Defining decision thresholds for judgments on health benefits and harms using the grading of recommendations assessment, development, and evaluation (GRADE) evidence to decision (EtD) frameworks: a randomized methodological study (GRADE-THRESHOLD)

BACKGROUND AND OBJECTIVE: GRADE and other evidence to decision (EtD) frameworks are widely used by guideline development groups (GDG) and other decision-makers. When GDGs judge the magnitude of desirable and undesirable health outcomes on EtDs, they typically categorize them as trivial, small, moderate, or large. However, generic judgment or decision thresholds (DTs) that could guide the user about such estimates of effect size or serve as …