Table 3

Survey-based partial agreement Rasch analysis in rapid clinical guideline development.

PurposeDescription
Expert consensusRasch analysis can quantify the collective judgment of expert surgeons in a probabilistic manner,82 turning subjective opinions into measurable data that can be used to formulate guidelines.
Identifying practice patternsClinical practice patterns can be identified, revealing commonalities and variations in how surgeons treat spinal conditions.
Gap analysisIt can highlight areas where there is a lack of consensus or divergent practices, indicating gaps in the evidence base that may require further research.
Outcome correlationResponses from surgeons about their experiences with different treatment approaches can be correlated with patient outcomes, helping to identify which practices yield the best results.
Prioritization of researchThe Rasch model can help prioritize areas where new evidence is most needed, directing research efforts more efficiently and ensuring that living guidelines focus on the most clinically relevant questions.
Dynamic updatesBy regularly surveying spine surgeons and analyzing the data with the Rasch model, living guidelines can be updated to reflect changes in clinical practice and new evidence as they occur.
StandardizationThis model helps standardize the interpretation of qualitative data, which are essential for integrating such information into a living document that must maintain objectivity and credibility.
Quantitative feedbackThe Rasch model provides quantitative feedback from surveys, which can be statistically analyzed to inform evidence grading and recommendation strength in the guidelines.