Developing and Testing the Agency for Healthcare Research and Quality's National Guideline Clearinghouse Extent of Adherence to Trustworthy Standards (NEATS) Instrument
| Autor: | Karen M Schoelles, J Jue, Richard N. Shiffman, Vivian Coates, Mary P. Nix, Paul G. Shekelle, Kathleen N. Lohr, Sarah Cunningham, Craig W. Robbins |
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| Rok vydání: | 2019 |
| Předmět: |
01 natural sciences
External validity 03 medical and health sciences 0302 clinical medicine United States Agency for Healthcare Research and Quality Health care Internal Medicine Medicine 030212 general & internal medicine 0101 mathematics National Guideline Clearinghouse National Academies of Science Engineering and Medicine U.S. Health and Medicine Division Medical education Evidence-Based Medicine business.industry 010102 general mathematics Health services research General Medicine Guideline United States Inter-rater reliability Systematic review Practice Guidelines as Topic Guideline Adherence business Health care quality |
| Zdroj: | Annals of Internal Medicine. 170:480 |
| ISSN: | 0003-4819 |
| DOI: | 10.7326/m18-2950 |
| Popis: | In 2011, the Institute of Medicine (IOM) (now the National Academy of Medicine) published standards for trustworthy guidelines and recommended that the National Guideline Clearinghouse (NGC) of the Agency for Healthcare Research and Quality clearly indicate the extent to which guidelines adhere to these standards. To accomplish this, the authors developed and tested the NGC Extent of Adherence to Trustworthy Standards (NEATS) instrument. The standards were operationalized as an instrument containing 15 items that cover disclosure of the funding source; disclosure and management of conflicts of interest; multidisciplinary input; incorporation of patient perspectives; rigorous systematic review; recommendations accompanied by rationale, assessment of benefits and harms, clear linkage to the evidence, and assessment of strength of evidence and strength of recommendation; clear articulation of recommendations; external review by diverse stakeholders; and plans for updating. After multiple rounds of feedback from experts on clinical practice guideline development, the external validity and interrater reliability of the instrument were evaluated. For each item, 80% to 100% of survey respondents judged it to be a good measure of the IOM standards. All external stakeholders stated that NEATS was suitable for its intended goal. Interrater reliability for the final NEATS instrument had a weighted κ of 0.73. The NEATS instrument is a focused tool that provides a concise evaluation of a guideline's adherence to the IOM standards for trustworthy guidelines. It has good external validity among guideline developers and good interrater reliability across trained reviewers. |
| Databáze: | OpenAIRE |
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