The action statements organized in Table 1 are introduced with their assigned recommendation grade, followed by a standardized content outline generated by the BRIDGE-WIZ software.17 Each statement has a content title, a recommendation in the form of an observable action statement, indicators of the evidence quality, and the strength of the recommendation. The action statement profile describes the benefits, harms, and costs associated with the recommendation, a delineation of the assumptions or judgments made by the GDG in formatting the recommendation, reasons for any intentional vagueness in the recommendation, and a summary and clinical interpretation of the evidence supporting the recommendation. The Delphi process was used to determine level of evidence and recommended strength for each key action statement. Each member of the GPG reviewed the supporting evidence for each key action statement and voted on level of evidence and strength of recommendation independent of the other group members using a google survey upon which all votes were tallied and then reported.
