Use of evidence in WHO recommendations Export

@article{citeulike:1356602, abstract = {SummaryBackground WHO regulations, dating back to 1951, emphasise the role of expert opinion in the development of recommendations. However, the organisation's guidelines, approved in 2003, emphasise the use of systematic reviews for evidence of effects, processes that allow for the explicit incorporation of other types of information (including values), and evidence-informed dissemination and implementation strategies. We examined the use of evidence, particularly evidence of effects, in recommendations developed by WHO departments.Methods We interviewed department directors (or their delegates) at WHO headquarters in Geneva, Switzerland, and reviewed a sample of the recommendation-containing reports that were discussed in the interviews (as well as related background documentation). Two individuals independently analysed the interviews and reviewed key features of the reports and background documentation.Findings Systematic reviews and concise summaries of findings are rarely used for developing recommendations. Instead, processes usually rely heavily on experts in a particular specialty, rather than representatives of those who will have to live with the recommendations or on experts in particular methodological areas.Interpretation Progress in the development, adaptation, dissemination, and implementation of recommendations for member states will need leadership, the resources necessary for WHO to undertake these processes in a transparent and defensible way, and close attention to the current and emerging research literature related to these processes.}, author = {Oxman, Andrew D. and Lavis, John N. and Fretheim, Atle}, citeulike-article-id = {1356602}, citeulike-linkout-0 = {http://www.sciencedirect.com/science/article/B6T1B-4NP3P4S-1/2/5b2543ec8a792f7dd0e9234926892055}, comment = {This lack of critical review of the evidence seems to pertain to the formation of policy on bicycle helmets also.}, journal = {The Lancet}, keywords = {evidence\_based, global, medicine, public\_health, review, science, sociology}, number = {9576}, pages = {1883--1889}, posted-at = {2007-06-02 03:32:20}, priority = {3}, title = {Use of evidence in WHO recommendations}, url = {http://www.sciencedirect.com/science/article/B6T1B-4NP3P4S-1/2/5b2543ec8a792f7dd0e9234926892055}, volume = {369} }

TY - JOUR ID - citeulike:1356602 L3 - citeulike-article-id:1356602 N2 - SummaryBackground WHO regulations, dating back to 1951, emphasise the role of expert opinion in the development of recommendations. However, the organisation's guidelines, approved in 2003, emphasise the use of systematic reviews for evidence of effects, processes that allow for the explicit incorporation of other types of information (including values), and evidence-informed dissemination and implementation strategies. We examined the use of evidence, particularly evidence of effects, in recommendations developed by WHO departments.Methods We interviewed department directors (or their delegates) at WHO headquarters in Geneva, Switzerland, and reviewed a sample of the recommendation-containing reports that were discussed in the interviews (as well as related background documentation). Two individuals independently analysed the interviews and reviewed key features of the reports and background documentation.Findings Systematic reviews and concise summaries of findings are rarely used for developing recommendations. Instead, processes usually rely heavily on experts in a particular specialty, rather than representatives of those who will have to live with the recommendations or on experts in particular methodological areas.Interpretation Progress in the development, adaptation, dissemination, and implementation of recommendations for member states will need leadership, the resources necessary for WHO to undertake these processes in a transparent and defensible way, and close attention to the current and emerging research literature related to these processes. IS - 9576 JF - The Lancet EP - 1889 TI - Use of evidence in WHO recommendations VL - 369 SP - 1883 KW - evidence_based KW - global KW - medicine KW - public_health KW - review KW - science KW - sociology N1 - This lack of critical review of the evidence seems to pertain to the formation of policy on bicycle helmets also. AU - Oxman, Andrew AU - Lavis, John AU - Fretheim, Atle UR - http://www.sciencedirect.com/science/article/B6T1B-4NP3P4S-1/2/5b2543ec8a792f7dd0e9234926892055 ER -