Critical appraisal of the quality of clinical practice guidelines for idiopathic pulmonary fibrosis

Li, Xuanlin; Yu, Xueqing; Xie, Yuansheng; Feng, Zhenzhen; Ma, Yanfang; Chen, Yaolong; Li, Jiansheng

doi:10.21037/atm-20-3200

Cited by 9 publications

(5 citation statements)

References 42 publications

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“…Understanding the purpose of the RIGHT checklist is necessary to assist CPG developers in reporting CPGs, to support peer reviewers in considering CPG reports, and to assist clinicians in understanding and implementing CPGs. Therefore, it is important to improve the quality of CPG reporting during the production or revision of CPGs in the future [ 62 ]. Among the seven domains of the RIGHT scale, Domain 4 (‘recommendations’) had the highest reporting rate, while Domain 5 (‘rationale/explanation for recommendations’) had the lowest reporting rate.…”

Section: Discussionmentioning

confidence: 99%

Quality appraisal of clinical guidelines for Helicobacter pylori infection and systematic analysis of the level of evidence for recommendations

Ou,

Li,

Liu

et al. 2024

PLoS ONE

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Objectives To systematically assess the quality of clinical practice guidelines (CPGs) for Helicobacter pylori (HP) infection and identify gaps that limit their development. Study design and setting CPGs for HP infection were systematically collected from PubMed, Embase, the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature, and six online guideline repositories. Three researchers independently used the AGREE Ⅱ tool to evaluate the methodological quality of the eligible CPGs. In addition, the reporting and recommendation qualities were appraised by using the RIGHT and AGREE-REX tools, respectively. The distribution of the level of evidence and strength of recommendation among evidence-based CPGs was determined. Results A total of 7,019 records were identified, and 24 CPGs met the eligibility criteria. Of the eligible CPGs, 19 were evidence-based and 5 were consensus-based. The mean overall rating score of AGREE II was 50.7% (SD = 17.2%). Among six domains, the highest mean score was for scope and purpose (74.4%, SD = 17.7%) and the lowest mean score was for applicability (24.3%, SD = 8.9). Only three of 24 CPGs were high-quality. The mean overall score of recommendation quality was 35.5% (SD = 12.2%), and the mean scores in each domain of AGREE-REX and RIGHT were all ≤ 60%, with values and preferences scoring the lowest (16.6%, SD = 11.9%). A total of 505 recommendations were identified. Strong recommendations accounted for 64.1%, and only 34.3% of strong recommendations were based on high-quality evidence. Conclusion The overall quality of CPGs for HP infection is poor, and CPG developers tend to neglect some domains, resulting in a wide variability in the quality of the CPGs. Additionally, CPGs for HP infection lack sufficient high-quality evidence, and the grading of recommendation strength should be based on the quality of evidence. The CPGs for HP infection have much room for improvement and further researches are required to minimize the evidence gap.

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Section: Discussionmentioning

confidence: 99%

Quality appraisal of clinical guidelines for Helicobacter pylori infection and systematic analysis of the level of evidence for recommendations

Ou,

Li,

Liu

et al. 2024

PLoS ONE

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“…Unfortunately, only a limited number of CPGs described the details of external review, and none of the CPGs reported the quality assurance process. The finding is 11b If the guideline developers used existing systematic reviews, reference these and describe how those reviews were identified and assessed (provide the search strategies and the selection criteria, and describe how the risk of bias was evaluated) and whether they were updated in line with previously published studies on other diseases, such as idiopathic pulmonary fibrosis (31). If the review process is poorly reported, it is not possible to determine if and how the review was used to improve the guideline and its recommendations.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the reporting quality of clinical practice guidelines on gliomas using the RIGHT checklist

