I recently had the very pleasant experience of being a participant in a meeting with the Dutch G-I-N Network (see more info later in this newsletter).
The meeting offered good opportunities to discuss important issues regarding Guideline development, like the use of open source WIKI tools to reflect patient perspectives. The WIKI tool might be a good solution to have a more open democratic say from patients in guideline development, but who should take the responsibility for conflicting recommendations in such instances?
Based on the introduction from Teun Zuiderent-Jerak about including different types of knowledge in guideline development (BMJ. 2012 Oct 5;345:e6702. doi: 10.1136/bmj.e6702) we discussed the challenging questions about making good guidelines for clinical care and public health, even in situations where there is lack of high quality evidence. Are the present evidence hierarchies suitable and sufficient, or do we need ‘question and context sensitive evidence hierarchies’?
The GRADE paper highlighted in the literature overview later in this newsletter also sheds light around these issues (Z EvidFortbildQualGesundhwes 2012;106(5):369-76. doi: 10.1016/j.zefq.2012.05.018. Epub 2012 Jun 6).
We hope that G-I-N and its newsletter, called ENGINE, can become a real force in pulling persons and organizations together in sharing experiences, exploring new fields and finding ways of working together to improve quality of guidelines and to reduce duplication of work. As expressed by Sonja Kersten in the Dutch G-I-N meeting; match-making is about finding common ground, becoming friends and starting to do the hard work together by having fun! Use the Guidelines International Network to find your matches; think, share and act!