Analysis of the quality of clinical practice guidelines on established ischemic stroke

Puerto, M.A. Navarro; Ibarluzea, Jesús; Ruiz, Oscar; Álvarez, F. Moniche; Herreros, Rocío Gómez; Pintiado, Ruth Engelhardt; Domínguez, A. Reyes; León, Ignacio Marín

doi:10.1017/s0266462308080446

Cited by 15 publications

(12 citation statements)

References 24 publications

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“…Results of the AGREE II analysis revealed that there was significant variability in the quality of the CPGs under review, a similar result to that found in a 2007 study, which also examined the quality of stroke CPGs . Although the domain areas of scope and purpose, clarity and presentation, and editorial independence scored in the high range, lower domain scores were in the areas of stakeholder involvement, rigour of development and applicability as Navarro, Puerto et al . (2008) also found.…”

Section: Discussionsupporting

confidence: 74%

Systematic review of the quality of clinical guidelines for aphasia in stroke management

Rohde

Worrall

Dorze

2013

Evaluation Clinical Practice

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Section: Discussionsupporting

confidence: 74%

Systematic review of the quality of clinical guidelines for aphasia in stroke management

Rohde

Worrall

Dorze

2013

Evaluation Clinical Practice

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“…Only two were evaluated as not recommended 41 44. This contrasts with the evaluations of other CPG in other areas where the quality is clearly lower 56 57. Contrary to what might have been expected, in terms of improvement over time, little improvement was detected after the implementation of the AGREE instrument published in 2003.…”

Section: Discussioncontrasting

confidence: 74%

“…Furthermore, there is room for improvement in the area of editorial independence, as only 14 guidelines (63.6%) included a conflict-of-interest statement, and only two provided information about the funding sources. Despite the generally accepted policy of conflict of interest statements in medical journals, this has not yet been widely adopted in CPGs 56. Our results stress the need for improvement in the quality of guidelines in the field of perioperative care, particularly when these decision-making tools claim to be an essential link in the knowledge-translation process.…”

Section: Discussionmentioning

confidence: 70%

Quality assessment of clinical practice guidelines in perioperative care: a systematic appraisal

Barajas-Nava

Solà

Delgado-Noguera

et al. 2010

BMJ Quality & Safety

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“…These organizations include the National Institute for Health and Clinical Excellence (NICE) [46,50,53,54], the Scottish Intercollegiate Guidelines Network (SIGN) [53,55], the New Zealand Guidelines Group [43], the Royal College of Physicians of London [55], and the Canadian Task Force on Prevention Health Care group [55]. The American College of Chest Physicians (ACCP) evidence-based CPGs on anti-thrombotic therapy and prevention of thrombosis, rigorously addressed several of the aforementioned caveats encountered in many CPGs [56-59].…”

Section: Discussionmentioning

confidence: 99%

Guidelines on vitamin D replacement in bariatric surgery: Identification and systematic appraisal

et al. 2016

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Introduction Bariatric surgery is the most effective therapeutic option to reduce weight in morbidly obese individuals, but it results in a number of mineral and vitamin deficiencies. Clinical Practice Guidelines (CPGs) attempt to balance those benefits and harms to provide guidance to physicians and patients. Objectives We compare and evaluate the quality of the evidence and of the development process of current CPGs that provide recommendations on vitamin D replacement in patients undergoing bariatric surgery, using a validated tool. Methods We searched 4 databases, with no time restriction, to identify relevant and current CPGs. Two reviewers assessed eligibility and abstracted data, in duplicate. They evaluated the quality of CPGs development process using the Appraisal of Guidelines, Research, and Evaluation II (AGREE II) tool that consists of 6 domains. A content expert verified those assessments. Results We identified 3 eligible CPGs: (1) the Endocrine Society (ES) guidelines (2010); (2) the American Association of Clinical Endocrinologists (AACE), The Obesity Society (TOS), and the American Society for Metabolic & Bariatric Surgery (ASBMS) guidelines (update 2013); and (3) the Interdisciplinary European (IE) guidelines on Metabolic and Bariatric Surgery (latest update 2014). The ES and the AACE/TOS/ASBMS guidelines recommended high doses of vitamin D, varying from 3,000 IU daily to 50,000 IU 1-3 times weekly. Vitamin D doses were not mentioned in the IE guidelines. The recommendations were based on a low quality of evidence, if any, or limited to a single high quality trial, for some outcomes. In terms of quality, only the IE guidelines described their search methodology but none of the CPGs provided details on evidence selection and appraisal. None of the three CPGs rigorously assessed the preferences of the target population, resource implications, and the applicability of these guidelines. According to the AGREE II tool, we rated the ES guidelines as average in quality, and the other two as low in quality. Conclusion Current CPGs recommendations on vitamin D supplementation in bariatric surgery differ between societies. They do not fulfill criteria for optimal guideline development, in part possibly due to limited resources, and are based on expert opinion. Thus, the pressing need for high quality randomized trials to inform CPGs, to be developed based on recommended standards.

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Analysis of the quality of clinical practice guidelines on established ischemic stroke

Cited by 15 publications

References 24 publications

Systematic review of the quality of clinical guidelines for aphasia in stroke management

Systematic review of the quality of clinical guidelines for aphasia in stroke management

Quality assessment of clinical practice guidelines in perioperative care: a systematic appraisal

Guidelines on vitamin D replacement in bariatric surgery: Identification and systematic appraisal

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