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Organizations that have endorsed or that are using GRADE*

Some organizations in their enthusiasm to use GRADE, have modified the GRADE approach. We recommend against such modifications because the elements of the GRADE process are interlinked, because modifications may confuse some evidence and guideline users, and because such changes compromise the goal of a single system with which clinicians, policy-makers and patients can become familiar.

WHO World Health Organization - International Example
endocrin Endocrine Society - USA


ACCP American College of Chest Physicians - USA Example
UpToDate UpToDate - Putting Clinical Information Into Practice - USA UTD GRADE tutorial
ASR Agenzia sanitaria regionale, Bologna - Italia
HQO Health Quality Ontario, Ontario - Canada Example
SSC Surviving Sepsis - International
AZQ Ärztliches Zentrum für Qualität in der Medizin - Germany
ATS American Thoracic Society - USA Example
ACP American College of Physicians - USA Example
Cochrane The Cochrane Collaboration - International  
KDIGO Kidney Disease: Improving Global Outcome - International Example
ESTS European Society of Thoracic Surgeons - International  
BMJ British Medical Journal - UK**
JIDC Journal of Infection in Developing Countries - International  
AHRQ Agency for Healthcare Research and Quality (AHRQ) - USA Example
SCCM Society of Critical Care Medicine (SCCM) - USA
NICE National Institute for Clinical Excellence (NICE) - UK  
Norwegian Knowledge Centre for the Health Services - Norway  
UPHS The University of Pennsylvania Health System Center for Evidence-based Practice - USA Example
EBN Germany German Center for Evidence-based Nursing "sapere aude" - Germany  
EBN Adige

Evidence-based Nursing Südtirol, Alto Adige – Italy


Society for Vascular Surgery - USA



Clinical Evidence BMJ Clinical Evidence - UK
EBM-G EBM Guidelines - Finland/International Example
PIEBM Polish Institute for EBM - Poland  
ERS European Respiratory Society (ERS) - Europe  
jstmj Japanese Society for Temporomandibular Joint - Japan



Socialstyrelsen National Board of Health and Welfare - Sweden Example
CADTH COMPUS at The Canadian Agency for Drugs and Technologies in Health (CADTH) - Canada Example
IDSA Infectious Diseases Society of America - USA  
semFYC Spanish Society for Family and Community Medicine - Spain  
EMSC Emergency Medical Services for Children National Resource Center - USA  
SBU SBU – The Swedish Council on Technology Assessment in Health Care - Sweden  
SIGN The Scottish Intercollegiate Guidelines Network (SIGN) - UK Evidence-Based Tuberculosis Diagnosis ( - Canada  
NGCEBHP National & Gulf Center for Evidence Based Health Practice (NGCEBHP) - Saudi Arabia  
ASGE American Society for Gastrointestinal Endoscopy - USA Example
EASL European Association for the Study of the Liver - Europe  
CDCHICPAC CDC's Healthcare Infection Control Practices Advisory Committee (HICPAC) - USA Example
finohta Finnish Office for Health Technology Assessment - Finland Example
NHS QI Scotland NHS Quality Improvement Scotland - UK  
AASLD The American Association for the Study of Liver Diseases - USA  

The Canadian Cardiovascular Society - Canada

La Société Canadienne de Cardiologie - Canada

WAO The World Allergy Organization (WAO) - International Example



Kaiser Permanente - USA  
EMCDDA The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) - Europe  
winfocus World Interactive Network Focused On Critical UltraSound - International  
CUJ Critical Ultrasound Journal - Italy  
ASCCP American Society for Colposcopy and Cervical Pathology - USA  
CBO The Dutch Institute for Healthcare Improvement CBO - The Netherlands  
KSR Kleijnen Systematic Reviews Ltd - UK  
AGA American Gastroenterological Association - USA  
LBI-HTA Ludwig Boltzmann Institut - Austria Example
CTFPHC Canadian Task Force on Preventive Health Care - Canada Example
CNS Canadian Society of Nephrology - Canada  
KDOQI The National Kidney Foundation / KDOQI - USA  
ICSI ICSI - Institute for Clinical Systems Improvement - USA  
WSACS World Society of the Abdominal Compartment Syndrome (WSACS) - International  
CDCACIP CDC's Advisory Committee on Immunization Practices (ACIP) - USA About ACIP GRADE
ASCRS The American Society of Colon and Rectal Surgeons - USA  
AASM The American Academy of Sleep Medicine - USA  
KCE The Belgian Health Care Knowledge Centre (KCE) - Belgium  
RKI Robert Koch Institute - Germany  
Evalmed Oficina de Evaluación de Medicamentos (Servicio Extremeño de Salud) - Spain  
KNGF Royal Dutch Society for Physical Therapy (KNGF) - The Netherlands  
AUGS American Urogynecologic Society - USA  
CDCCDC CDC's Division of Viral Hepatitis - USA  
Helsedirektoratet The Norwegian Directorate of Health - Norway  
EAST The Eastern Association for the Surgery of Trauma - USA  
NHG The Dutch College of General Practitioners - The Netherlands  
SMFM Society for Maternal-Fetal Medicine - USA  
Red Cross American Red Cross - USA  
SSAI Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) - Scandinavia  
Fraser Fraser Health Authority - Canada  
ILCOR International Liaison Committee on Resuscitation (ILCOR) - International  
CEBAM Belgian Centre for Evidence-Based Medicine - Belgium  
TCH Texas Children's Hospital - USA  
NSLIJ North Shore - Long Island Jewish Medical Center - USA  
TRIMBOS Trimbos Institute - The Netherlands  
CFK CFK - Center for Public Health and Quality Improvement, Central Denmark Region - Denmark  
NTP National Institutes of Health - NTP-OHAT - USA  
BRC Centre for Evidence-Based Practice (CEBaP) at the Belgian Red Cross - Belgium  
UMS The Undersea and Hyperbaric Medical Society (UHMS) - International  
JADSM The Japanese Academy of Dental Sleep Medicine - Japan  
JBI The Joanna Briggs Institute (JBI) - Australia  
ERA-EDTA European Renal Association - European Dialysis and Transplant Association - Europe  
ERBP European Renal Best Practice - Europe  
CMHF Canadian Men’s Health Foundation (CMHF) - Canada  
ENNS Evidence Network Neuro* Switzerland  
VG-HTA Regional Health Technology Assessment Centre (HTA-centrum) Region Västra Götaland - Sweden  
DynaMed Plus - International Example

*some endorsements have included minor modifications, most commonly collapsing low and very low quality evidence into a single category

**Groups submitting guidelines to the BMJ are encouraged to use GRADE




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