Li Ka Shing Knowledge Institute, Toronto, ON
Regrets: Donna Reynolds (TF Member), Christina Korownyk (TF Member), Kate Morissette (PHAC)
Dr. Thombs opened the meeting by welcoming a new staff member, Robyn Beckett, who is the new knowledge broker with the Knowledge Translation team. Dr. Kidd announced that this was his last Task Force meeting, as he will be leaving at the end of March 2020 to return to Australia. Dr. Kidd will be leading primary care reform for the Australian government, and setting up a new research institute on health systems reform. Dr. Kidd thanked the Task Force for the honor and privilege of working with the group.
D. Thombs made several announcements regarding the logistics of the meeting, as well as announcing that Dr. Moore will be presenting a webinar for the Royal College of Family Physicians in the coming weeks. Dr. Thombs encouraged members to provide suggestions for other opportunities to present on the Task Force externally. Template slides for conference presentations are being developed.
Dr. Lang provided an overview of results and an update on the guideline on screening for depression in pregnant and postpartum populations. Dr. Lang and the Working Group were looking for input from the Task Force on issues relevant to drafting the guideline. Particularly they were looking for clarification on what would be considered ‘usual care’ in pregnancy/postpartum depression, as well as input regarding the evidence to decision-making table with questions around acceptability and resource utilization.
Dr Thombs noted that under the Task Force’s current scope and timeline for updating guidelines, the Task Force would be completing 6-7 guidelines per year in a couple of years. This current plan is unrealistic in terms of resource requirements and availability; thus the Task Force general model needs to be revised. Dr. Thombs illustrated this challenge by presenting the guideline timeline spreadsheet prepared by Ms. Cortinovis.
Ms. Limburg presented a proposal on the Task Force approach towards surveillance and updating guidelines (i.e. a Combined Surveillance and Review Plan).
Ms. Limburg presented on the Task Force topics selection process and the projected guideline timelines. Ms. Limburg also presented different options for scoping topics in 2020.
Dr. Moore provided a brief high-level verbal update on the Chlamydia and Gonorrhea guideline.
Ms. Barnhardt provided an update on recent Task Force related communications activities and new initiatives being developed by the Communications Team.
Dr. Rolland-Harris provided an overview of the background and history of the Depression in Adults guideline in 2013 versus in 2020 (i.e. compared frameworks, systematic reviews and recommendations). The Working Group was looking for guidance from the Task Force on the language and formatting of the recommendation. They also had questions in terms of the consistency and alignment of the guideline with the Depression in Pregnant and Postpartum Women recommendation.
Dr. Tricco presented a primer on network meta-analysis to the Task Force, using the Falls Prevention guideline as an example.
Dr. Riva provided an overview of network meta-analysis results.
Ms. Burnett provided an update on recent and upcoming activities of the Knowledge Translation (KT) team. This included activities and initiatives related to Task Force guidelines and KT tools, dissemination activities, KT Working Group, and outreach and patient engagement.
Ms. Pillay presented results and GRADE assessments for the Fragility Fractures guideline. Ms. Pillay and the Fragility Fractures Working Group were also looking for feedback from the Task Force members on the scope of KQ3.
Dr. Rolland-Harris presented a proposal developed by the Methods Working Group on the best wording to use for low certainty evidence. The Working Group was seeking Task Force approval for this approach, towards standardizing wording certainty and effect for very low certainty evidence.
The Working Group Chairs provided brief verbal updates of the status and recent activities of each guideline working group.
Mr. Beck presented (via teleconference) on different options for registering Task Force protocols.
Dr. Thombs thanked all meeting attendees and presenters and reminded Task Force members to submit their expense materials to administrators as soon as possible (before the end of fiscal year).
The next Task Force in-person meeting will be taking place in Ottawa, ON in June 15-16th, 2020.