Quality assessment of clinical practice guidelines on treatments for oral cancer
Por:
Anaya, MVM, Franco, JV, Merchan-Galvis, AM, Gallardo, CR, Cosp, XB
Publicada:
1 abr 2018
Resumen:
Background: The applicability of clinical practice guidelines (CPGs) on treatments for oral cancer remains unknown since there are no systematic assessments of their quality. Thus, the objective of this study is to identify and assess the quality of them.
Methods: We conducted a systematic search to identify CPGs that provided recommendations on treatments for oral cancer. The quality of each included CPG was determined using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, by four appraisers independently. The inter-appraisers agreement was assessed.
Results: Twelve CPGs met the eligibility criteria. Overall agreement among appraisers was very good (ICC: 0.865; 95% CI: 0.835-0.889). The mean scores for each AGREE domain were the following: "scope and purpose" 88.4% +/- 12.4%; "stakeholder involvement" 60.4% +/- 25%; "rigor of development" 60.9% +/- 25.3%; "clarity of presentation" 76.5% +/- 19.8%; "applicability" 32.2% +/- 30.7%; and "editorial independence" 61.6% +/- 35.5%. Three CPGs were rated as "recommended"; six as "recommended with modifications"; and three as "not recommended".
Conclusions: Overall, the quality of CPGs on treatments for oral cancer is suboptimal. These findings highlight the need to improve CPG development processes and their applicability in this field. Thus, increased efforts are required to enable the development of high-quality evidence-based CPGs for oral cancer.
Filiaciones:
Anaya, MVM:
Iberoamer Cochrane Ctr, Inst Biomed Res Sant Pau IIB St Pau, Barcelona, Spain
Univ Cartagena, Fac Dent, Dept Res, Cartagena, Colombia
Autonomous Univ Barcelona, Hosp Santa Creu & St Pau, Publ Hlth & Clin Epidemiol Serv, Barcelona, Spain
Franco, JV:
Inst Univ Hosp Italiano, Cochrane Argentina, Buenos Aires, DF, Argentina
Merchan-Galvis, AM:
Iberoamer Cochrane Ctr, Inst Biomed Res Sant Pau IIB St Pau, Barcelona, Spain
Autonomous Univ Barcelona, Hosp Santa Creu & St Pau, Publ Hlth & Clin Epidemiol Serv, Barcelona, Spain
Gallardo, CR:
Hosp Vega Baja Orihuela, Unit Prevent Med, Alicante, Spain
Cosp, XB:
Iberoamer Cochrane Ctr, Inst Biomed Res Sant Pau IIB St Pau, Barcelona, Spain
Autonomous Univ Barcelona, Hosp Santa Creu & St Pau, Publ Hlth & Clin Epidemiol Serv, Barcelona, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
|