Clinical practice guidelines for the management of community-acquired pneumonia: A critical appraisal using the AGREE II instrument.

Autor:	Triana AJ; Division of Health Sciences, Department of Medicine, Hospital Universidad del Norte and Universidad del Norte, Barranquilla, Colombia., Molinares JL; Division of Health Sciences, Department of Medicine, Hospital Universidad del Norte and Universidad del Norte, Barranquilla, Colombia., Del Rio-Pertuz G; Division of Health Sciences, Department of Medicine, Hospital Universidad del Norte and Universidad del Norte, Barranquilla, Colombia., Meza JL; Division of Health Sciences, Department of Medicine, Hospital Universidad del Norte and Universidad del Norte, Barranquilla, Colombia., Ariza-Bolívar O; Division of Health Sciences, Department of Medicine, Hospital Universidad del Norte and Universidad del Norte, Barranquilla, Colombia., Robledo-Solano A; Division of Health Sciences, Department of Medicine, Hospital Universidad del Norte and Universidad del Norte, Barranquilla, Colombia., Acosta-Reyes J; Division of Health Sciences, Department of Public Health, Universidad del Norte, Barranquilla, Colombia.
Jazyk:	angličtina
Zdroj:	International journal of clinical practice [Int J Clin Pract] 2020 May; Vol. 74 (5), pp. e13478. Date of Electronic Publication: 2020 Feb 24.
DOI:	10.1111/ijcp.13478
Abstrakt:	Objective: The aim of this study was to appraise the methodological quality of published clinical practice guidelines (CPGs) of community-acquired pneumonia (CAP) using AGREE II instrument for further enhancing the CAP CPG development. Methods: We performed a systematic review of published CPGs on CAP from January 2007 to May 2019. All reviewers independently assessed each CPG using the AGREE II instrument. A standardised score was calculated for each of the six domains. Results: Our search strategy identified 4125 citations but just 18 met our inclusion criteria. Agreement among reviewers was very good: 0.98. The domains that scored better were: "scope and purpose" and "clarity and presentation". Those that scored worse were "editorial independence", and "applicability". According to the AGREE II evaluation for each Guideline, the NICE, IDSA, BTS, SWAB, Korea, Consensur II, Colombian and Peruvian CPGs were the only recommended with no further modifications. In addition, ERS and SEPAR CPGs were recommended with modifications, with lower scores regarding the editorial independence and applicability. Conclusion: In conclusion, published CPGs for CAP management vary in quality with a need to improve the methodological and applicability rigour. This could be achieved following the standards for guidelines development and a better emphasis on how to apply CPGs recommendations in clinical practice. (© 2020 John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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