A systematic approach for uptake of evidence on sex-specific issues in guidelines--a pilot study.

摘要: Rationale, aims and objectives  Increasing evidence indicates that sex-specific issues may have impact on prevention, diagnosis, or treatment. These are not systematically considered during the development of Dutch clinical practice guidelines. The aim this study is to identify how members guideline groups discuss evidence, whether outcomes these discussions reflected in guideline. Methods  Six committees (GDCs) were studied. Each committee was supported by a staff member from organization who trained received feedback facilitate uptake sex differences process development. Non-participant observation transcription audio recordings 22 GDC meetings performed. Content analysis meeting transcripts guidelines studied analyse characteristics discussion episodes research data-based (subject matter, initiator group approach towards topic themes) conclusions final text. Results  Of 87 identified episodes, 68 dealt with potentially relevant Respectively 51%, 28% 21% latter initiated members, chairpersons. Group approaches subject matter generally positive. Data 60% those text. Sex-specific data reproductive more often discussed texts than other health issues. Discussion chairpersons most guidelines. Conclusions  This pilot GDCs regularly focused participation contributed this.