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Table 1 The content of the five recommendations

From: Barriers and facilitators to guideline for the management of pediatric off-label use of drugs in China: a qualitative descriptive study

Number

Recommendations

Combined

scores*

6.2

We suggest that medical institutions embed the evidencebased medicine database of children’s offlabel drugs into the hospital’s electronic medical record system to enhance evidencebased decisionmaking, practice, and management. (3; B)

9117

6.1

We suggest to develop an evidencebased medicine database for offlabel use drug use in children in China. (3; B)

9116

4.1

We suggest using the Benefit and Risk Assessment for Offlabel Use (BRAvO) decisionmaking framework. (2; B)

9011

1.2

Clinicians are recommended to refer to the published guidelines or consensus statements on the specific topic for children. (2; B)

9008

4.2

The risks associated with offlabel use of drugs vary between different age groups of children. It is recommended that clinicians pay particular attention on how to treat neonates and preterm infants. (1; A);Clinicians should consider the child’s age and the associated physiological, growth and development characteristics when prescribing drugs offlabel. (5; C)

9008

  1. * Combined scores were the overall urgency and difficulty scores of the recommendations by 896 healthcare professionals. The urgency of implementation (using a 1–7 Likert scale with a gradual increase in the urgency), and the difficulty of implementation (using a 1–7 Likert scale with a gradual increase in the difficulty)