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Table 1 Strategy to assess the validity of recommendations

From: Strategies to assess the validity of recommendations: a study protocol

Stages

What

How

Who

Stage 1

Identification of clinical questions and recommendations

Review original CPG

Guideline methodologist from research group

Stage 2

Baseline survey

Recommendation basal survey (http://www.surveymonkey.com)

Clinical experts

Stage 3

Update exhaustive literature search

- Recover original exhaustive literature search

- Guideline methodologist from original CPG

- Define the filters that will be used: 1) study design; 2) publication date

- Information specialist

Stage 4

References database by clinical questions

Reference management software

Information specialist

Stage 5

First references screening

Reference management software

Guideline methodologist from research group

- Topic

- Study design

- Publication type

Stage 6

References matching

Reference management software

Guideline methodologist from research group

Stage 7

Recommendations database

Statistic program

Guideline methodologist from research group

Stage 8

Second references screening

Stage 8a Reference survey to assess the updating effect: feasibility test

- Guideline methodologist from original CPG

- Guideline methodologist from research group

- Identification of relevant references

- Identification of key references

Stage 8b Sample size calculation

Statistician

- Assess the potential changes in the recommendation

Stage 8c Reference survey to assess the updating effect (pdf forms)

- Guideline methodologist from original CPG

- Guideline methodologist from research group

- Clinical experts

Stage 9

Final report

Final report with study results

Guideline methodologist from research group

- Recommendations still valid

- Recommendation needed update

  1. Abbreviations: CPG Clinical practice guideline.