AGREE‐S: AGREE II extension for surgical interventions – United European Gastroenterology and European Association for Endoscopic Surgery methodological guide

Abstract

Background: The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument has been developed to inform the methodology, reporting and appraisal of clinical practice guidelines. Evidence suggests that the quality of surgical guidelines can be improved, and the structure and content of AGREE II can be modified to help enhance the quality of guidelines of surgical interventions. Objective: To develop an extension of AGREE II specifically designed for guidelines of surgical interventions. Methods:In the tripartite Guideline Assessment Project (GAP) funded by United European Gastroenterology and the European Association for Endoscopic Surgery, (i) we assessed the quality of surgical guidelines and we identified factors associated with higher quality (GAP I); (ii) we applied correlation analysis, factor analysis andThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

AGREE II for TCM: Tailored to evaluate methodological quality of TCM clinical practice guidelines

“…In this study, we develop the AGREE Ⅱfor TCM instrument to cover the methodological quality assessment of TCM CPGs based on their characteristics. Currently, adaptation and extension studies of AGREE II have been conducted in several fields, including AGREE -S for surgical interventions ( Logullo et al, 2022 ) and AGREE -China for the evaluation of Chinese CPGs ( Wang et al, 2018 ), etc. No extension studies of AGREE Ⅱ for TCM are available yet.…”

“…In this study, we develop the AGREE Ⅱfor TCM instrument to cover the methodological quality assessment of TCM CPGs based on their characteristics. Currently, adaptation and extension studies of AGREE II have been conducted in several fields, including AGREE -S for surgical interventions (Logullo et al, 2022) and AGREE -China for the evaluation of Chinese The AGREE Ⅱfor TCM instrument was developed in an accurate and transparent manner in accordance with international standard methods. Methods of guideline evaluation, literature analysis and expert consensus were used during the development of AGREE Ⅱ for TCM.…”

The tools at our hand to ensure the highest quality, systematicity, transparency and trustworthiness of clinical practice guidelines

“…The current issue of the United European Gastroenterology Journal builds on its previous dedication to guidelines and guideline methods by introducing the AGREE‐S methodological guide, an AGREE II extension for surgical interventions. 1 The AGREE‐S methodological guide is further enhanced by a reporting checklist and appraisal tool available at https://agree‐s.org/ . 1 The AGREE‐S focuses on ensuring the quality of guidelines that specifically target surgical interventions with their characteristic challenges.…”

“… 1 The AGREE‐S methodological guide is further enhanced by a reporting checklist and appraisal tool available at https://agree‐s.org/ . 1 The AGREE‐S focuses on ensuring the quality of guidelines that specifically target surgical interventions with their characteristic challenges. Mainly to be used to aid with the completeness of reporting and transparency in de novo development of recommendations, it is also highly valuable in adoption, adaptation or adolopment of existing guidelines.…”

“…The AGREE‐S methodological guide, developed through a systematic, structured, evidence‐based and stakeholder‐informed consensus, responds to these challenges by proposing to develop a guideline protocol, to use a guideline development committee with a guideline methodologist, and to give special considerations to surgical expertise, among others 1 . We can underpin these points by our experience with a recently developed (not yet published) surgical guideline, where the panel prioritised the setting of a minimum surgical expertise and other necessary standards for certain considered procedures as one of the guideline key questions.…”