Survey-Based Assessment of the Quality of Reporting Guidelines of Carotid Artery Stenosis.

Autor:	Gonzalez-Urquijo M; Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, México; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile., Gómez-Gutiérrez OA; Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, México., Hinojosa-Gonzalez DE; Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, México., Reijnen MMPJ; Department of Surgery, Rijnstate, Arnhem, and Multi-Modality Medical Imaging Group, TechMed Centre, University of Twente, Enschede, The Netherlands., van den Berg JC; Centro Vascolare Ticino, Ospedale Regionale di Lugano, sede Civico, Lugano, Switzerland; Universitätsinstitut für Diagnostische, Interventionelle und Pädiatrische Radiologie, Inselspital, Universitätsspital Bern, Bern, Switzerland., Vegas DH; CEMIC, Buenos Aires, Argentina., Marine L; Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile., Lozano-Balderas G; Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, México., Fabiani MA; Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Nuevo León, México. Electronic address: alefabiani@gmail.com.
Jazyk:	angličtina
Zdroj:	Annals of vascular surgery [Ann Vasc Surg] 2024 Jul 14; Vol. 108, pp. 426-436. Date of Electronic Publication: 2024 Jul 14.
DOI:	10.1016/j.avsg.2024.05.019
Abstrakt:	Background: No evaluation of the quality of different carotid guidelines using validated scales has been performed to date. The present study aims to analyze 3 carotid stenosis guidelines, apprizing their quality and reporting using validated tools. Methods: A survey-based assessment of the quality of the European Society for Vascular Surgery (ESVS) 2023, European Stroke Organisation (ESO) 2021, and the Society for Vascular Surgery (SVS) 2021 carotid stenosis guidelines, was performed by 43 vascular surgeons, cardiologists, neurologist or interventional radiologists using 2 validated appraisal tools for quality and reporting guidelines, the AGREE II instrument and the RIGHT statement. Results: Using the AGREE II tool, the ESVS, SVS, and ESO guidelines had overall quality scores of 87.3%, 79.4%, and 82.9%, respectively (P = 0.001) The ESVS and ESO had better scores in the scope and purpose domain, and the SVS in the clarity of presentation domain. In the RIGHT statement, the ESVS, SVS, and ESO guidelines had overall quality scores of 84.0.7%, 74.3%, and 79.0%, respectively (P = 0.001). All 3 guidelines stood out for their methodology for search of evidence and formulating evidence-based recommendations. On the contrary, were negatively evaluated mostly in the cost and resource implications in formulating the recommendations. Conclusions: The 2023 ESVS carotid stenosis guideline was the best evaluated among the 3 guidelines, with scores over 5% higher than the other 2 guidelines. Efforts should be made by guideline writing committees to take the AGREE II and RIGHT statements into account in the development of future guidelines to produce high-quality recommendations. (Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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