Checklist Identifies Useful Clinical Guidelines

HealthDay News — A simple, easy-to-use checklist, the Guideline Trustworthiness, Relevance, and Utility Scoring Tool (G-TRUST), can identify useful clinical practice guidelines, according to a study published in Annals of Family Medicine.

Allen F. Shaughnessy, PharmD, from Tufts University School of Medicine in Boston, and colleagues developed a checklist to identify trustworthy, relevant, and useful practice guidelines. Consensus of experts and guideline developers regarding a checklist of items and their relative impact on guideline quality was obtained using a modified Delphi process. Four rounds of sampling were conducted to refine wording, add and subtract items, and develop a scoring system.

The researchers report that items were rewritten or dropped in rounds 1 and 2 and that 2 items were added. Weighted scores were calculated from rankings in round 3, and relative weights were assigned by the expert panel. More than 75% of the experts indicated 3 of the 8 checklist items as majors indicators of guideline usefulness in the last round. A scoring system was developed to identify guidelines as useful, may not be useful, and not useful using the AGREE tool as a reference standard.

“The eight-item G-TRUST is potentially helpful as a tool for clinicians to identify useful guidelines,” the authors wrote. “Further research will focus on its reliability when used by clinicians.”

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Shaughnessy AF, Vaswani A, Andrews BK, et al. Developing a clinician friendly tool to identify useful clinical practice guidelines: G-TRUST. Ann Fam Med. 2017;15(5):413-418.