GRADE guidance 24 optimizing the integration of randomized and non-randomized studies of interventions in evidence syntheses and health guidelines

Copyright © 2021. Published by Elsevier Inc..

BACKGROUND AND OBJECTIVE: This is the 24th in the ongoing series of articles describing the GRADE approach for assessing the certainty of a body of evidence in systematic reviews and health technology assessments and how to move from evidence to recommendations in guidelines.

METHODS: Guideline developers and authors of systematic reviews and other evidence syntheses use randomized controlled studies (RCTs) and non-randomized studies of interventions (NRSI) as sources of evidence for questions about health interventions. RCTs with low risk of bias are the most trustworthy source of evidence for estimating relative effects of interventions because of protection against confounding and other biases. However, in several instances, NRSI can still provide valuable information as complementary, sequential, or replacement evidence for RCTs.

RESULTS: In this article we offer guidance on the decision regarding when to search for and include either or both types of studies in systematic reviews to inform health recommendations.

CONCLUSION: This work aims to help methodologists in review teams, technology assessors, guideline panelists, and anyone conducting evidence syntheses using GRADE.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:142

Enthalten in:

Journal of clinical epidemiology - 142(2022) vom: 15. Feb., Seite 200-208

Sprache:

Englisch

Beteiligte Personen:

Cuello-Garcia, Carlos A [VerfasserIn]
Santesso, Nancy [VerfasserIn]
Morgan, Rebecca L [VerfasserIn]
Verbeek, Jos [VerfasserIn]
Thayer, Kris [VerfasserIn]
Ansari, Mohammed T [VerfasserIn]
Meerpohl, Joerg [VerfasserIn]
Schwingshackl, Lukas [VerfasserIn]
Katikireddi, Srinivasa Vittal [VerfasserIn]
Brozek, Jan L [VerfasserIn]
Reeves, Barnaby [VerfasserIn]
Murad, Mohammad H [VerfasserIn]
Falavigna, Maicon [VerfasserIn]
Mustafa, Reem [VerfasserIn]
Regidor, Deborah L [VerfasserIn]
Alexander, Paul Elias [VerfasserIn]
Garner, Paul [VerfasserIn]
Akl, Elie A [VerfasserIn]
Guyatt, Gordon [VerfasserIn]
Schünemann, Holger J [VerfasserIn]

Links:

Volltext

Themen:

Certainty of evidence
GRADE
Journal Article
Non-randomized studies
Quality of evidence
ROBINS
Research Support, Non-U.S. Gov't
Risk of bias

Anmerkungen:

Date Completed 11.04.2022

Date Revised 22.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jclinepi.2021.11.026

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333380177