Appraisal of WHO guidelines in maternal health using the AGREE II assessment tool.
Stephanie Polus,Stephanie Polus,Priya Lerberg,Priya Lerberg,Joshua P. Vogel,Joshua P. Vogel,Kanokwaroon Watananirun,Kanokwaroon Watananirun,João Paulo Souza,Matthews Mathai,A Metin Gülmezoglu +10 more
TLDR
The authors' findings showed high scores among the most recent guidelines on maternal and perinatal health suggesting higher quality, however, there is still potential for improvement, especially in including different stakeholder views, transparency of guidelines regarding the role of the funding body and presentation of the guideline document.Abstract:
In 2007, the World Health Organization (WHO) received a criticism for a lack of transparency and systematic methods in the development of guidelines, which were at that time perceived as substantially driven by expert opinion. In this paper we assessed the quality of maternal and perinatal health guidelines developed since then. We used the Appraisal of Guidelines for Research and Evaluation (AGREE) II tool to evaluate the quality of methodological rigour and transparency of four different WHO guidelines published between 2007 and 2011. Our findings showed high scores among the most recent guidelines on maternal and perinatal health suggesting higher quality. However, there is still potential for improvement, especially in including different stakeholder views, transparency of guidelines regarding the role of the funding body and presentation of the guideline document.read more
Citations
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Pediatric Clinical Practice Guidelines for Acute Procedural Pain: A Systematic Review
TL;DR: Despite the increasing availability of clinical practice guidelines for procedural pain in children, the majority are of average quality and more transparency and comprehensive reporting are needed for the guideline development process.
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WHO guidelines for the management of postpartum haemorrhage and retained placenta
TL;DR: WHO guidelines for the management of postpartum haemorrhage and retained placenta and library cataloguing-in-Publication data are published.
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Guideline appraisal with AGREE II: online survey of the potential influence of AGREE II items on overall assessment of guideline quality and recommendation for use
Wiebke Hoffmann-Eßer,Ulrich Siering,Edmund Neugebauer,Anne Catharina Brockhaus,Natalie McGauran,Michaela Eikermann +5 more
TL;DR: In guideline appraisals using AGREE II, items representing rigour of guideline development and editorial independence seem to have the strongest influence on the two overall assessments.
Journal ArticleDOI
Guideline appraisal with AGREE II: Systematic review of the current evidence on how users handle the 2 overall assessments.
Wiebke Hoffmann-Eßer,Ulrich Siering,Edmund Neugebauer,Anne Catharina Brockhaus,Ulrike Lampert,Michaela Eikermann +5 more
TL;DR: The 2 overall assessments of AGREE II are underreported by guideline assessors, and domain 3 (rigour of development) has the strongest influence on the results of the 2 Overall assessments, while the other domains have a varying influence.
Journal ArticleDOI
Systematic review of current guideline appraisals performed with the Appraisal of Guidelines for Research & Evaluation II instrument-a third of AGREE II users apply a cut-off for guideline quality.
TL;DR: Whether Appraisal of Guidelines for Research & Evaluation (AGREE) II users apply a cut-off based on standardized domain scores or overall guideline quality to distinguish between high- and low-quality guidelines is investigated.
References
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Journal ArticleDOI
AGREE II: advancing guideline development, reporting and evaluation in health care
Melissa C. Brouwers,Michelle E. Kho,George P. Browman,Jako S. Burgers,Francoise Cluzeau,Gene Feder,Béatrice Fervers,Ian D. Graham,Jeremy M. Grimshaw,Steven E. Hanna,Peter Littlejohns,Julie Makarski,Louise Zitzelsberger +12 more
TL;DR: A strategy was needed to differentiate among guidelines and ensure that those guidelines that vary widely in quality are distinguished.
Journal Article
Consensus development methods, and their use in clinical guideline development.
M K Murphy,Nick Black,Donna L. Lamping,C M McKee,Colin Sanderson,Janet Askham,Theresa M. Marteau +6 more
TL;DR: This assessment aims to identify the factors that affect the decisions that emerge from consensus development methods and to assess the implications of the findings for the development of clinical guidelines.
Journal ArticleDOI
Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project
TL;DR: The first time an appraisal instrument for clinical practice guidelines has been developed and tested internationally and is sensitive to differences in important aspects of guidelines and can be used consistently and easily by a wide range of professionals from different backgrounds.
Journal ArticleDOI
Use of evidence in WHO recommendations.
TL;DR: Progress in the development, adaptation, dissemination, and implementation of recommendations for member states will need leadership, the resources necessary to undertake these processes in a transparent and defensible way, and close attention to the current and emerging research literature related to these processes.
Journal ArticleDOI
Rating the appropriateness of coronary angiography--do practicing physicians agree with an expert panel and with each other?
John Z. Ayanian,Mary Beth Landrum,Sharon-Lise T. Normand,Edward Guadagnoli,Barbara J. McNeil +4 more
TL;DR: Surveyed physicians agreed with clinical experts about the appropriateness of coronary angiography after myocardial infarction for most indications, indicating that well-designed expert panels can closely reflect the views of practicing physicians.