. 2021 Jun:134:138-149.

doi: 10.1016/j.jclinepi.2021.02.009. Epub 2021 Mar 22.

Recommendation mapping of the World Health Organization's guidelines on tuberculosis: A new approach to digitizing and presenting recommendations

Anisa Hajizadeh¹, Tamara Lotfi², Dennis Falzon³, Dominik Mertz⁴, Robby Nieuwlaat², Nebiat Gebreselassie³, Ernesto Jaramillo³, Alexei Korobitsyn³, Matteo Zignol³, Fuad Mirzayev³, Nazir Ismail³, Jan Brozek⁴, Mark Loeb⁴, Thomas Piggott¹, Andrea Darzi¹, Qi Wang¹, Al Subhi Mahmood⁵, Praveen Saroey⁵, Micayla Matthews¹, Finn Schünemann⁶, Bart Dietl⁷, Artur Nowak⁷, Kuba Kulesza⁷, Giovanna E U Muti-Schünemann¹, Antonio Bognanni¹, Rana Charide⁸, Elie A Akl⁸, Tereza Kasaeva³, Holger J Schünemann⁹

Affiliations

¹ Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada.
² Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada.
³ Global TB Programme World Health Organization, Geneva, Switzerland, World Health Organization HQ, Avenue Appia 20, 1211 Geneva, Switzerland.
⁴ Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada; Department of Medicine, McMaster University, Hamilton (ON), Canada.
⁵ Department of Medicine, McMaster University, Hamilton (ON), Canada.
⁶ University of Freiburg, Breisgau, Germany, Institut für Evidence in Medicine, Medical Center & Faculty of Medicine, University of Freiburg, Freiburg, Germany.
⁷ Evidence Prime Inc, Toruńska 5, 30-056 Kraków, Poland.
⁸ American University of Beirut, American University of Beirut, Bliss Street, PO Box: 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.
⁹ Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada; Department of Medicine, McMaster University, Hamilton (ON), Canada. Electronic address: schuneh@mcmaster.ca.

PMID: 33762142
PMCID: PMC8168829
DOI: 10.1016/j.jclinepi.2021.02.009

Recommendation mapping of the World Health Organization's guidelines on tuberculosis: A new approach to digitizing and presenting recommendations

Anisa Hajizadeh et al. J Clin Epidemiol. 2021 Jun.

. 2021 Jun:134:138-149.

doi: 10.1016/j.jclinepi.2021.02.009. Epub 2021 Mar 22.

Authors

Affiliations

¹ Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada.
² Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada.
³ Global TB Programme World Health Organization, Geneva, Switzerland, World Health Organization HQ, Avenue Appia 20, 1211 Geneva, Switzerland.
⁴ Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada; Department of Medicine, McMaster University, Hamilton (ON), Canada.
⁵ Department of Medicine, McMaster University, Hamilton (ON), Canada.
⁶ University of Freiburg, Breisgau, Germany, Institut für Evidence in Medicine, Medical Center & Faculty of Medicine, University of Freiburg, Freiburg, Germany.
⁷ Evidence Prime Inc, Toruńska 5, 30-056 Kraków, Poland.
⁸ American University of Beirut, American University of Beirut, Bliss Street, PO Box: 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon.
⁹ Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton (ON), Canada; World Health Organization Collaborating Center for Infectious Diseases, Research Methods and Recommendations, Michael G. DeGroote Cochrane Canada and GRADE Centres, McMaster University, Hamilton (ON), Canada; Department of Medicine, McMaster University, Hamilton (ON), Canada. Electronic address: schuneh@mcmaster.ca.

PMID: 33762142
PMCID: PMC8168829
DOI: 10.1016/j.jclinepi.2021.02.009

Abstract

Objective: Having up-to-date health policy recommendations accessible in one location is in high demand by guideline users. We developed an easy to navigate interactive approach to organize recommendations and applied it to tuberculosis (TB) guidelines of the World Health Organization (WHO).

Study design: We used a mixed-methods study design to develop a framework for recommendation mapping with seven key methodological considerations. We define a recommendation map as an online repository of recommendations from several guidelines on a condition, providing links to the underlying evidence and expert judgments that inform them, allowing users to filter and cross-tabulate the search results. We engaged guideline developers, users, and health software engineers in an iterative process to elaborate the WHO eTB recommendation map.

Results: Applying the seven-step framework, we included 228 recommendations, linked to 103 guideline questions and organized the recommendation map according to key components of the health question, including the original recommendations and rationale (https://who.tuberculosis.recmap.org/).

Conclusion: The recommendation mapping framework provides the entire continuum of evidence mapping by framing recommendations within a guideline questions' population, interventions, and comparators domains. Recommendation maps should allow guideline developers to organize their work meaningfully, standardize the automated publication of guidelines through links to the GRADEpro guideline development tool, and increase their accessibility and usability.

Keywords: Evidence-based practice; GRADE; Guideline; Tuberculosis.

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Figures

Image, graphical abstract — **Graphical abstract**

Fig 1 — **Fig. 1**
The Recommendation Map framework.

Fig 2 — **Fig. 2**
Flow diagram for the identification of WHO global tuberculosis guidelines recommendation mapping.

Fig 3 — **Fig. 3**
Sample detail page for a recommendation from the online Recommendation Map (https://who.tuberculosis.recmap.org/).

Fig 4 — **Fig. 4**
The list and map view of the WHO recommendations on tuberculosis (https://who.tuberculosis.recmap.org/).

See this image and copyright information in PMC

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Recommendation mapping of the World Health Organization's guidelines on tuberculosis: A new approach to digitizing and presenting recommendations

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Recommendation mapping of the World Health Organization's guidelines on tuberculosis: A new approach to digitizing and presenting recommendations

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