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Related Experiment Videos

Updated clinical guidelines experience major reporting limitations.

Robin W M Vernooij1, Laura Martínez García2, Ivan Dario Florez3,4

  • 1Iberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.

Implementation Science : IS
|October 14, 2017
PubMed
Summary

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This summary is machine-generated.

Reporting of updated clinical guidelines (CGs) shows significant room for improvement. The Checklist for the Reporting of Updated Guidelines (CheckUp) tool demonstrated excellent reliability for assessing CG reporting quality.

Area of Science:

  • Clinical Practice Guidelines
  • Health Services Research
  • Evidence-Based Medicine

Background:

  • The Checklist for the Reporting of Updated Guidelines (CheckUp) was developed to assess guideline reporting.
  • No systematic assessment of the reporting completeness of updated clinical guidelines (CGs) existed prior to this study.
  • The quality of reporting for updated CGs needs systematic evaluation.

Purpose of the Study:

  • To examine the completeness of the reporting process for updated CGs.
  • To evaluate the inter-observer reliability of the CheckUp tool in assessing CG reporting.
  • To identify areas for improvement in the reporting of updated clinical guidelines.

Main Methods:

  • A systematic assessment of 60 updated CGs published in 2015 was conducted using the 16-item CheckUp tool.
Keywords:
Checklist/standardsGuideline [publication type]Publishing/standards

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  • Three independent reviewers assessed the CGs, and scores were converted to a 10-point scale.
  • Intraclass correlation coefficients (ICC) were calculated to determine inter-observer reliability.

    • Main Results:

    • The median overall score for updated CGs was 6.3 out of 10, indicating considerable variation in reporting quality.
    • Specific areas like presentation and justification of recommendations, external review, and implementation strategies were poorly reported.
    • European/international CGs scored significantly higher than North American/Asian CGs; inter-observer agreement for CheckUp was excellent (ICC=0.88).

    Conclusions:

    • The reporting of updated clinical guidelines is inconsistent and requires substantial improvement.
    • The CheckUp tool is a reliable instrument for evaluating the reporting quality of updated CGs.
    • CheckUp can serve as a blueprint for enhancing the methods and reporting of guideline updates.