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Quality assessment of acute viral bronchiolitis clinical practice guidelines

Carlos E Rodriguez-Martinez1,2,3, Monica P Sossa-Briceño4, Ranniery Acuña-Cordero5,6

  • 1Department of Pediatrics, School of Medicine, Universidad Nacional de Colombia, Bogota, Colombia.

Journal of Evaluation in Clinical Practice
|September 9, 2015
PubMed

Insights

This study evaluated clinical practice guidelines (CPGs) for infant bronchiolitis, finding significant quality variations. Future CPGs need improvement in applicability and stakeholder involvement for better clinical practice.

Area of Science:

  • Pediatrics
  • Clinical Practice Guidelines
  • Respiratory Illnesses

Background:

  • Clinical practice guidelines (CPGs) aim to standardize bronchiolitis diagnosis and management in infants.
  • Systematic evaluation of the quality of existing CPGs for bronchiolitis is lacking.

Purpose of the Study:

  • To systematically assess the quality of clinical practice guidelines (CPGs) for acute viral bronchiolitis in infants.
  • Identify areas for improvement in CPG development for bronchiolitis management.

Main Methods:

  • A systematic search identified CPGs for bronchiolitis published between 2000 and 2014.
  • The Appraisal of Guidelines Research and Evaluation (AGREE) II instrument was used by three independent appraisers.
  • CPGs were scored across six domains and rated as recommended, recommended with modifications, or not recommended.

Main Results:

  • Six CPGs were selected from 111 citations; high inter-appraiser agreement was observed (ICC: 0.75).
  • Highest scores were for 'scope and purpose' (92.1%) and 'clarity of presentation' (83.3%).
  • Lowest scores were for 'applicability' (44.3%) and 'stakeholder involvement' (66.7%). Three CPGs were recommended with modifications, and two were recommended.

Conclusions:

  • Existing CPGs for infant bronchiolitis exhibit variable quality.
  • Significant room for improvement exists in the applicability and stakeholder involvement domains of CPGs.
  • Findings highlight specific areas for enhancing future CPG development and implementation.
Abstract

Keywords:
bronchiolitisclinical practice guidelinehealth care quality assessment

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