Clinical practice guidelines for the management of community‐acquired pneumonia: A critical appraisal using the AGREE II instrument
| Autor: | Orlando M. Ariza-Bolívar, Abel Triana, Gaspar Del Rio-Pertuz, Andrea B. Robledo-Solano, Jorge L. Molinares, Jose L. Meza, Jorge Acosta-Reyes |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Editorial independence MEDLINE Nice 030204 cardiovascular system & hematology Rigour law.invention 03 medical and health sciences 0302 clinical medicine Community-acquired pneumonia law medicine Humans 030212 general & internal medicine computer.programming_language business.industry Pneumonia General Medicine Guideline medicine.disease Community-Acquired Infections Critical appraisal Family medicine Practice Guidelines as Topic CLARITY business computer Algorithms |
| Zdroj: | International Journal of Clinical Practice. 74 |
| ISSN: | 1742-1241 1368-5031 |
| DOI: | 10.1111/ijcp.13478 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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