GRADE equity guidelines 4: guidance on how to assess and address health equity within the evidence to decision process

Pottie, K. et al. (2017) GRADE equity guidelines 4: guidance on how to assess and address health equity within the evidence to decision process. Journal of Clinical Epidemiology, 90, pp. 84-91. (doi:10.1016/j.jclinepi.2017.08.001) (PMID:28802675)

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Abstract

Objective: The aim of this paper is to provide detailed guidance on how to incorporate health equity within the GRADE (Grading Recommendations Assessment and Development Evidence) evidence to decision process. Study design and setting: We developed this guidance based on the GRADE evidence to decision (EtD) framework, iteratively reviewing and modifying draft documents, in person discussion of project group members and input from other GRADE members. Results: Considering the impact on health equity may be required, both in general guidelines, and guidelines that focus on disadvantaged populations. We suggest two approaches to incorporate equity considerations: 1) assessing the potential impact of interventions on equity and; 2) incorporating equity considerations when judging or weighing each of the evidence to decision criteria. We provide guidance and include illustrative examples. Conclusion: Guideline panels should consider the impact of recommendations on health equity with attention to remote and underserviced settings and disadvantaged populations. Guideline panels may wish to incorporate equity judgments across the evidence to decision framework.

Item Type:Articles
Keywords:GRADE guidelines, health equity, disadvantaged, evidence to decision process, special populations, underserved.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Katikireddi, Dr Vittal
Authors: Pottie, K., Welch, V., Morton, R., Akl, E. A., Eslava-Schmalbach, J. H., Katikireddi, V., Singh, J., Moja, L., Lang, E., Magrini, N., Thabane, L., Stanev, R., Matovinovic, E., Snellman, A., Briel, M., Shea, B., Tugwell, P., Schunemann, H., Guyatt, G., and Alonso-Coello, P.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:Journal of Clinical Epidemiology
Publisher:Elsevier
ISSN:0895-4356
ISSN (Online):1878-5921
Published Online:10 August 2017
Copyright Holders:Copyright © 2017 Elsevier Inc.
First Published:First published in Journal of Clinical Epidemiology 990: 84-91
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
699162Understanding the impacts of welfare policy on health: A novel data linkage studySrinivasa KatikireddiChief Scientist office (CSO)SCAF/15/02IHW - MRC/CSO SPHU
727651SPHSU Core Renewal: Measuring and Analysing Socioeconomic Inequalities in Health Research ProgrammeAlastair LeylandMedical Research Council (MRC)MC_UU_12017/13IHW - MRC/CSO SPHU
727671SPHSU Core Renewal: Informing Healthy Public Policy Research ProgrammePeter CraigMedical Research Council (MRC)MC_UU_12017/15IHW - MRC/CSO SPHU