FORM: An Australian method for formulating and grading recommendations in evidence-based clinical guidelines
2011

FORM: A Method for Grading Clinical Guidelines in Australia

publication Evidence: high

Author Information

Author(s): Susan Hillier, Karen Grimmer-Somers, Tracy Merlin, Philippa Middleton, Janet Salisbury, Rebecca Tooher, Adele Weston

Primary Institution: University of South Australia

Hypothesis

How can Australian guideline developers effectively formulate and grade recommendations based on a body of evidence?

Conclusion

The FORM framework has been widely adopted by Australian guideline developers as a logical and intuitive method for formulating and grading recommendations.

Supporting Evidence

  • The FORM framework consists of five components to help structure guideline recommendations.
  • It has been endorsed by the NHMRC and is now used by over 20 guideline developers.
  • The framework allows for a transparent assessment of the body of evidence.

Takeaway

This study created a new way for doctors in Australia to make better health guidelines by looking at all the evidence together, not just individual studies.

Methodology

A working group of guideline consultants developed and piloted a framework to assist in grading recommendations based on a comprehensive review of evidence.

Potential Biases

Potential subjectivity in interpreting evidence components and recommendations.

Limitations

The framework may face challenges when evidence is scarce or conflicting, and ongoing monitoring is needed.

Digital Object Identifier (DOI)

10.1186/1471-2288-11-23

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