RT Journal Article
SR Electronic
T1 Assessing the process and outcome of the development of practice guidelines and recommendations: PANELVIEW instrument development
JF Canadian Medical Association Journal
JO CMAJ
FD Canadian Medical Association
SP E1138
OP E1145
DO 10.1503/cmaj.200193
VO 192
IS 40
A1 Wojtek Wiercioch
A1 Elie A. Akl
A1 Nancy Santesso
A1 Yuan Zhang
A1 Rebecca L. Morgan
A1 Juan José Yepes-Nuñez
A1 Sérgio Kowalski
A1 Tejan Baldeh
A1 Reem A. Mustafa
A1 Kaja-Triin Laisaar
A1 Ulla Raid
A1 Itziar Etxeandia-Ikobaltzeta
A1 Alonso Carrasco-Labra
A1 Matthew Ventresca
A1 Ignacio Neumann
A1 Maicon Falavigna
A1 Romina Brignardello-Petersen
A1 Gian Paolo Morgano
A1 Jan Brożek
A1 Meghan McConnell
A1 Holger J. Schünemann
A1 ,
YR 2020
UL http://www.cmaj.ca/content/192/40/E1138.abstract
AB BACKGROUND: Guideline recommendations may be affected by flaws in the process, inappropriate panel member selection or conduct, conflicts of interest and other factors. To our knowledge, no validated tool exists to evaluate guideline development from the perspective of those directly involved in the process. Our objective was to develop and validate a universal tool, the PANELVIEW instrument, to assess guideline processes, methods and outcomes from the perspective of the participating guideline panellists and group members.METHODS: We performed a systematic literature search and surveys of guideline groups (identified through contacting international organizations and convenience sampling of working panels) to inform item generation. Subsequent groups of guideline methodologists and panellists reviewed items for face validity and missing items. We used surveys, interviews and expert review for item reduction and phrasing. For reliability assessment and feedback, we tested the PANELVIEW tool in 8 international guideline groups.RESULTS: We surveyed 62 members from 13 guideline panels, contacted 19 organizations and reviewed 20 source documents to generate items. Fifty-three additional key informants provided feedback about phrasing of the items and response options. We reduced the number of items from 95 to 34 across domains that included administration, training, conflict of interest, group dynamics, chairing, evidence synthesis, formulating recommendations and publication. The tool takes about 10 minutes to complete and showed acceptable measurement properties.INTERPRETATION: The PANELVIEW instrument fills a gap by enabling guideline organizations to involve clinicians, patients and other participants in evaluating their guideline processes. The tool can inform quality improvement of existing or new guideline programs, focusing on insight into and transparency of the guideline development process, methods and outcomes.