ATS GUIDELINES Bundle

Pulmonary Rehabilitation for Adults with Chronic Respiratory Disease

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Issue link: https://eguideline.guidelinecentral.com/i/1506264

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Certainty of Evidence Evidence Quality Definition High High confidence that the estimated effect is close to the true effect. Moderate Moderate confidence that the estimated effect is close to the true effect, but with a chance that the true effect is considerably different. Low Low confidence in the estimated effect. Higher likelihood that the true effect is considerably different from the estimated effect. Very low Very low confidence in the estimated effect. High likelihood that the true effect is considerably different from the estimated effect. Implications of Clinical Guideline Recommendations by Stakeholder Stakeholder Strong Recommendation Conditional Recommendation Patient The majority of patients would want the recommended course of action in this situation, and only a small number would not. Many patients in this situation would prefer the recommendation, but a substantial number may not. This is an opportunity for shared decision-making between the clinician and patient. Clinician Most individuals should receive the course of action that is recommended. There is a low chance that additional formal decision aids are needed to help individuals make decisions consistent with their values and preferences, and adherence to this recommendation could be used as a performance indicator or quality criterion. Different choices will be applicable to different patients, and additional factors will need to be considered in addition to the recommendation in order for a patient to make a decision according to their values and preferences. Decision aids may be needed to assist individuals in making their best choice. This is an opportunity for shared decision-making between the clinician and patient. Policy-maker The recommendation can be widely adapted as policy and can be used for performance indicators. Policy-making will require substantial additional debate and involvement of many and/or additional stakeholders. The likelihood of regional variance is also higher, and performance indicators would need to take into consideration any additional deliberation that has occurred.

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