作者
Pablo Alonso-Coello, Affan Irfan, Ivan Solà, Ignasi Gich, Mario Delgado-Noguera, David Rigau, Sera Tort, Xavier Bonfill, Jako Burgers, Holger Schunemann
发表日期
2010/12/1
期刊
Quality and Safety in Health Care
卷号
19
期号
6
页码范围
1-7
出版商
BMJ Publishing Group Ltd
简介
Background
Despite the increasing number of manuals on how to develop clinical practice guidelines (CPGs) there remain concerns about their quality. The aim of this study was to review the quality of CPGs across a wide range of healthcare topics published since 1980.
Methods
The authors conducted a literature search in MEDLINE to identify publications assessing the quality of CPGs with the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument. For the included guidelines in each study, the authors gathered data about the year of publication, institution, country, healthcare topic, AGREE score per domain and overall assessment.
Results
In total, 42 reviews were selected, including a total of 626 guidelines, published between 1980 and 2007, with a median of 25 CPGs. The mean scores were acceptable for the domain ‘Scope and purpose’ (64%; 95% CI 61.9 to 66.4) and ‘Clarity and …
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P Alonso-Coello, A Irfan, I Solà, I Gich… - Quality and Safety in Health Care, 2010