Equity issues rarely addressed in the development of COVID-19 formal recommendations and good practice statements: a cross-sectional study

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dc.contributor.authorDewidar, Omar
dc.contributor.authorBondok, Mostafa
dc.contributor.authorAbdelrazeq, Leenah
dc.contributor.authorAliyeva, Khadija
dc.contributor.authorSolo, Karla
dc.contributor.authorWelch, Vivian
dc.contributor.authorBrignardello-Petersen, Romina
dc.contributor.authorMathew, Joseph L.
dc.contributor.authorHazlewood, Glen
dc.contributor.authorPottie, Kevin
dc.contributor.authorHartling, Lisa
dc.contributor.authorKhalifa, Dina Sami
dc.contributor.authorDuda, Stephanie
dc.contributor.authorFalavigna, Maicon
dc.contributor.authorKhabsa, Joanne
dc.contributor.authorLotfi, Tamara
dc.contributor.authorPetkovic, Jennifer
dc.contributor.authorElliot, Sarah
dc.contributor.authorChi, Yuan
dc.contributor.authorParker, Roses
dc.contributor.authorKristjansson, Elizabeth
dc.contributor.authorRiddle, Alison
dc.contributor.authorDarzi, Andrea J.
dc.contributor.authorMagwood, Olivia
dc.contributor.authorSaad, Ammar
dc.contributor.authorRadav, Gabriel
dc.contributor.authorNeumann, Ignacio
dc.contributor.authorLoeb, Mark
dc.contributor.authorReveiz, Ludovic
dc.contributor.authorMertz, Dominik
dc.contributor.authorPiggott, Thomas
dc.contributor.authorTurgeon, Alexis F.
dc.contributor.authorSchunemann, Holger
dc.contributor.authorTugwell, Peter
dc.date.accessioned2025-01-20T17:34:20Z
dc.date.available2025-01-20T17:34:20Z
dc.date.issued2023
dc.description.abstractBackground and Objective: To identify COVID-19 actionable statements (e.g., recommendations) focused on specific disadvantaged populations in the living map of COVID-19 recommendations (eCOVIDRecMap) and describe how health equity was assessed in the development of the formal recommendations. Methods: We employed the place of residence, race or ethnicity or culture, occupation, gender or sex, religion, education, socio-economic status, and social capital-Plus framework to identify statements focused on specific disadvantaged populations. We assessed health equity considerations in the evidence to decision frameworks (EtD) of formal recommendations for certainty of evidence and impact on health equity criteria according to the Grading of Recommendations, Assessment, Development, and Evaluations criteria.Results: We identified 16% (124/758) formal recommendations and 24% (186/819) good practice statements (GPS) that were focused on specific disadvantaged populations. Formal recommendations (40%, 50/124) and GPS (25%, 47/186) most frequently focused on children. Seventy-six percent (94/124) of the recommendations were accompanied with EtDs. Over half (55%, 52/94) of those considered indirectness of the evidence for disadvantaged populations. Considerations in impact on health equity criterion most frequently involved implementation of the recommendation for disadvantaged populations (17%, 16/94). Conclusion: Equity issues were rarely explicitly considered in the development COVID-19 formal recommendations focused on specific disadvantaged populations. Guidance is needed to support the consideration of health equity in guideline development during health emergencies.& COPY; 2023 Elsevier Inc. All rights reserved.
dc.description.funderMerck
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.jclinepi.2023.08.002
dc.identifier.eissn1878-5921
dc.identifier.issn0895-4356
dc.identifier.urihttps://doi.org/10.1016/j.jclinepi.2023.08.002
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91656
dc.identifier.wosidWOS:001068887700001
dc.language.isoen
dc.pagina.final126
dc.pagina.inicio116
dc.revistaJournal of clinical epidemiology
dc.rightsacceso restringido
dc.subjectGuidelines
dc.subjectGRADE
dc.subjectCOVID-19
dc.subjectRecommendations
dc.subjectDisadvantaged populations
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleEquity issues rarely addressed in the development of COVID-19 formal recommendations and good practice statements: a cross-sectional study
dc.typeartículo
dc.volumen161
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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