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http://conacyt.repositorioinstitucional.mx/jspui/handle/1000/8069| Living with Long COVID: Implementing a living approach to the NICE guideline on managing the long-term effects of COVID-19 | |
| Steve Sharp Sarah Boyce Justine Karpusheff Fiona Glen | |
| Acceso Abierto | |
| Atribución-NoComercial-SinDerivadas | |
| https://doi.org/10.1101/2023.05.09.23289572 | |
| https://www.medrxiv.org/content/10.1101/2023.05.09.23289572v1 | |
| Abstract Objectives The aim of this paper is to describe the development, implementation and evaluation of a flexible living approach to maintaining NICE’s long-term effects of COVID-19 (LTE) guideline and monitoring the uncertain evidence base of this condition. Study Design and Setting The NICE COVID-19 team reviewed its practical experiences of establishing a living approach to developing and maintaining the LTE guideline, including initial development, maintenance and eventual transition to a lower intensity model. The methods and processes were described narratively over the first 2 years of the guideline’s lifespan. This was combined with quantitative data on emerging and cumulative evidence over the period to chart the evidence landscape. Results Following publication, the initial timepoint-based update process evolved into a flexible living approach with remote topic expert engagement. Experts engaged with the new process with a 64% response rate to the online surveys. Emerging evidence increased rapidly following publication [11,405 studies assessed in 2021 and 13,181 in 2022] and was captured by continuous surveillance. There were no urgent triggers for updating from the studies identified in 2022 via the living approach, saving considerable resources over the timepoint based approach which would commit resources to planning and convening expert panel meetings. A total of 184 studies with a potential future impact were summarised to capture the cumulative evidence base. Experts highlighted ongoing research and implementation issues which have further informed surveillance of the guideline. After a sustained period without triggers for updating, the living approach was restricted to the highest priority areas with surveillance of ongoing studies. Conclusion This paper illustrates a flexible living approach taken to a novel condition with an evolving evidence landscape. Currency of some living guidelines can be maintained without the need for frequent updating. | |
| bioRxiv | |
| 11-05-2023 | |
| Preimpreso | |
| Inglés | |
| Público en general | |
| VIRUS RESPIRATORIOS | |
| Aparece en las colecciones: | Materiales de Consulta y Comunicados Técnicos |
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|---|---|---|---|
| Living with Long COVID_Implementing a living approach to the NICE guideline on managing the long-term effects of COVID-19.pdf | 113.32 kB | Adobe PDF | Visualizar/Abrir |