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Copyright © 2016 All rights reserved
Source
Yang YX, Brill J, Krishnan P, Leontiadis G. American Gastroenterological Association Clinical
Practice Guidelines Committee. American Gastroenterological Association Institute Guideline
on the Role of Upper Gastrointestinal Biopsy to Evaluate Dyspepsia in the Adult Patient in the
Absence of Visible Mucosal Lesions. Gastroenterology. 2015;149(4):1082-7.
Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient care.
It focuses on the needs of primary care practice, but also is applicable to providers at all levels.
is Guideline should not be considered exclusive of other methods of care reasonably directed at
obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct
must be made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated with
the distributor of this clinical reference tool.
Abbreviations
AGA, American Gastroenterological Association; BMT, bone marrow transplant; EGD,
esophagogastroduodenoscopy; GE, gastroesophageal; GVHD, gra-vs-host disease; HP,
Helicobacter pylori; OI, opportunistic infection
AGAGAS16112a
GRADE Strength of Recommendations and Implications
Grade
Implications of strong and conditional (weak)
guideline recommendations
Strength of Recommendations
Strong • Patients: Most individuals in this situation would want the recommended
course of action and only a small proportion would not.
• Clinicians: Most individuals should receive the recommended course of
action. Formal decision aids are not likely to be needed to help individuals
make decisions consistent with their values and preferences.
Conditional
(weak)
• Patients: The majority of individuals in this situation would want the
suggested course of action, but many would not.
• Clinicians: Different choices will be appropriate for different patients.
Decision aids may well be useful in helping individuals making decisions
consistent with their values and preferences.
Clinicians should expect to spend more time with patients when working
toward a decision.
Reprinted with permission from Sultan et al. Clin Gastroenterol Hepatol. 2013;11:329–332.
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