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European Society for Vascular Surgery Clinical Practice Guideline Development Scheme

dc.contributor.authorAntoniou, George A.
dc.contributor.authorBastos Gonçalves, Frederico
dc.contributor.authorBjörck, Martin
dc.contributor.authorChakfé, Nabil
dc.contributor.authorCoscas, Raphaël
dc.contributor.authorDias, Nuno V.
dc.contributor.authorDick, Florian
dc.contributor.authorKakkos, Stavros K.
dc.contributor.authorMees, Barend M.E.
dc.contributor.authorResch, Timothy
dc.contributor.authorTrimarchi, Santi
dc.contributor.authorTulamo, Riikka
dc.contributor.authorTwine, Chris P.
dc.contributor.authorVermassen, Frank
dc.contributor.authorWanhainen, Anders
dc.contributor.authorKolh, Philippe
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblElsevier
dc.date.accessioned2026-02-10T16:35:01Z
dc.date.available2026-02-10T16:35:01Z
dc.date.issued2022-06
dc.descriptionPublisher Copyright: © 2022 European Society for Vascular Surgery
dc.description.abstractObjective: A structured and transparent approach is instrumental in translating research evidence to health recommendations and evidence informed clinical decisions. The aim was to conduct an overview and analysis of principles and methodologies for health guideline development. Methods: A literature review on methodologies, strategies, and fundamental steps in the process of guideline development was performed. The clinical practice guideline development process and methodology adopted by the European Society for Vascular Surgery are also presented. Results: Sophisticated methodologies for health guideline development are being applied increasingly by national and international organisations. Their overarching principle is a systematic, structured, transparent, and iterative process that is aimed at making well informed healthcare choices. Critical steps in guideline development include the assessment of the certainty of the body of evidence; evidence to decision frameworks; and guideline reporting. The goal of strength of evidence assessments is to provide well reasoned judgements about the guideline developers’ confidence in study findings, and several evidence hierarchy schemes and evidence rating systems have been described for this purpose. Evidence to decision frameworks help guideline developers and users conceptualise and interpret the construct of the quality of the body of evidence. The most widely used evidence to decision frameworks are those developed by the GRADE Working Group and the WHO-INTEGRATE, and are structured into three distinct components: background; assessment; and conclusions. Health guideline reporting tools are employed to ensure methodological rigour and transparency in guideline development. Such reporting instruments include the AGREE II and RIGHT, with the former being used for guideline development and appraisal, as well as reporting. Conclusion: This guide will help guideline developers/expert panels enhance their methodology, and patients/clinicians/policymakers interpret guideline recommendations and put them in context. This document may be a useful methodological summary for health guideline development by other societies and organisations.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent702827
dc.identifier.doi10.1016/j.ejvs.2022.03.014
dc.identifier.issn1078-5884
dc.identifier.otherPURE: 44852807
dc.identifier.otherPURE UUID: ce2b4da2-cdf5-4d66-81c2-2905117d5868
dc.identifier.otherScopus: 85131818618
dc.identifier.otherPubMed: 35697645
dc.identifier.urihttp://hdl.handle.net/10362/200245
dc.identifier.urlhttps://www.scopus.com/pages/publications/85131818618
dc.language.isoeng
dc.peerreviewedyes
dc.subjectAGREE
dc.subjectCertainty of evidence
dc.subjectClinical practice guidelines
dc.subjectEvidence to decision framework
dc.subjectGRADE
dc.subjectQuality of evidence
dc.subjectSurgery
dc.subjectCardiology and Cardiovascular Medicine
dc.titleEuropean Society for Vascular Surgery Clinical Practice Guideline Development Schemeen
dc.title.subtitleAn Overview of Evidence Quality Assessment Methods, Evidence to Decision Frameworks, and Reporting Standards in Guideline Developmenten
dc.typereview
degois.publication.firstPage791
degois.publication.issue6
degois.publication.lastPage799
degois.publication.titleEuropean Journal of Vascular And Endovascular Surgery
degois.publication.volume63
dspace.entity.typePublication
rcaap.rightsopenAccess

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