Developing trustworthy recommendations as part of an urgent response (1–2 weeks): a GRADE concept paper

Elie A Akl, Rebecca L Morgan, Andrew A Rooney, Brandiese Beverly, Srinivasa Vittal Katikireddi, Arnav Agarwal, Brian S Alper, Carlos Alva-Diaz, Laura Amato, Mohammed T Ansari, Jan Brozek, Derek K Chu, Philipp Dahm, Andrea J Darzi, Maicon Falavigna, Gerald Gartlehner, Hector Pardo-Hernandez, Valerie King, Jitka Klugarová, MW Miranda Langendam, Craig Lockwood, Manoj Mammen, Alexander G Mathioudakis, Michael McCaul, Joerg J Meerpohl, Silvia Minozzi, Reem A Mustafa, Francesco Nonino, Thomas Piggott, Amir Qaseem, John Riva, Rachel Rodin, Nigar Sekercioglu, Nicole Skoetz, Gregory Traversy, Kris Thayer, Holger Schünemann
Journal of clinical epidemiology; Vol.129 ( pp:1-11 ) 01-01-2021 Guidelines Rapid Reviews
Objectives
The aim of this study is to propose an approach for developing trustworthy recommendations as part of urgent responses (1–2 week) in the clinical, public health, and health systems fields.
Study Design and Setting
We conducted a review of the literature, outlined a draft approach, refined the concept through iterative discussions, a workshop by the Grading of Recommendations Assessment, Development and Evaluation Rapid Guidelines project group, and obtained feedback from the larger Grading of Recommendations Assessment, Development and Evaluation working group.
Results
A request for developing recommendations within 2 week is the usual trigger for an urgent response. Although the approach builds on the general principles of trustworthy guideline development, we highlight the following steps: (1) assess the level of urgency; (2) assess feasibility; (3) set up the organizational logistics; (4 …

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Senior Lecturer in Epidemiology and Biostatistics, Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa. I have expertise in:

Clinical Epidemiology | Biostatistics | Evidence Synthesis | Guideline Development | Research Methods | Postgraduate Teaching and Learning | Prehospital Care | Student Supervision