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DOI: 10.1055/a-2668-0824
Core GRADE für Evidenzsynthesen
Artikel in mehreren Sprachen: deutsch | EnglishAutoren
GRADE is a globally recognized approach for assessing the certainty of evidence (also: quality or certainty of evidence) and formulating recommendations in systematic reviews, guidelines and other evidence syntheses. GRADE (Grading of Recommendations Assessment, Development and Evaluation) was introduced approximately 20 years ago by an international working group led by Canadian physician Gordon Guyatt, one of the pioneers of evidence-based practice [1]. GRADE has evolved continuously over time and has now reached a high level of complexity. In the context of the strengths and weaknesses of the established GRADE concept, the Core GRADE approach recently presented by Guyatt et al. represents a significant development, which should lead to simpler and more frequent use of GRADE [2]. The new Core GRADE approach is described in detail in a 7-part series of articles and is highly relevant to physiotherapy science [2].
Publikationsverlauf
Artikel online veröffentlicht:
08. Dezember 2025
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References
- 1 Atkins D, Best D, Briss PA. et al. Grading quality of evidence and strength of recommendations. BMJ 2004; 328: 1490
- 2 Guyatt G, Hultcrantz M, Agoritsas T. et al. Why Core GRADE is needed: introduction to a new series in The BMJ. BMJ 2025; 389: e081902
- 3 Brignardello-Petersen R, Guyatt GH. Assessing the certainty of the evidence in systematic reviews: importance, process, and use. Am J Epidemiol 2025; 194: 1681-1686
- 4 Guyatt GH, Oxman AD, Kunz R. et al. What is “quality of evidence” and why is it important to clinicians?. BMJ 2008; 336: 995-998
- 5 Guyatt GH, Oxman AD, Vist GE. et al. GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008; 336: 924-926
- 6 Schünemann HJ. GRADE: Von der Evidenz zur Empfehlung. Beschreibung des Systems und Lösungsbeitrag zur Übertragbarkeit von Studienergebnissen. Z Evid Fortbild Qual Gesundhwes 2009; 103: 391-400
- 7 Guyatt GH, Oxman AD, Schünemann HJ. et al. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol 2011; 64: 380-382
- 8 Brennan SE, Johnston RV. Research Note: Interpreting findings of a systematic review using GRADE methods. J Physiother 2023; 69: 198-202
- 9 Neumann I, Schünemann H. , Hrsg. The GRADE Book version 1.0 (updated September 2024). The GRADE Working Group;. 2024
- 10 The GRADE Working Group Organizations, Hrsg. Welcome to the GRADE working group. Zugriff am 11. September 2025 unter: https://www.gradeworkinggroup.org
- 11 Schünemann HJ, Schünemann AHJ, Oxman AD. et al. Grading quality of evidence and strength of recommendations for diagnostic tests and strategies. BMJ 2008; 336: 1106-1110
- 12 Iorio A, Spencer FA, Falavigna M. et al. Use of GRADE for assessment of evidence about prognosis: rating confidence in estimates of event rates in broad categories of patients. BMJ 2015; 350: h870
- 13 Page MJ, Shamseer L, Altman DG. et al. Epidemiology and Reporting Characteristics of Systematic Reviews of Biomedical Research: A Cross-Sectional Study. PLoS Med 2016; 13: e1002028
- 14 Meneses AC de, Lopes GCM, Lima LB de. et al. Transparency of Systematic Reviews on Interventions for Multiple Sclerosis: Adherence to the GRADE Approach – Meta-Research. Neuroepidemiology 2025; 1-6
- 15 Hilton Boon M, Thomson H, Shaw B. et al. Challenges in applying the GRADE approach in public health guidelines and systematic reviews: a concept article from the GRADE Public Health Group. J Clin Epidemiol 2021; 135: 42-53
- 16 Izcovich A, Chu DK, Mustafa RA. et al. A guide and pragmatic considerations for applying GRADE to network meta-analysis. BMJ 2023; 381: e074495
- 17 Andrić A, Poklepović Peričić T, Tokalić R. et al. Experiences and challenges faced by systematic review authors in using the GRADE approach: a qualitative study. J Clin Epidemiol 2025; 185: 111870
- 18 Guyatt G, Agoritsas T, Brignardello-Petersen R. et al. Core GRADE 1: overview of the Core GRADE approach. BMJ 2025; 389: e081903
- 19 Guyatt G, Zeng L, Brignardello-Petersen R. et al. Core GRADE 2: choosing the target of certainty rating and assessing imprecision. BMJ 2025; 389: e081904
- 20 Guyatt G, Schandelmaier S, Brignardello-Petersen R. et al. Core GRADE 3: rating certainty of evidence-assessing inconsistency. BMJ 2025; 389: e081905
- 21 Guyatt G, Wang Y, Eachempati P. et al. Core GRADE 4: rating certainty of evidence-risk of bias, publication bias, and reasons for rating up certainty. BMJ 2025; 389: e083864
- 22 Guyatt G, Iorio A, Beer H de. et al. Core GRADE 5: rating certainty of evidence-assessing indirectness. BMJ 2025; 389: e083865
- 23 Guyatt G, Yao L, Murad MH. et al. Core GRADE 6: presenting the evidence in summary of findings tables. BMJ 2025; 389: e083866
- 24 Guyatt G, Vandvik PO, Iorio A. et al. Core GRADE 7: principles for moving from evidence to recommendations and decisions. BMJ 2025; 389: e083867