title: Recommendations for kidney disease guideline updating: a report by the KDIGO Methods Committee.
abstract: Updating rather than de novo guideline development now accounts for the majority of guideline activities for many guideline development organizations, including Kidney Disease: Improving Global Outcomes (KDIGO), an international kidney disease guideline development entity that has produced guidelines on kidney diseases since 2008. Increasingly, guideline developers are moving away from updating at fixed intervals in favor of more flexible approaches that use periodic expert assessment of guideline currency (with or without an updated systematic review) to determine the need for updating. Determining the need for guideline updating in an efficient, transparent, and timely manner is challenging, and updating of systematic reviews and guidelines is labor intensive. Ideally, guidelines should be updated dynamically when new evidence indicates a need for a substantive change in the guideline based on a priori criteria. This dynamic updating (sometimes referred to as a living guideline model) can be facilitated with the use of integrated electronic platforms that allow updating of specific recommendations. This report summarizes consensus-based recommendations from a panel of guideline methodology professionals on how to keep KDIGO guidelines up to date.
authors.affiliation: Tufts Medical Center, Boston, Massachusetts, USA. Electronic address: kuhlig1@gmail.com.
authors.forename: Katrin
authors.initials: K
authors.lastname: Uhlig
authors.affiliation: Perelman School of Medicine at the University of Pennsylvania, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Berns
authors.affiliation: National Clinical Guideline Centre, Royal College of Physicians, London, UK.
authors.forename: Serena
authors.initials: S
authors.lastname: Carville
authors.affiliation: Northwest Kaiser Permanente, Portland, Oregon, USA.
authors.forename: Wiley
authors.initials: W
authors.lastname: Chan
authors.affiliation: Kidney Disease: Improving Global Outcomes (KDIGO), Brussels, Belgium.
authors.forename: Michael
authors.initials: M
authors.lastname: Cheung
authors.affiliation: Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
authors.forename: Gordon H
authors.initials: GH
authors.lastname: Guyatt
authors.affiliation: Division of Nephrology, Hennepin County Medical Center, Minneapolis, Minnesota, USA; University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Allyson
authors.initials: A
authors.lastname: Hart
authors.affiliation: EBQ Consulting LLC, Northbrook, Illinois, USA.
authors.forename: Sandra Zelman
authors.initials: SZ
authors.lastname: Lewis
authors.affiliation: Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
authors.forename: Marcello
authors.initials: M
authors.lastname: Tonelli
authors.affiliation: Cochrane Kidney and Transplant and Centre for Kidney Research, Westmead Hospital, Westmead, New South Wales, Australia; Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Angela C
authors.initials: AC
authors.lastname: Webster
authors.affiliation: Center for Chronic Diseases Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA; University of Minnesota, Department of Medicine, Minneapolis, Minnesota, USA.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Wilt
authors.affiliation: Division of Nephrology, Hennepin County Medical Center, Minneapolis, Minnesota, USA; University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Bertram L
authors.initials: BL
authors.lastname: Kasiske
mesh_terms: D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D017410:Practice Guidelines as Topic
keywords: clinical practice guideline; guideline development; guideline updating; nephrology; systematic reviews