Editorial

South African Guidelines Excellence (SAGE): Efficient, effective and unbiased clinical practice guideline teams

Karen Grimmer, Janine Margarita Dizon, Quinette Louw, Tamara Kredo, Taryn Young, Shingai Machingaidze

Abstract


A range of different evidence-based methods for clinical practice guideline activities have been established, and there is common agreement in these that poorly conceived CPG team composition and management can jeopardise CPG integrity.  Recognised CPG initiatives therefore provide guidance on CPG team construction and management. In this editorial, we outline steps for effective, efficient and outcome-focused CPG team membership, roles and management: (i) determine responsibilities and tasks; (ii) identify ‘experts’ and their ‘voices’; (iii) identify a CPG team leader; (iv) determine and declare conflicts of interest; (v) determine CPG team terms of reference; (vi) establish CPG timeframes and tailored capacity development; and (vii) establish consensus. Writing CPGs can be time-consuming and expensive.Efforts therefore need to be underpinned by efficient, respectful and agreed processes. Justifying CPG team membership, declaring conflicts of interest, identifying efficient ways of hearing constituent ‘voices’, defining and time-lining team tasks and roles, providing necessary training, and respecting individuals’ efforts and time should ensure that CPG team members enjoy their experiences. This will contribute to growing CPG expertise in South Africa and beyond. 


Authors' affiliations

Karen Grimmer, International Centre for Allied Health Evidence, City East Campus, University of South Australia, Adelaide, Australia; Department of Physiotherapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa

Janine Margarita Dizon, Centre for Evidence-Based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa; Center for Health Research and Movement Science, University of Santo Tomas, Manila, Philippines

Quinette Louw, Department of Physiotherapy and Centre for Evidence-Based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa

Tamara Kredo, Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa

Taryn Young, Centre for Evidence-Based Health Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa; Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa

Shingai Machingaidze, Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa; European and Developing Countries Clinical Trial Partnership (EDCTP), Cape Town, South Africa

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Keywords

Clinical guidelines; South African Guidelines Excellence; SAGE; South Africa

Cite this article

South African Medical Journal 2016;106(5):440-441. DOI:10.7196/SAMJ.2016.v106i5.10770

Article History

Date submitted: 2016-03-11
Date published: 2016-03-29

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