Survey of the needs, guideline development processes, and collaborative efforts of guideline- producing organizations

Article type
Authors
Siedler M1, Sultan S2, Ogunremi T3, Morgan RL4, Getchius T5, Dahm P2, Ginex P6, Falck-Ytter Y7, Fatheree L8, Murad MH9, Temple Smolkin R10, Jakhmola P11, McFarlane E12, Mustafa R13
1University of South Florida
2University of Minnesota
3Public Health Agency of Canada
4McMaster University
5American Heart Association
6Oncology Nursing Society
7Case Western Reserve University
8College of American Pathologists
9Mayo Clinic
10Association for Molecular Pathology
11US Centers for Disease Control and Prevention
12National Institute for Health and Care Excellence
13University of Kansas Medical Center
Abstract
Background:Guidelines are developed by organizations of varying size, structure, and resources worldwide. However, little is currently known about the needs and challenges faced by guideline producers.

Objectives:To assess the perceived needs of guideline-producing organizations worldwide, with a specific
focus on identifying challenges related to collaboration between organizations.

Methods:The survey targeted organizations and individuals involved in guideline development. Survey questions were developed by the U.S. GRADE Network and Guidelines International Network using an iterative approach. The survey was pilot-tested among attendees of a guideline development workshop, and included free-response, multiple-choice, and Likert-scale questions. We used electronic mailing lists, social media, and word-of-mouth to disseminate the survey using convenience and snowball sampling methods from November 2019 to April 2020.

Results:A total of 171 responses were included in the analysis, representing 30 countries and 116 unique organizations, which included professional societies, academic institutions, government agencies, industry, patient advocacy, and other stakeholders with membership sizes ranging from 30,000. The number of staff dedicated to guideline development ranged from 15. Nearly half (48.5%) of respondents indicated that they collaborated with other organizations to produce guidelines.
A lack of adequate resources to develop rigorous guidelines rapidly was the most notable need indicated in the survey. Difficulties reconciling differences in methodology and the time required to establish collaborative agreements were the most relevant barriers to collaboration.

Conclusions:Efforts to improve guideline development should focus on providing resources for rapid
guideline development, capacity building, and facilitation of collaborative agreements.

Patient or healthcare consumer involvement:No