Systematic review of current guideline appraisals performed with the Appraisal of Guidelines for Research & Evaluation II instrument—a third of AGREE II users apply a cut-off for guideline quality
| Autor: | Ulrich Siering, Wiebke Hoffmann-Eßer, Ulrike Lampert, Michaela Eikermann, Edmund Neugebauer |
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| Rok vydání: | 2018 |
| Předmět: |
Research evaluation
medicine.medical_specialty Databases Factual Epidemiology media_common.quotation_subject MEDLINE Guidelines as Topic Guideline 03 medical and health sciences 0302 clinical medicine Systematic review medicine Humans Medical physics Agree ii Quality (business) 030212 general & internal medicine Cut-off Epidemiologic Methods Psychology 030217 neurology & neurosurgery Systematic search media_common |
| Zdroj: | Journal of Clinical Epidemiology. 95:120-127 |
| ISSN: | 0895-4356 |
| Popis: | Objectives To investigate whether Appraisal of Guidelines for Research & Evaluation (AGREE) II users apply a cut-off based on standardized domain scores or overall guideline quality to distinguish between high- and low-quality guidelines, as well as to investigate which criteria they use to generate this cut-off and which type of cut-off they apply. Study Design and Setting We conducted a systematic search in MEDLINE, EMBASE, DARE, and the HTA-database for German- and English-language studies appraising guidelines with AGREE II. Information on cut-offs was extracted and analyzed descriptively. Results We identified 118 relevant publications. Thirty-nine (33%) used a cut-off, of which 24 (62%) used a 2-step and 13 (33%) used a 3-step approach. The cut-off for high quality lay between 50% and 70% (2-step) and 60% and 83% (3-step) of the highest possible rating. Twenty-four (62%) publications applied a cut-off based on standardized domain scores and 7 (18%) based on overall guideline quality. Eleven (28%) applied cut-offs to derive the recommendation for guideline use. Conclusion A third of AGREE II users apply a cut-off to distinguish between high- and low-quality guidelines, often without clearly describing how the cut-off is generated. Many users might welcome a clear distinction between high- and low-quality guidelines; specifying a cut-off for this purpose might be useful. |
| Databáze: | OpenAIRE |
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