Critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence using AGREE II instrument: a systematic review protocol

Yang, Xiaowei; Zhang, Aixia; Tan, Yanquan; Zhang, Zhengbao; Zhang, Jie

doi:10.1136/bmjopen-2019-030299

Cited by 7 publications

(8 citation statements)

References 29 publications

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“…The low inter‐rater agreement we observed in the present study may be related to inherent limitations of the AGREE II tool. In order to overcome this potential shortcoming, more assessors evaluated the guidelines in our study compared with other studies of similar methodology, where the guidelines were scored by two or three appraisers 40,41 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Tsiapakidou

Nygaard

Pape

et al. 2021

Intl J Gynecology & Obste

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Objective To systematically evaluate the content and quality of national and international guidelines on vaginal mesh procedures for pelvic organ prolapse (POP). Methods We searched PubMed, Medline, Web of Science, and ScienceDirect from inception to March 2020 and organizations’ websites. The quality of the guidelines was assessed independently by six appraisers using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Results Five guidelines were included. Most guidelines recommended individualized treatments, clinical observation, and conservative treatment for asymptomatic women discouraging the use of mesh. Vaginal pessary and pelvic floor muscle training are unanimously considered effective treatments. Only two guidelines recommended weight loss. Each guideline recommended patient counseling supported by data on success rates and complications. Most guidelines highlighted the importance of a specialist experienced surgeon, multidisciplinary teams, and national/international registries. All guidelines highlighted potential benefits of the use of mesh and reported possible complications. The overall quality rating ranged between 4.2 and 6.3, suggestive of moderate to high quality. The highest mean score (92.5%) pertained to “Scope and Purpose” and “Clarity of Presentation”, and the lowest to “Editorial Independence” (18%). Three out of five guidelines were “strongly recommended” by the appraisers. Conclusion Although most guidelines were of moderate to high quality, methodological applicability, stakeholder involvement, and editorial independence were domains with low scores.

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Section: Discussionmentioning

confidence: 99%

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Tsiapakidou

Nygaard

Pape

et al. 2021

Intl J Gynecology & Obste

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“…The use and flow of information and knowledge have been similarly analysed in two approaches for information and knowledge audit (González Guitián, de Zayas Pérez, and As for the quality of its design this is just a first approach into adopting very common practices in protocols and CPG appraisal, such as the AGREE (Appraisal of Guidelines, Research and Evaluation) tool, which is widely used to evaluate the quality standard, methodological rigour and transparency of guideline development of CPGs in six qualityrelated domains: scope and purpose, stakeholder involvement, rigor of development, clarity and presentation, applicability, and editorial independence (Chua, Ming, Chang, Santos, Mistry, Silangcruz, Bayley and Koyle 2018;Hou et al, 2019;Shallwani, King, Thomas, Thevenot, De Angelis, Aburub and Brosseau 2019;Yang, Zhang, Tan, Zhang and Zhang, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…The authors discussions and conclussions converged into two interesting issues for this investigation, as they place particular emphasis on: rigor of CPGs as a limitation to improve, considering that it focuses on the methodological process of literature review, evidence gathering and appraisal and recommendations formulation depending on the best available evidence (Chua et al, 2018;Hou et al, 2019); and sistematic review, and sharing of CPGs´ evidence and information may help health professionals to access to well-developed and appropriate materials for knowledge interpretation (Shallwani et al, 2019) and to identify gaps that can be improved (Yang et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Developing an improvement strategy in health research innovation and quality based on technology watch adoption: a cuban case study

