Quality evaluation of clinical practice guidelines for frail elderly people based on AGREEⅡ and AGREE-REX
10.3760/cma.j.cn115682-20201020-05830
- VernacularTitle:基于AGREEⅡ和AGREE-REX的衰弱老年人临床实践指南质量评价
- Author:
Yetong WANG
1
;
Siyan LI
;
Rongjing YUAN
;
Kaiyan HU
;
Jin LIU
;
Wenyan LI
;
Yanhong WANG
Author Information
1. 兰州大学护理学院 730000
- Keywords:
Aged;
Frailty;
Guideline;
Quality evaluation
- From:
Chinese Journal of Modern Nursing
2021;27(16):2127-2133
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate and analyze the methodology and quality of recommendations in clinical practice guidelines for frail elderly people.Methods:We systematically searched 4 databases including the PubMed, China National Knowledge Infrastructure (CNKI) , China Biology Medicine Database, Wanfang Data, as well as 5 guideline websites involving Guidelines International Network, Canadian Medical Association Clinical Practice Guideline, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, New Zealand Guidelines Group, and supplemented to search Medlive. The Appraisal of Guidelines for Research and EvaluationⅡ (AGREEⅡ) and the Appraisal of Guidelines for Research and Evaluation-Recommendation Excellence (AGREE-REX) were used to evaluate the overall quality of the included guidelines and the quality of the recommendations respectively.Results:A total of 862 documents were retrieved, and 5 guidelines were finally included after screening. Among the overall scoring results of the guideline, there were 4 articles in Grade B and 1 article in Grade C. The average scores of 6 fields in AGREEⅡ were scope and purpose 82.2%, stakeholder involvement 54.5%, rigor of development 38.7%, clarity of presentations 83.3%, applicability 30.8% and independence 21.1%. The average scores of 3 fields in AGREE-REX were clinical applicability 73.3%, values and preferences 20.8%, and implementability 65.0%. The guideline issued by the International Conference on Frailty and Sarcopenia Research in 2019 was of the highest quality.Conclusions:Most of the guidelines come from developed countries in Europe and America, and there are no clinical practice guidelines for frail elderly people in China. The newly released guidelines have improved the quality of the methodology and guideline recommendations, but the four fields of rigor, applicability, editorial independence, values and preferences need to be improved.
