Transcript Presentation on the dietary guidelines work program

REVISON OF THE NHMRC
DIETARY GUIDELINES
Overview of the NHMRC guideline development
process and the Dietary Guidelines
work program
July 2008
Overview
1. Presentation
• NHMRC
• Health advice - guidelines
• Dietary Guidelines work program
• Timeframes and milestones
• How can you participate?
2. Questions and discussion
NHMRC
Australia’s peak body for:
• supporting health and medical research
• providing advice on ethical behaviour in
health care and in the conduct of health and
medical research
• developing health advice for the Australian
community, health professionals and
governments
Roles of the NHMRC
1.
2.
3.
4.
Support health and medical research in Australia
Monitor ethical issues in health
Advise on human genetics
Advise on human embryo research and human
cloning
5. Provide evidence-based health advice
- manage and coordinate the development and dissemination
of health advice in a range of formats and on a wide range of
health issues
NHMRC Structure
Health Evidence Advice
Research Investment
NICS
Quality & Regulation
Program Management
Corporate Services
Current NHMRC Guidelines
~80 guidelines available on our website
• clinical practice guidelines:
e.g. Clinical Practice Guidelines for the prevention, early
detection and management of colorectal cancer (2005)
• population health guidelines:
e.g. Australian Alcohol Guidelines: Health Risks and Benefits
(2001)
• ethical guidelines:
e.g. Ethical guidelines on the use of assisted reproductive
technology in clinical practice and research (2007)
http://www.nhmrc.gov.au/guidelines/index.htm
NHMRC Requirements & Standards
1. A guide to the development, implementation and evaluation of
clinical practice guidelines (1999)
- How to review the evidence: systematic identification and review of
the scientific literature (2000)
- How to use the evidence: assessment and application of scientific
evidence (2000)
- How to put the evidence into practice: implementation and
dissemination strategies (2000)
- How to present the evidence for consumers: preparation of
consumer publications (2000)
- How to compare the costs and benefits: evaluation of the economic
evidence (2001)
- Using socio-economic evidence in clinical practice guidelines (2003)
NHMRC Requirements & Standards
2. NHMRC additional levels of evidence and grades for
recommendations for developers of guidelines
- pilot undergoing consultation
- relevant for study types other than randomised
controlled trials
3. NHMRC Standards and Procedures for Externally
Developed Guidelines
http://www.nhmrc.gov.au
NHMRC Act
•
National Health and Medical Research Council Act
(1992)
- Section 9: CEO may issue guidelines developed by Council
► Internally developed guidelines
- Section 14 A (1): CEO may, on the advice of the Council, approve
guidelines prepared by a person or body from
outside the NHMRC
►Externally developed guidelines
External Guidelines
Externally developed guidelines
•
•
•
application to NHMRC by external agency
provision of an NHMRC Guidelines Assessment Register Panel –
methodological expert
external agency manages:
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systematic literature review
advisory committee meetings
drafting of guidelines
public consultation
NHMRC manages:
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independent review
submission of guideline to Council – recommendation to CEO to
endorse the guideline
•
Section 14A of the Act (1992)
Internal Guidelines
NHMRC manages internally developed guidelines
1. appoint an advisory expert working committee
2. systematic literature review
–
–
consider all relevant evidence
evidence can be graded according to its level, quality, relevance
and strength
3. drafting of guidelines
–
include a statement concerning the strength of recommendations
4. public consultation – consider all submissions
5. independent review – process
6. peer review – content
7. submission of guideline to Council
–
recommend to CEO to issue the guideline
8. disseminating guideline – available on NHMRC website
Dietary Guidelines Work Program
• At the beginning of the guideline development process
• Joint project with the Department of Health and Ageing
• Defence Science Technology Organisation contributing
to the review of the Core Food Groups (1994)
Dietary Guidelines Work Program
Revision of the:
- Core Food Groups (1994)
- Dietary Guidelines for Older Australians (1999)
- Dietary Guidelines for Children and Adolescents in
Australia incorporating the Infant Feeding Guidelines for
Health Workers (2003)
- Dietary Guidelines for Australian Adults (2003)
- The Australian Guide to Healthy Eating (1998)
Development of a new dietary guideline for pregnant
and breastfeeding women
Dietary Guidelines Working Committee
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Established to provide expert advice
Terms of Reference
- Input to the development and conduct of necessary literature reviews
- Advice on development of a consultation strategy
- Input to the development of appropriate documents including
guidelines which will take into account:
- the best available scientific evidence
- comments provided through public consultation
- the needs of health service providers
- any other relevant matter
•
Established 21 April 2008
Dietary Guidelines Working Committee
Dr Amanda Lee Chair
Professor Colin Binns Deputy Chair
Professor Sandra Capra, AM
Professor Linda Tapsell
Dr David C.K Roberts
A/ Professor Peter Davies
A/Professor Mark Lawrence
Dr Karen Webb
Dr Dorothy Mackerras
Dr Rosemary Stanton, OAM
Dr Sharon Friel
Ms Clare Hughes
Update of the Core Food Groups
Progress so far:
Draft tender released for comment
Tender released
Contract with Dietitians Association
of Australia (DAA)
Method released for comment
October 2007
December 2007 February 2008
March 2008
July 2008
Core Food Groups (1994) method
• Individuals – RDI or AI
• Groups – AI or EAR
• ‘Base’/’foundation’ diet to meet
nutrient needs within minimal kJ
• Additional ‘total’ diet to meet
remaining kJ needs
= more flexibility
Update of the Core Food Groups
Next steps:
Working Committee to consider method
DAA to undertake modelling
Public consultation
Release of the revised document
August 2008 +
August – December
2008
February 2009
May 2009
Update of the Dietary Guidelines
Progress so far:
Tender released for the systematic
literature review – RFT 2008/64
www.tenders.gov.au
22/08/08
Request for Tender
1. Undertake a systematic review of the national and
international literature from the year 2002, and a review of
key literature between 1997 and 2002, on the food-diethealth-disease inter-relationship for different population
subgroups;
2. Undertake a systematic review of the national and
international literature on food, dietary patterns, nutrition
and environmental sustainability; and
3. Assess and report on national and international peer
reviewed food selection guides and national data on
nutrient intakes.
Update of the Dietary Guidelines
Next Steps:
Award tender
September 2008
Systematic literature review
November 2008 – April 2009
Award tender for drafting of
guidelines
December 2008
Drafting of guidelines
2009
Public consultation of
guidelines
February 2010
Release of guidelines
September 2010
Revised Dietary Guidelines
• NHMRC to consult re. most appropriate format for
revised guidelines
• ? one main evidence text + booklets for specific
population groups
• supporting material:
• consumers/ health professionals
• booklets/ brochures/ posters
• ? web-based format
How can you participate?
• Stakeholder meetings
• Comment on the modelling
• Forward relevant scientific material to NHMRC
• Nutrition on the NHMRC website
- latest news
- survey
- contact details
• Formal public consultation
Contact
All communication regarding the Dietary Guidelines
work program must be through the Dietary Guidelines
Secretariat at:
Marisa Bialowas
Dietary Guidelines Secretariat
NHMRC
GPO Box 1421
Canberra ACT 2601
Phone: (02) 6217 9386
Email: [email protected]
Website: www.nhmrc.gov.au
Questions and Discussion