Yang¹,

Ma²,

Lü³

et al. 2021

Ann Transl Med

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Background: The reporting quality of clinical practice guidelines (CPGs) for gliomas has not yet been thoroughly assessed. The International Reporting Items for Practice Guidelines in Healthcare (RIGHT) statement developed in 2016 provides a reporting framework to improve the quality of CPGs. We aimed to estimate the reporting quality of glioma guidelines using the RIGHT checklist and investigate how the reporting quality differs by selected characteristics.Methods: We systematically searched electronic databases, guideline databases, and medical society websites to retrieve CPGs on glioma published between 2018 and 2020. We calculated the compliance of the CPGs to individual items, domains and the RIGHT checklist overall. We performed stratified analyses by publication year, country of development, reporting of funding, and impact factor (IF) of the journal.Results: Our search revealed 20 eligible guidelines. Mean overall adherence to the RIGHT statement was 54.6%. Eight CPGs reported more than 60% of the items, and five reported less than 50%. All guidelines adhered to the items 1a, 3, 7a, 13a, while no guidelines reported the items 17 or 18b (see http://www.rightstatement.org/right-statement/checklist for a description of the items). Two of the seven domains, "Basic information" and "Background", had mean reporting rates above 60%. The "Review and quality assurance" domain had the lowest mean reporting rate, 12.5%. The reporting quality of guidelines published in 2020, guidelines developed in the United States, and guidelines that reported funding tended to be above average. Conclusions:The reporting quality of CPGs on gliomas is low and needs improvement. Particular attention should be paid on reporting the external review and quality assurance process. The use of the RIGHT criteria should be encouraged to guide the development, reporting and evaluation of CPGs.

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“…According to the AGREE II procedure, a CPG's recommendation status is not based on an overall score. According to the classi cation used in prior research7, CPGs in this study were suggested if they scored above 50% in more than four domains [11][12][13] .…”

Section: Methodological Quality Assessment Of Guidelinesmentioning

confidence: 99%

Management of Knee OsteoArthritis(KOA) is improving:A scoping review and quality appraisal of Clinical Practice Guidelines for KOA using the AGREE II and RIGHT

Liu,

Wang,

et al. 2023

Preprint

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Background : Clinical practice guidelines (CPGs) are essential in healthcare, but their quality varies. This study aims to analyze 18 high-quality CPGs for knee osteoarthritis (KOA), identify areas for improvement, and establish common recommendations from contemporary CPGs for effective KOA management.Methods: We systematically searched guideline websites and databases until June 30, 2023, for KOA-related guidelines. Two independent reviewers assessed these using AGREE II and RIGHT checklists. The intra-class correlation coefficient (ICC) evaluated reviewer agreement, and recommendations and evidence levels were summarized.Results: We analyzed 18 Clinical Practice Guidelines (CPGs) from 1,411 records. Most were from China and the USA, published from 2016 to 2022, with 44.44% updates. Methodological quality was reliable, with 14 CPGs "recommended," but three had low "editorial independence" scores. Reporting quality ranged from 41.43–95.71%, with 66.66% scoring ≥ 80%. Recommendations included conservative measures, Tai Chi, Yoga, cane use, and various complementary and alternative medicines. Topical NSAIDs, oral NSAIDs, and intra-articular glucocorticoids were favored. Foreign guidelines stressed shared decision-making and patient preferences in KOA management.Conclusions: Over half of KOA CPGs are of good quality. However, there's substantial methodological variation and reporting quality gaps. Future efforts should enhance both. Our research supports a core set of interventions, including education, exercise, weight management, and personalized NSAID use, for evidence-based KOA practice and guideline development

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Critical appraisal of the quality of clinical practice guidelines for idiopathic pulmonary fibrosis

Cited by 9 publications

References 42 publications

Quality appraisal of clinical guidelines for Helicobacter pylori infection and systematic analysis of the level of evidence for recommendations

Quality appraisal of clinical guidelines for Helicobacter pylori infection and systematic analysis of the level of evidence for recommendations

Evaluation of the reporting quality of clinical practice guidelines on gliomas using the RIGHT checklist

Management of Knee OsteoArthritis(KOA) is improving:A scoping review and quality appraisal of Clinical Practice Guidelines for KOA using the AGREE II and RIGHT

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