Evidence‐to‐Decision Frameworks: Enhancing the Quality and Rigour of Guidelines and Recommendations
Jose F Meneses‐Echavez, Pablo Alonso‐Coello, Gunn Vist, Javier Bracchiglione, Yang Song, Signe Flottorp, Sarah E Rosenbaum · 2026
Read Evidence‐to‐Decision Frameworks: Enhancing the Quality and Rigour of Guidelines and Recommendations by Jose F Meneses‐Echavez, Pablo Alonso‐Coello, Gunn Vist, Javier Bracchiglione, Yang Song, Signe Flottorp, Sarah E Rosenbaum (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13563412.txt.
Description
Jose F. Meneses-Echavez and colleagues trace how health guidelines learned to show their working. Evidence-to-Decision frameworks, formalised in 2016, lay out the factors behind a recommendation, from benefits and harms to values, costs, and now planetary health and human rights. This 2026 commentary follows the journey from opinion-based guidelines of the early twentieth century to today's structured, evidence-informed process.
Drawing on published experience, the authors find the frameworks flexible and useful for multidisciplinary debate, bringing rigour and transparency to decisions. Yet guidance on using them well is still thin, and research has not settled whether they produce better guidelines. Looking ahead, they ask how artificial intelligence might help navigate the evidence without undermining the judgement at the heart of recommendations.
Catalog record
| CREATOR | Jose F Meneses‐Echavez, Pablo Alonso‐Coello, Gunn Vist, Javier Bracchiglione, Yang Song, Signe Flottorp, Sarah E Rosenbaum |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 20 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |