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Title: Methods used in adaptation of health-related guidelines: A systematic survey
Authors: Abdul-Khalek, Rima A
Darzi, Andrea J
Godah, Mohammad W
Kilzar, Lama
Lakis, Chantal
Agarwal, Arnav
Abou-Jaoude, Elias
Meerpohl, Joerg J
Wiercioch, Wojtek
Santesso, Nancy
Brax, Hneine
Schünemann, Holger
Akl, Elie A
Affiliations: Faculty of Medicine 
Issue Date: 2017
Publisher: National Library of Medicine
Part of: Journal of Global Health
Volume: 7
Issue: 2
Adaptation refers to the systematic approach for considering the endorsement or modification of recommendations produced in one setting for application in another as an alternative to de novo development.

To describe and assess the methods used for adapting health–related guidelines published in peer–reviewed journals, and to assess the quality of the resulting adapted guidelines.

We searched Medline and Embase up to June 2015. We assessed the method of adaptation, and the quality of included guidelines.

Seventy–two papers were eligible. Most adapted guidelines and their source guidelines were published by professional societies (71% and 68% respectively), and in high–income countries (83% and 85% respectively). Of the 57 adapted guidelines that reported any detail about adaptation method, 34 (60%) did not use a published adaptation method. The number (and percentage) of adapted guidelines fulfilling each of the ADAPTE steps ranged between 2 (4%) and 57 (100%). The quality of adapted guidelines was highest for the “scope and purpose” domain and lowest for the “editorial independence” domain (respective mean percentages of the maximum possible scores were 93% and 43%). The mean score for “rigor of development” was 57%.

Most adapted guidelines published in peer–reviewed journals do not report using a published adaptation method, and their adaptation quality was variable.
ISSN: 20472978
DOI: 10.7189/jogh.07.020412
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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