The AGREE Enterprise: a decade of advancing clinical practice guidelines
Julie Makarski, Melissa C Brouwers1,
1Department of Oncology, McMaster University, Juravinski Hospital and Cancer Centre Site, G Wing, Second Floor, Room 207, 1280 Main Street West Hamilton, Hamilton, Ontario, Canada. mbrouwer@mcmaster.ca.
Implementation Science : IS
|August 16, 2014
Summary
The AGREE Enterprise has advanced practice guideline development and quality of care through international collaboration and tool refinement. Its widely adopted AGREE II instrument is available in 33 languages and referenced in over 600 publications.
Area of Science:
- Health Services Research
- Clinical Practice Guidelines
- Healthcare Quality Improvement
Background:
- The Appraisal of Guidelines for REsearch and Evaluation (AGREE) Instrument, first published in 2003 and revised as AGREE II in 2009, addressed a critical need in guideline development and quality of care.
- The AGREE Enterprise has a decade-long history of projects and international collaboration focused on enhancing the science and quality of practice guidelines.
Purpose of the Study:
- To reflect on the AGREE Enterprise's contributions to advancing the science and quality of practice guidelines.
- To highlight the international adoption and impact of the AGREE and AGREE II instruments.
- To outline future directions for improving guideline quality and healthcare systems.
Main Methods:
- The AGREE Enterprise has focused on tool improvement and resource development to support the use of the AGREE instruments.
- International collaboration has facilitated broad uptake and adoption of the AGREE tools.
- Website analytics and literature scans were used to assess the reach and impact of the AGREE tools.
Main Results:
- The AGREE II instrument has been translated into 33 languages, initiated by the international community.
- Over 600 articles published in the literature reference the AGREE tools, demonstrating widespread use.
- Numerous organizations have integrated AGREE into their formal practice guideline programs, with the website attracting over 10,000 registered users.
Conclusions:
- The AGREE Enterprise has significantly contributed to guideline advancements through research and global participation.
- Ongoing collaborations are anticipated to further improve the quality of care and healthcare systems worldwide.
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