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The GRADE evidence-to-decision framework: a report of its testing and application in 15 international guideline panels

Overview of attention for article published in Implementation Science, July 2016
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (92nd percentile)
  • Good Attention Score compared to outputs of the same age and source (79th percentile)

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1 policy source
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37 X users
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3 Facebook pages

Citations

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42 Dimensions

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83 Mendeley
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Title
The GRADE evidence-to-decision framework: a report of its testing and application in 15 international guideline panels
Published in
Implementation Science, July 2016
DOI 10.1186/s13012-016-0462-y
Pubmed ID
Authors

Ignacio Neumann, Romina Brignardello-Petersen, Wojtek Wiercioch, Alonso Carrasco-Labra, Carlos Cuello, Elie Akl, Reem A. Mustafa, Waleed Al-Hazzani, Itziar Etxeandia-Ikobaltzeta, Maria Ximena Rojas, Maicon Falavigna, Nancy Santesso, Jan Brozek, Alfonso Iorio, Pablo Alonso-Coello, Holger J. Schünemann

Abstract

Judgments underlying guideline recommendations are seldom recorded and presented in a systematic fashion. The GRADE Evidence-to-Decision Framework (EtD) offers a transparent way to record and report guideline developers' judgments. In this paper, we report the experiences with the EtD frameworks in 15 real guideline panels. Following the guideline panel meetings, we asked methodologists participating in the panel to provide feedback regarding the EtD framework. They were instructed to consider their own experience and the feedback collected from the rest of the panel. Two investigators independently summarized the responses and jointly interpreted the data using pre-specified domains as coding system. We asked methodologists to review the results and provide further input to improve the structure of the EtDs iteratively. The EtD framework was well received, and the comments were generally positive. Methodologists felt that in a real guideline panel, the EtD framework helps structuring a complex process through relatively simple steps in an explicit and transparent way. However, some sections (e.g., "values and preferences" and "balance between benefits and harms") required further development and clarification that were considered in the current version of the EtD framework. The use of an EtD framework in guideline development offers a structured and explicit way to record and report the judgments and discussion of guideline panels during the formulation of recommendations. In addition, it facilitates the formulation of recommendations, assessment of their strength, and identifying gaps in research.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 83 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 1%
Spain 1 1%
Canada 1 1%
Unknown 80 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 12 14%
Student > Master 12 14%
Other 10 12%
Student > Ph. D. Student 8 10%
Professor 5 6%
Other 21 25%
Unknown 15 18%
Readers by discipline Count As %
Medicine and Dentistry 36 43%
Nursing and Health Professions 7 8%
Social Sciences 4 5%
Computer Science 2 2%
Philosophy 2 2%
Other 12 14%
Unknown 20 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 25. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 April 2022.
All research outputs
#1,453,000
of 24,775,802 outputs
Outputs from Implementation Science
#262
of 1,782 outputs
Outputs of similar age
#27,103
of 364,169 outputs
Outputs of similar age from Implementation Science
#7
of 29 outputs
Altmetric has tracked 24,775,802 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,782 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.9. This one has done well, scoring higher than 85% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 364,169 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 92% of its contemporaries.
We're also able to compare this research output to 29 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 79% of its contemporaries.