Among them, five guidelines were about the perioperative blood-glucose management and they were developed by the United Kingdom (2), Australia, China and the United States. Other 26 guidelines contained parts of recommendations on the topic. The guideline panelists formulated 32 recommendations with a citation of 21 relevant guidelines based on GRADE evidence to decision framework.

Conclusions: Systematic retrieval and quality assessment of published related guidelines could provide high-quality evidence and recommendations for guideline panelists, which help save the cost and improve the efficiency of developing a new guideline.