Appraisal of clinical practice guidelines for management of paediatric type 2 diabetes mellitus using the AGREE II instrument: a systematic review protocol

Zeraatkar, Dena; Nahari, Ahmed; Wang, Pei‐Wen; Kearsley, Emily; Falzone, Nicole; Xu, Michael; Banfield, Laura; Thabane, Lehana; Samaan, M. Constantine

doi:10.1186/s13643-016-0288-3

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…This systematic review is registered with PROSPERO (registration number: CRD42016034187), and detailed methods are available in the published protocol [ 8 ]. This systematic review is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and a checklist is available as a supplementary material (Additional file 1 ) [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

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The quality of clinical practice guidelines for management of pediatric type 2 diabetes mellitus: a systematic review using the AGREE II instrument

et al. 2018

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AimsPediatric type 2 diabetes mellitus (T2DM) is a relatively new disease with increasing incidence corresponding to the obesity epidemic among youth. It is important for clinicians to have access to high-quality clinical practice guidelines (CPGs) for appropriate management of pediatric patients with T2DM. The objective of this systematic review was to evaluate overall quality of CPGs for the management of pediatric T2DM using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.MethodsWe searched MEDLINE, Embase, CINAHL, Trip, National Guideline Clearinghouse, and grey literature to identify eligible CPGs. We also searched the webpages of national and international diabetes and pediatric organizations globally. We included CPGs from national and international diabetes and pediatric associations that were published as standalone guidelines for T2DM in children and adolescents (2–18 years of age). We also included pediatric and adult guidelines for type 1 diabetes if they included a section addressing T2DM management in children and adolescents. We retrieved the two most recent guidelines from each organization when available to assess change in quality over time. We excluded individual studies and systematic reviews that made treatment recommendations as well as CPGs that were developed for a single institution.ResultsWe included 21 unique CPGs in this systematic review. Of the included guidelines, 12 were developed or updated between 2012 and 2014. Five of all included CPGs were specific to pediatric populations. The analysis revealed that “Rigour of Development” (mean 45%, SD 28.68) and “Editorial Independence” (mean 45%, SD 35.19) were the lowest scoring domains on the AGREE II for the majority of guidelines, whereas “Clarity of Presentation” was the highest scoring domain (mean 72%, SD 18.89).ConclusionsOverall, two thirds of the pediatric T2DM guidelines were moderate to low quality and the remaining third ranked higher in quality. Low quality was especially due to the scores for the “Rigour of Development” domain, which directly measures guideline development methodology. It is important that future guidelines and updates of existing guidelines improve the methodology of development and quality of reporting in order to appropriately guide physicians managing children and adolescents with T2DM.Systematic review registrationPROSPERO CRD42016034187Electronic supplementary materialThe online version of this article (10.1186/s13643-018-0843-1) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

“…We excluded individual systematic reviews and primary studies that provided recommendations on the management of T2DM. Guidelines addressing drug-induced and genetic forms of diabetes were also excluded [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

The quality of clinical practice guidelines for management of pediatric type 2 diabetes mellitus: a systematic review using the AGREE II instrument

et al. 2018

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“…23 Thus, the AGREE II instrument is used by health institutions and health policymakers to discriminate on recommended or not recommended guidelines for infectious 24 and non-infectious diseases in pediatrics. 25 The evaluation methodology of the CPGs with the AGREE II instrument is known and has been the subject of publications to explain the influence of the evaluation and the importance of the components of the instrument, to try to be as objective as possible. 26 It is important to notice that the position paper by the ESPGHAN 13 has a search methodology and elaboration of recommendations of the most updated, disseminated and recognized which is the GRADE methodology, 27 but it is not a GPC.…”

Section: Discussionmentioning

confidence: 99%

Methodological quality of clinical practice guidelines on probiotics in acute gastroenteritis in children using the appraisal of guidelines for research & evaluation II instrument (AGREE II)

