How to author, publish, and dynamically update digital and trustworthy living evidence summaries, guidelines, and decision aids using MAGICapp
Dena Zeraatkar, McMaster University
Per Olav Vandvik, MAGIC Evidence Ecosystem Foundation
Arnav Agarwal, McMaster University
Background: There is an increasing emphasis on using living evidence to inform decision-making; however, creating living guidelines and decision aids is challenging. MAGICapp (www.magicapp.org) is an open-access software for evidence users, synthesizers, guideline developers, and proponents of shared decision-making to facilitate the creation, dissemination, and updating of trustworthy, digitally structured living evidence and clinical decision support tools. MAGICapp was designed with multiple stakeholders (healthcare providers, consumers, methodologists) while adhering to Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) guidance, with features that are continuously updated through research and innovation.
Objectives: To learn about and get practical experience with authoring, publishing, and dynamic updating of digitally structured living guidelines and evidence summaries with summary of findings (SoF) tables, recommendations, and decision aids using MAGICapp.
Description: The workshop will first introduce examples and features of rigorous practice evidence summaries and guidelines, starting from structured clinical questions (patient/population, intervention, comparison and outcomes [PICO] format) to making SoF tables and recommendations and how MAGICapp facilitates a living format through dynamic updating. Participants will split into groups, simulating panels responsible for updating a guideline for a clinical issue where there is a newly published Cochrane systematic review. Each group will receive a Cochrane review and access to an example brief guideline in MAGICapp that includes a recommendation with a linked SoF table and decision aids (semi-automatically generated from the SoF). Participants will collaborate to author a modified guideline based on the latest review evidence using MAGICapp’s features for updating and adapting content. Workshop facilitators will assist groups through “guideline panel” discussions and using MAGICapp. In a wrap-up session, participants will share experiences of creating and publishing living evidence and guidelines in MAGICapp and propose how to improve the software.