Recommendations and guidelines Flashcards
Decision analysis
- formal structure to the process of decision making
- flow chart
- outcomes are on the right
Decision chart
- squares on left are decision nodes
- circles on the right are chance nodes
- probabilities must be generated for each event from 0 (impossible) to 1 (absolutely certain)
Practice guidelines
- usually generated by a panel of stakeholders
- cost and value are also used
- evidence is reviewed
- local adaptions may be needed
Hierachy of evidence
-based on Oxford Centre for Evidence-based Medicine levels of evidence
I
evidence obtained from a systematic review of all relevant randomised control trials
II
-evidence obtained from at least one properly designed RCT
III-1
-evidence obtained from a well-designed pseudo-randomised controlled trial
III-2
-evidence obtained from comparative studies with concurrent controls and allocation not randomised, cohort studies, case-control studies or interrupted time series with a control group
III-3
-evidence obtained from comparative studies with historical control, two or more single arm studies or interrupted time series without a parallel control group
IV
-evidence obtained from case-series
V
-expert opinion without a critical appraisal