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We will use the term "guidelines for guidelines" as "guidelines for the development of guidelines and recommendations".
The term "guidelines" in this document should be seen in the broad sense referring to any guideline or recommendation related to healthcare that is relevant to the mission of the WHO, including public health and health policy recommendations.
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We use the term guideline because it has been clearly defined and because of the existing knowledge about implementing guidelines.
The term guideline can be defined as "a rule or principle that provides guidance to appropriate behaviour" [ 1].
In both search engines, the CPG term "guideline" should be used to obtain a comprehensive overview of CPGs, and the term "practice guideline" should be used if a less time consuming approach for the detection of CPGs is desired.
In Google Scholar, the search strategy including the term "guideline" yielded the highest sensitivity (31.9%), the lowest specificity (78.1%) and a NNR of 16.7.
Concerning the primary performance parameter "sensitivity" and the search term "guideline", Google Scholar only detected about 40% of the relevant CPGs that SUMSearch identified (Tables 4 and 5).
The performance pattern between search engines was similar: in both search engines, the best results for the primary performance parameters were achieved by strategies including the term "guideline" (highest sensitivity) and "practice guideline" (lowest NNR).
In SUMSearch, the search strategy including the term "guideline" yielded the highest sensitivity (81.5%), the lowest specificity (74.3%), and an NNR of 8.2 (meaning that about 8 retrievals had to be reviewed to find one unique and relevant guideline).
The term "guideline" should be used if the aim is to detect a comprehensive pool of CPGs, and "practice guideline" should be used if the aim is to rapidly identify CPGs.
If the clinician wants to gain a comprehensive overview of CPGs on a certain topic, a GLAD search strategy including the term "guideline" should be used; this was the term with the highest sensitivity.
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Justyna Jupowicz-Kozak
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