A pragmatic approach to selecting a grading system for clinical practice recommendations in palliative care.

ABSTRACT:

Background

The limited palliative care evidence base is poorly amenable to existing grading schemes utilized in guidelines. Many recommendations are based on expert consensus or clinical practice standards, which are often considered 'low-quality' evidence. Reinforcing provider hesitancy in translating recommendations to practice has implications for patient care.

Aim

To rationalize the selection of an appropriate grading system for rating evidence to support recommendations made in palliative care clinical practice guidelines.

Design

Review of the methodology sections of international palliative care guidelines published in English identified five grading systems comparison: Grading of Recommendations, Assessment, Development and Evaluations (GRADE); the Scottish Int

SUBMITTER: Voznyuk S 

PROVIDER: S-EPMC11673308 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature