Using the IEtD - interactive Evidence to Decision framework

There is an extensive 'interactive Evidence to Decision' (iEtD) framework that has been developed through the DECIDE project.  See: Information for organizations who want to use the iEtD

  • Informing panel members’ judgements about the pros and cons of each intervention that is considered
  • Ensuring that important factors that determine a decision (criteria) are considered
  • Providing a concise summary of the best available research evidence to inform judgements about each criterion
  • Helping structure discussion and identify reasons for disagreements
  • Making the basis for decisions transparent to guideline users or those affected by a policy decision
  • EtD frameworks include a question with details and background information, an assessment with criteria for making a decision, and conclusions.

The guidance for the different iEtD factors are found here: Guidance for judgements for each criterion. See more at:

Research papers published in BMJ:
EtD 1 Introduction:
EtD 2 Clinical practice guidelines:

Important to know

  1. iEtD is developed and maintained by Epistemonikos, and has been created through the DECIDE project. All feature-requests and issues will be handled by Epistemonikos, but we can help bringing along and follow up requests
  2. Only guidelines belonging to an organization can use iEtD, it will not work with personal guidelines. (contact us to set up an organization account).
  3. iEtDs are connected to your PICO questions. All PICO questions can have an iEtD attached. 
  4. All Authors in your guideline will get automatic access to the iEtD when they access it from a PICO in a guideline where they have author permissions. 
  5. Your Organization will get an account on the iEtD platform, it will happen automatically when you access the iEtD. There is no additional setup required, but all users must create a username and password on the iEtD site. 

How to create and use the iEtD from a guideline

1. Go to the option menu of the PICO you would like to go though a iEtD with. Click Create iEtD. 

2. You get a popup from Epistemonikos. Log in if you have an account, or scroll down and create a login.

3. You get a request to Authorize your iEtD account with MAGIC.


4. After you Authorize your iEtD account you get a dialog window where you name your iEtD framework and choose which template to use.

You will get a choice of the standard templates, but your organization can also choose to make their own templates. Its done on the iEtD platform. Click create and the iEtD is created and can now be accessed from the options menu of the PICO.

5. After clicking the Go to iEtD you are transferred to the iEtD platform

On the iEtD site you fill out your iEtD form, have authors vote and create exports and links for reviewers. 
If you are an admin in an organisation using iEtD, please email us, and we will give you admin access to your account in iEtD, so that you can make changes, add external users (that does not have access through MAGICapp), and create templates.

6. Can end users/readers see the iEtD I have made?

Yes, but not by default. The detailed view you see above is meant more for the development phase. If you want end users/readers to view the iEtD, you can create a public export version from inside your iEtD framework. You will then get an URL that can be pasted as a link directly in the rationale or key information part of your recommendation, or you can place it as Reference to the PICO or recommendation so that users can access it from the reference list.

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