Evaluation of the Work Loss Data Institute's Official Disability Guidelines
ResearchPosted on rand.org Jan 24, 2018Published in: Journal of Occupational and Environmental Medicine [Epub November 2017]. doi: 10.1097/JOM.0000000000001230
Objective
The widely used Official Disability Guidelines (ODG™), a utilization review guideline for occupational conditions, has not been independently evaluated recently.
Methods
We applied the appraisal of guidelines for research and evaluation (AGREE II) and modified a measurement tool to assess systematic reviews (AMSTAR) instruments to assess guideline development methods and the quality of supporting systematic reviews. Multidisciplinary experts rated the validity of clinical content for 47 topics.
Results
The overall AGREE II score was 58% due to a combination of favorable attributes (breadth, clear recommendations, frequent updating, and application tools) and unfavorable attributes (scant input from workers and uncertainty about editorial independence). The modified AMSTAR rating was fair/good due to limited information on methods. Panelists rated clinical content as valid for 41 topics.
Conclusions
ODG appears to be acceptable to clinicians, but ODG requires greater rigor to keep pace with methodological advances in the field of guideline development.
Topics
Document Details
- Copyright: American College of Occupational and Environmental Medicine
- Publisher: Wolters Kluwer Health, Inc
- Availability: Non-RAND
- Year: 2017
- Pages: 26
- Document Number: EP-67458
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