Saito¹,

Rodríguez²,

Galarza³

2018

GHOA

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Acute Gastroenteritis (AGE) is one of the diseases that most frequently affects paediatric population. Successful treatment in AGE has been mainly based on prevention and treatment of its complications; however every day, we find more publications on the use of adjuvants to decrease its duration. Some probiotics report benefits, particularly in terms of reducing duration of the episode or stool frequency. We look for clinical guidelines that recommend their use in AGE in children and we assessed their methodology quality by the Appraisal of Guidelines for Research & Evaluation (AGREE II) instrument. All of the CPG consider that the administration of Lactobacillus rhamnosus GG and Saccharomyces boulardii should be considered in the management of children with AGE as an adjunct to rehydration therapy with different levels of evidence. Four CPG had one rating higher than 60% in 4 or more domains and one in only one domain. Only a CPG was greater than 60% in all domains. Four had an overall score greater than or equal to 5 and were 'recommended', and one with modifications, according to the instrument AGREE II. In conclusion: the selected GPC have good methodological quality, but are not specific to probiotics. Despite, they should be spread for better decision making.

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“…The present systematic review was registered in PROSPERO (registry number: CRD42020195678) and detailed methods are available in the published protocol [ 19 ]. The systematic review is reported according to PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) and to a checklist available as supplementary material [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

Quality assessment of clinical practice guidelines for the management of paediatric dental emergencies applicable to the COVID-19 pandemic, using the AGREE II instrument. A systematic review

Miranda¹,

Alcaychahua²,

Santos³

et al. 2020

Heliyon

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Objective To assess the quality of Clinical Practice Guidelines (CPG) related to the management of paediatric dental emergencies applicable to the COVID-19 pandemic, through the use of the measuring instrument AGREE II (Appraisal of Guidelines for Research and Evaluation in Europe). Sources and Data collection A rigurous online search of CPG was accomplished among the main CPG compilers: National Institute for Health and Care Excellence (NICE), National Guideline Clearinghouse, Agency for Healthcare, Research and Quality (AHRQ), Andalusian Health Technology Assessment Department (AETSA), American Academy of Family Physicians, Tripdatabase. Furthermore, because of the need to identify CPG that meet the inclusion criteria, a manual search, among the main national and international dental organizations as well as recognized web sites, was also accomplished. Selection of research studies All of the guides focused on paediatric dental emergencies, available in the database and “gray” literature, and published between 2000 and 2020 (applicable to COVID-19 pandemic) were included without any language restrictions. The CPG that did not contain the full paper or were addressed to adults or children with special needs, were excluded from the selection. The evaluation of the CPG, independently included, were achieved by four (04) experts by using AGREE II. Results Five (05) out of twenty-three (23) selected CPG, were classified as “acceptable” according to AGREE II. These five guides were evaluated to determine their “Recommendation degree”. Only one (01) CPG “Guía Clínica AUGE de Urgencias Odontológicas Ambulatorias-Chile, 2011” reached a score of 75%, the highest among the other guides (5 domains with a score >= 60%, including the domain III “Rigour of Development”) to be considered as a “highly recommended” CPG. Conclusions According to the quality assessment and recommendation degrees criteria from AGREE II, high, middle and low quality CPG were identified. Only one CPG reached a score of 75%, to be classified as “highly recommended”. Therefore, it is suggested that the existing CPG updates and future CPG use the available tools and methodologies during their elaboration, in order to guarantee their quality. Clinical significance High quality CPG for the management of dental emergencies are designed to support dental health professionals in decision-making to adopt specific dental procedures in the current COVID-19 pandemic. As a matter of fact, these CPG might contribute to reduce the risk of transmission, in case of fresh outbreak of the illness. Likewise, they might help to determine which cases warrant medical attention in centres with special facilities for COVID-19.

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Appraisal of clinical practice guidelines for management of paediatric type 2 diabetes mellitus using the AGREE II instrument: a systematic review protocol

Cited by 5 publications

References 29 publications

The quality of clinical practice guidelines for management of pediatric type 2 diabetes mellitus: a systematic review using the AGREE II instrument

The quality of clinical practice guidelines for management of pediatric type 2 diabetes mellitus: a systematic review using the AGREE II instrument

Methodological quality of clinical practice guidelines on probiotics in acute gastroenteritis in children using the appraisal of guidelines for research & evaluation II instrument (AGREE II)

Quality assessment of clinical practice guidelines for the management of paediatric dental emergencies applicable to the COVID-19 pandemic, using the AGREE II instrument. A systematic review

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