Quality assessment of peripheral artery disease clinical guidelines
Barriocanal, Ana Maria (Institut Germans Trias i Pujol)
López, Anna (Institut Germans Trias i Pujol)
Monreal, Manuel (Universitat Autònoma de Barcelona. Departament de Medicina)
Montané, Eva (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)

Fecha:	2016
Resumen:	Background Clinical practice guidelines (CPGs) provide recommendations to assist health professionals and patients in the process of making decisions for specific clinical conditions to improve the quality of the patient care. However, there are concerns about the quality of some CPGs. The aim of this study was to review the quality of CPGs in pharmacologic management of peripheral artery disease (PAD). Methods A systematic review of CPGs for the pharmacologic treatment of PAD was performed. CPGs published between 2003 and January 2015 in English, Spanish, or French were retrieved using PubMed, Cochrane, and TRIP databases; guideline developer organization Web sites, and European and American scientific societies related to PAD Web sites. One reviewer performed the search and guideline selection, which was validated by a second reviewer. Three appraisers independently assessed the quality of CPGs using the Appraisal of Guidelines, REsearch and Evaluation II (AGREE II) instrument. Results A total of seven CPGs, published between 2006 and 2012, were included. All except one were written in English. Average AGREE II guidelines scores varied from 45% to 72%. There was considerable variation in the quality of the CPGs across the AGREE II domain scores (ranging from 4% to 85%). The highest scored domains were 'clarity of presentation' and 'editorial independence' and the lowest scored domain was 'applicability. ' The reviewers consider that six CPGs could be recommended with modifications for use and one without modification. Conclusions There is great variability in the quality of the CPGs on pharmacologic treatment in PAD. All of the assessed guidelines could be recommended; however, there is considerable scope to improve their quality by highlighting aspects of applicability, the involvement of the stakeholder, as well as the rigor of development.
Derechos:	Tots els drets reservats.
Lengua:	Anglès
Documento:	Ressenya ; recerca ; Versió acceptada per publicar
Materia:	Cardiovascular Agents ; Guideline Adherence ; Humans ; Peripheral Arterial Disease ; Practice Guidelines as Topic ; Practice Patterns, Physicians' ; Quality Improvement ; Quality Indicators, Health Care ; Treatment Outcome
Publicado en:	Journal of Vascular Surgery, Vol. 63 Núm. 4 (january 2016) , p. 1091-1098, ISSN 1097-6809

DOI: 10.1016/j.jvs.2015.12.040

28 p, 1.5 MB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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