TY - JOUR T1 - Good or best practice statements: proposal for the operationalisation and implementation of GRADE guidance JF - BMJ Evidence-Based Medicine JO - BMJ EBM SP - 189 LP - 196 DO - 10.1136/bmjebm-2022-111962 VL - 28 IS - 3 AU - Omar Dewidar AU - Tamara Lotfi AU - Miranda W Langendam AU - Elena Parmelli AU - Zuleika Saz Parkinson AU - Karla Solo AU - Derek K Chu AU - Joseph L Mathew AU - Elie A Akl AU - Romina Brignardello-Petersen AU - Reem A Mustafa AU - Lorenzo Moja AU - Alfonso Iorio AU - Yuan Chi AU - Carlos Canelo-Aybar AU - Tamara Kredo AU - Justine Karpusheff AU - Alexis F Turgeon AU - Pablo Alonso-Coello AU - Wojtek Wiercioch AU - Annette Gerritsen AU - Miloslav Klugar AU - María Ximena Rojas AU - Peter Tugwell AU - Vivian Andrea Welch AU - Kevin Pottie AU - Zachary Munn AU - Robby Nieuwlaat AU - Nathan Ford AU - Adrienne Stevens AU - Joanne Khabsa AU - Zil Nasir AU - Grigorios Leontiadis AU - Joerg Meerpohl AU - Thomas Piggott AU - Amir Qaseem AU - Micayla Matthews AU - Holger J Schünemann A2 - , Y1 - 2023/06/01 UR - http://ebm.bmj.com/content/28/3/189.abstract N2 - An evidence-based approach is considered the gold standard for health decision-making. Sometimes, a guideline panel might judge the certainty that the desirable effects of an intervention clearly outweigh its undesirable effects as high, but the body of supportive evidence is indirect. In such cases, the application of the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach for grading the strength of recommendations is inappropriate. Instead, the GRADE Working Group has recommended developing ungraded best or good practice statement (GPS) and developed guidance under which circumsances they would be appropriate.Through an evaluation of COVID-1- related recommendations on the eCOVID Recommendation Map (COVID-19.recmap.org), we found that recommendations qualifying a GPS were widespread. However, guideline developers failed to label them as GPS or transparently report justifications for their development. We identified ways to improve and facilitate the operationalisation and implementation of the GRADE guidance for GPS.Herein, we propose a structured process for the development of GPSs that includes applying a sequential order for the GRADE guidance for developing GPS. This operationalisation considers relevant evidence-to-decision criteria when assessing the net consequences of implementing the statement, and reporting information supporting judgments for each criterion. We also propose a standardised table to facilitate the identification of GPS and reporting of their development. This operationalised guidance, if endorsed by guideline developers, may palliate some of the shortcomings identified. Our proposal may also inform future updates of the GRADE guidance for GPS.No data are available. ER -