WikiRecs primary care: developing rapid recommendations for primary care through effective collaboration between systematic review and guideline teams

Trudy Bekkering; Bert Aertgeerts; Ton Kuijpers; Mieke Vermandere; Jako Burgers; Ilkka Kunnamo; Per Vandvik

doi:10.3399/bjgp18X697085

Abstract

Background The WikiRecs evidence summaries and recommendations for clinical practice are developed using trustworthy methods. The process is triggered by studies that may potentially change practice, aiming at implementing new evidence into practice fast.

Aim To share our first experiences developing WikiRecs for primary care and to reflect on the possibilities and pitfalls of this method.

Method In March 2017, we started developing WikiRecs for primary health care to speed up the process of making potentially practice-changing evidence in clinical practice. Based on a well-structured question a systematic review team summarises the evidence using the GRADE approach. Subsequently, an international panel of primary care physicians, methodological experts and patients formulates recommendations for clinical practice. The patient representatives are involved as full guideline panel members. The final recommendations and supporting evidence are disseminated using various platforms, including MAGICapp and scientific journals.

Results We are developing WikiRecs on two topics: alpha-blockers for urinary stones and supervised exercise therapy for intermittent claudication. We did not face major problems but will reflect on issues we had to solve so far. We anticipate having the first WikiRecs for primary care available at the end of 2017.

Conclusion The WikiRecs process is a promising method — that is still evolving — to rapidly synthesise and bring new evidence into primary care practice, while adhering to high quality standards.

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WikiRecs primary care: developing rapid recommendations for primary care through effective collaboration between systematic review and guideline teams

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