Improving Transparency and Relevance of the Clinical Practice Guidelines in Nephrology

Typically, evidence-based guidelines are methodologically transparent and rigorous in all elements except the process of topic selection and prioritization. Significant resources are required for the development of evidence-based guidelines to the highest methodological standards to ensure validity and reliability; however, it is often unclear if the topics being covered meet the needs of the community, particularly consumers with lived experience. Harrison et al. outline a multistakeholder prioritization Delphi study, undertaken by the Canadian Society of Nephrology, to identify topics for guidelines and commentaries.

Their study makes a valuable contribution to the field of prioritization by outlining a methodological approach and a list of prioritized topics for guidelines. It also includes the priorities of consumers with lived experience, a critical perspective often overlooked in guideline selection and development.