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dc.contributor.authorAkl, EA
dc.contributor.authorMeerpohl, JJ
dc.contributor.authorElliott, J
dc.contributor.authorKahale, LA
dc.contributor.authorSchünemann, HJ
dc.contributor.authorAgoritsas, T
dc.contributor.authorHilton, J
dc.contributor.authorPerron, C
dc.contributor.authorHodder, R
dc.contributor.authorPestridge, C
dc.contributor.authorAlbrecht, L
dc.contributor.authorHorsley, T
dc.contributor.authorLawrence, R
dc.contributor.authoret al.
dc.description.abstractWhile it is important for the evidence supporting practice guidelines to be current, that is often not the case. The advent of living systematic reviews has made the concept of “living guidelines” realistic, with the promise to provide timely, up-to-date and high-quality guidance to target users. We define living guidelines as an optimization of the guideline development process to allow updating individual recommendations as soon as new relevant evidence becomes available. A major implication of that definition is that the unit of update is the individual recommendation and not the whole guideline. We then discuss when living guidelines are appropriate, the workflows required to support them, the collaboration between living systematic reviews and living guideline teams, the thresholds for changing recommendations, and potential approaches to publication and dissemination. The success and sustainability of the concept of living guideline will depend on those of its major pillar, the living systematic review. We conclude that guideline developers should both experiment with and research the process of living guidelines.
dc.publisherElsevier BV
dc.relation.ispartofjournalJournal of Clinical Epidemiology
dc.subject.fieldofresearchMathematical Sciences
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.keywordsLiving guidelines
dc.subject.keywordsLiving systematic review
dc.subject.keywordsPrioritizing recommendations
dc.subject.keywordsUpdating guidelines
dc.subject.keywordsUpdating systematic reviews
dc.titleLiving systematic reviews: 4. Living guideline recommendations
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationAkl, EA; Meerpohl, JJ; Elliott, J; Kahale, LA; Schünemann, HJ; Agoritsas, T; Hilton, J; Perron, C; Hodder, R; Pestridge, C; Albrecht, L; Horsley, T; Lawrence, R; et al Living systematic reviews: 4. Living guideline recommendations, Journal of Clinical Epidemiology, 2017, 91, pp. 47-53
gro.hasfulltextNo Full Text
gro.griffith.authorLawrence, Rebecca K.

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