A flexible living approach is needed to maintain NICE’s long-term effects of COVID-19 (LTE) guidelines

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A flexible living approach is needed to maintain NICE’s long-term effects of COVID-19 (LTE) guidelines
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A flexible living approach is needed to maintain NICE’s long-term effects of COVID-19 (LTE) guidelines medrxivpreprint NICEComms COVID19 covid SARSCOV2 publichealth flexible living flexibleliving

By Pooja Toshniwal PahariaMay 16 2023Reviewed by Lily Ramsey, LLM In a recent study posted to the medRxiv* preprint server, researchers described the establishment, execution, and assessment of a flexible living strategy to maintain the long-term effects of the coronavirus disease 2019 guideline by the National Institute for Health and Care Excellence and manage the uncertain and rapidly expanding associated evidence base.

The 24th guidelines on managing COVID-19 LTE were devised in a limited timeframe to address the rise in post-COVID-19 conditions or long COVID cases. The team retrospectively analyzed the stages of guideline development, surveying, and updating from its original documentation in December 2020 to the reactive or trigger-based living strategy in 2022.

NICE guideline usage was evaluated using NICE's digital functions concerning information and technological developments. Data on the duration and frequency of panel sessions convened throughout the initial guideline development and updated processes and data from the adjustable living approach's online poll and expert participation were acquired.

Between January and October 2022, the living approach was implemented, the surveillance continued, and data summaries were prepared periodically, including a remote evidence triage and three summaries of evidence with no updates. The living approach displayed no urgent triggers for updating from the research identified in 2022, saving significant resources over the initial timepoint-based approach, which would commit resources to organize expert panel meetings.

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