Guideline terminology: Canadian, US/North American, International

[HollyMed]

Hello! Could you please clarify whether US guidelines are considered to be international guidelines in the following statement:

"In the absence of Canadian guidelines we can consider US or North American guidelines. In the absence of those, we can consider international guidelines. When an international guideline is being submitted, we require authoritative support that the International guidelines are endorsed by a recognized Canadian health
professional organization representing this therapeutic area."

This statement sounds like US guidelines do not need Canadian endorsement, whereas international guidelines do. Wondering if you are separating out US/North American guidelines from international guidelines. Could you please specify when specifically the Canadian endorsement is needed for guidelines (assuming there are no Canadian guidelines available)?

[Jennifer Carroll]

Hey @HollyMed

Please see Q&A 593.

[HollyMed]

Thank you, Jennifer. Is it saying it that in the absence of Canadian guidelines, US guidelines can be used without a letter of endorsement from a Canadian healthcare body?

[Jennifer Carroll]

Hey @HollyMed

Yes, per the copy "In the scenario described above where guidelines lower in the aforementioned hierarchy are being used over the available US guidelines, evidence must be provided to support that these guidelines are a true reflection of Canadian practice". Note that there may be instances where we ask for more information about US guidelines. This is extremely rare and the rationale is disclosed during the review process. If you find yourself in this rare instance, please reach out to the reviewer for clarification.