On the other hand, "top lists" may provide new opportunities to improve awareness and dissemination of carefully selected recommendations based on high-quality guidelines.
In addition to various quality initiatives, "top lists" summarizing selected recommendations to increase awareness of overuse, spread by means of public campaigns, has become popular on the international level - known as the "Choosing Wisely" initiative.
A group of experienced evidence reviewers independently searched for, and evaluated as a team, evidence to support 80 randomly selected recommendations from each show.
Moreover, selected recommendations may reflect only a professional perspective, which may discount patient predilections or values and compromise clinical adherence and outcomes [ 19, 28].
Participants also engaged in small group work, facilitated by members of the research team, to discuss selected recommendations in more depth, consider strategies for implementation and provide suggestions for reframing recommendations with an action-orientation.
Evidence assessment for 160 randomly selected recommendations is presented in table 2. Overall, we found that 87 of the 160 recommendations (54%, 95% confidence interval 47% to 62%) had some level of published evidence to support them.
The purpose of this study is to determine the impact of implementing selected recommendations this guideline on priority provincial targets for hemodialysis access in patients with Stage 5 CKD who currently use Central Venous Catheters for vascular access.
The purpose of this study is to determine the impact of implementing selected recommendations from the RNAO Decision Support for Adults with Chronic Kidney Disease (CKD) best practice guideline (BPG) [ 1]on priority provincial targets for hemodialysis (HD) access sites in patients with Stage 5 CKD requiring dialysis (Stage 5D) who currently use central venous catheters (CVC) as their HD access.
If more than 15percentt of the experts selected a recommendation, the recommendation was considered prioritized.
