37 WORLD GASTROENTEROLOGY NEWS NOVEMBER 2016 Editorial | Expert Point of View | Gastro 2016: EGHS-WGO | WDHD News | WGO & WGOF News | WGO Global Guidelines | Calendar of Events impact of our guidelines and implementation of our practice recommendations would be very useful and although a full systematic impact study is not currently within our reach, the newly installed (and future) user questionnaires and surveys, will provide critical information to improve our Guideline Development program and methods further. With limited budgets it is quite a challenge to do what we do and it is only because of our very active guideline Review teams – all working pro-bono – that we are able to produce Cascade based guidelines. Our aim is that Review Teams always include gastroenterologists practicing in Asia, Africa and Latin America, and that they are chaired by an expert on the topic and a GI specialist from a Low/Middle Income Country. In this way can we make sure that what we write has relevance outside the ‘West’. The primary target group are health professionals worldwide, and our guidelines should also be available and understand-able to other interested parties, including patients, funders, and policy makers. Our Guideline Development chairs and Re-view Teams include world leading experts and we are happy to refer to leading society guidelines if we review gold standards for diagnosis and treatment. All WGO Guidelines are translated into 6 different languages to facilitate uptake globally – to publish in English only severely limits accessibility of our guidelines. Our website statistics clearly shows this. New guidelines and updates are pro-moted by email and newsletter announcements reaching over 50,000 individual members of the more than 100 national GI societies and 4 regional associations of gastroenterology represented by WGO. Guideline Development work process Review Teams and a guideline Chair and Co-chair are appointed to develop each WGO Guideline. Team members are invited experts representing all the regions that make up the diversity among the membership of WGO and the guide-line’s target readership. Guideline Chairs head the Review Teams and together they play a crucial role in evaluating the evidence, writing the guideline, and developing the Cascades. The key element in the development of our guidelines is a series of expert feedback cycles during which the manuscript develops from the first draft version to a version which includes the highest level of evidence and consensus among the guideline Review Team members. Before publication, the WGO Guideline Committee members and the WGO leader-ship can review and comment on the newly developed or updated guidelines. Principle Guideline Development steps Topic selection guideline Topic selection and planning during annual WGO Guideline Committee meeting Criteria include global relevance and options for Cascade development Team building Appointment of guideline Chairs and Review Team members–ensure regional representation Develop goals and scope Information resources Selection of resources Development of search strategies Execution of literature searches Develop drafts – Diagnostic & therapeutic chapters, Cascades, Additional chapters In a series of feedback and input cycles, team and chairs review and discuss the evidence to reach consensus References Team input to be accompanied by literature references References checked and standardized Integrate and prepare full draft Integration into manuscript Quality control, reference review Development of short version for journal publication Publication & promotion WGO Guideline & Cascades publication on WGO website and in journal Announcements sent to national societies, individual mailing lists, via e-WGN and social media Post publication and new-evidence tracking
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