• Curr Opin Crit Care · Oct 2021

    Review Meta Analysis

    How trustworthy guidelines can impact outcomes.

    • Bram Rochwerg, Leticia Kawano-Dourado, and Nida Qadir.
    • Department of Medicine.
    • Curr Opin Crit Care. 2021 Oct 1; 27 (5): 544550544-550.

    Purpose Of ReviewIf developed using rigorous methods and produced in a timely manner, clinical practice guidelines have the potential to improve patient outcomes. Although the COVID-19 pandemic has highlighted the challenges involved in generating reliable clinical guidance, it has also provided an opportunity to address these challenges.Recent FindingsNew research addressing drugs for COVID-19 is being produced at unprecedented rates. Incorporating this new knowledge into patient care can be daunting for the average clinician. In collaboration with the BMJ and MAGIC, the WHO has developed a living guideline initiative with the goal of providing rapid and trustworthy clinical guidance in response to practice-changing evidence. As new evidence becomes available, it is incorporated into a living network meta-analysis that informs these guidelines, which are iteratively updated. Until this point, the group has generated guidelines addressing the use of corticosteroids, remdesivir, hydroxychloroquine, lopinavir/ritonavir, and ivermectin for COVID-19.SummaryWe provide an example of how rapid and rigorous guidelines can be accomplished, even in the setting of a pandemic, capitalizing on expertise, large and dedicated teams, and focused scope. We highlight the benefits of multifaceted knowledge dissemination through multiple formats to ensure global dissemination and in order to maximize impact.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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