Page 65 - Shared Guideline Development Experiences in Fertility Care

Conclusions and implications for further research
e novel approach of the patient-centred network is feasible for simultaneously and collaboratively developing a harmonized set of MuGs and MoGs for the clinical pathways of infertile couples. e approach is a potential strategy for developing more trustworthy and transparent guidelines. If consensus on the guideline format is reached beforehand, instructions on individual responsibilities within the network are provided, more support sta is employed, and a librarian is engaged to conduct systematic literature searches, then the network approach can be used in other guideline development programs too.
We believe that this approach may apply especially to patients who travel 3 numerous complex pathways. Our study focuses on the network needed for
patients who receive multidisciplinary fertility care and form the centre of the
network. However, other patients who travel di erent or multiple complex clinical
pathways may also pro t from this approach. Multiple networks can be connected or extended where necessary. However, this approach might be less valuable when patients travel a clear monodisciplinary pathway; for example, the pathway for a simple bone fracture. Further research is needed to compare the e cacy of this approach with more traditional approaches regarding content, time investments, and actual adoption of guidelines in a pragmatic randomized controlled trial.
Abbreviations:
CPG, Clinical practice guideline; IVF, in vitro fertilization; MoG, Monodisciplinary guideline; MuG, Multidisciplinary guideline.
Patient-centred network approach
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