et al. 2021

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Objective: To develop an improvement strategy on research, innovation and quality of health, based on technology watch adoption.Method: A non experimental study that comprehends descriptive and bibliometric analysis was used, along with the implementation of technology watch procedure to support the strategy.Originality/Relevance: Technology watch along with strategic intelligence are acknowledged to be key tools in innovation processes as well as in strengthening National Science Technology and Innovation Systems (Guagliano, Villanueva, Perez and Sánchez Rico, 2019); its use has spread to numerous public and private companies, government agencies, consulting institutions, universities and research centers which are being interested in anticipating the continous and emerging challenges from the changing environment and hence making proper strategic decisions (Guagliano, Massaro and Rodríguez Bianchi, 2015); particularly in health care its applications are extended to technology assessment, care services improvement and academic research capacity planning and strengthening (Carrillo Zambrano, Páez Leal, Suárez and Luna-González, 2018). Specifically, Research, Quality and Innovation management at a local health system in Cuba, needs to generate high value-added information and knowledge to enhance performance and accurate decision making.Results: Here we show how the development of technology watch enhance and support the formulation of research, development and innovation projects; and standardization of healthcare services and processes, which were selected as relevant variables in a previous prospective study.Social / management contributions: The results are aligned with the Cuban healthcare strategic goals, for among its current demands, it prioritizes the generation of high-impact scientific and innovative results, as well as the development of a quality strategy that portrays, among its core objectives, health services continuous improvement, based on developing standards, Clinical Practice Guidelines and therapeutic protocols.Theoretical/Methodological contributions: The adoption of Technology and Innovation management and knowledge-based techniques may offer valuable benefits within research and quality of healthcare context.

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“…Before the formal appraisal, the appraisers performed a pilot exercise for two ICWM guidelines with different methodological qualities and discussed and addressed discrepancies. The formal appraisal was performed using an official online platform “My AGREE PLUS ( https:// http://www.agreetrust.org/my-agree/ ),” which is widely used in AGREE II appraisals and may enhance consistency between appraisers [ 22 , 23 ].…”

Section: Methodsmentioning

confidence: 99%

Quality and Specific Concerns of Clinical Guidelines for Integrated Chinese and Western Medicine: A Critical Appraisal

Zhou

Ren

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Objective. This study aimed to investigate the methodological quality of clinical guidelines (CGs) for integrated Chinese and Western medicine (ICWM) to inform clinical practice and guideline development. Methods. We searched PubMed, EMBASE, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang Data, VIP, five guideline databases, and four online book malls to identify ICWM CGs published up to January 11, 2019. Four independent appraisers assessed the quality of CGs using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument and evaluated six specific concerns for ICWM. The standardized scores were calculated for the individual AGREE II domains. Results. Sixty-two ICWM CGs were included. The median standardized scores in the six domains of AGREE II were 65% in scope and purpose, 46% in clarity of presentation, 26% in applicability, 24% in stakeholder involvement, 15% in rigor of development, and 0% in editorial independence. The quality of ICWM CGs was significantly associated with the publication year (higher quality for CGs published after 2014) and the development method (higher quality for evidence-based CGs). Only one ICWM CG obtained a direct recommendation for use, and 14 could be recommended for use after modifications. The intra-appraiser consistency of the AGREE II appraisal was good (mean intraclass correlation coefficient range, 0.813–0.998). ICWM CGs also lacked a systematic search of ancient traditional Chinese medicine (TCM) classics (40.3%), conversion of TCM recommendations from ancient Chinese to the vernacular (14.5%), a discussion of interactions between TCM and Western medicine (27.4%), and rankings of different ICWM choices (0%). Conclusions. Although an improvement after 2014 occurred, the current 64 ICWM CGs are generally of poor methodological quality. Only 15 ICWM CGs can be recommended for use directly or with modifications. As the key distinctions from Western/Chinese medicine CGs, the ICWM-specific recommendations are also insufficient for the ICWM CGs, especially for interactions between TCM and Western medicine and rankings of different ICWM choices. Study Registration. This study has been registered at PROSPERO (no. CRD42018095767).

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Critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence using AGREE II instrument: a systematic review protocol

Cited by 7 publications

References 29 publications

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Developing an improvement strategy in health research innovation and quality based on technology watch adoption: a cuban case study

Quality and Specific Concerns of Clinical Guidelines for Integrated Chinese and Western Medicine: A Critical Appraisal

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