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Are paediatric clinical practice guidelines trustworthy?
Yue Sun1,2,3, Ji Chen1,2,3, Shu-Zhen Shi2,3
1Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China.
Insights
Paediatric clinical practice guidelines (CPGs) demonstrate good quality. Methodological and reporting quality are highly correlated, suggesting CPGs developed with high standards also report well.
Area of Science:
- Medical Research
- Clinical Practice Guidelines
- Healthcare Quality
Background:
- Paediatric clinical practice guidelines (CPGs) are crucial for evidence-based care.
- Assessing the quality of CPGs is essential for their reliable implementation.
- The National Guideline Clearinghouse (NGC) is a key repository for CPGs.
Purpose of the Study:
- To evaluate the methodological quality of paediatric CPGs from the NGC using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument.
- To assess the reporting quality of these CPGs using the Reporting Items for Practice Guidelines in Healthcare (RIGHT) standard.
- To determine the correlation between methodological and reporting quality.
Main Methods:
- A systematic search identified paediatric CPGs within the NGC.
- Two researchers independently assessed guideline quality using AGREE II and RIGHT criteria.
- Statistical analysis was performed using STATA and SPSS.
Main Results:
- Fifty paediatric CPGs were included in the analysis.
- AGREE II scores indicated good overall quality, with high scores for Scope and Purpose (85.6%) and Clarity of Presentation (78.5%). Applicability scored lowest (54.6%).
- The RIGHT standard showed the lowest reporting rate for recommendations (52.86%) and the highest for other information (68%). A strong positive correlation (r=0.77, P<0.001) was found between AGREE II and RIGHT scores.
Conclusions:
- Paediatric CPGs available through the NGC generally exhibit good methodological and reporting quality.
- A significant correlation exists between the completeness of reporting assessed by AGREE II and RIGHT standards.
- High methodological quality in CPGs appears to correspond with high reporting quality, suggesting integrated use of these assessment tools during guideline development.
Aim:
To assess the methodological and reporting quality of paediatric clinical practice guidelines (CPGs) in National Guideline Clearinghouse (NGC) using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument and Reporting Items for Practice Guidelines in Healthcare (RIGHT) standard.
Methods:
We identified all published CPGs through the NGC, and search records were screened in duplicate for inclusion. Two researchers evaluated the methodological and reporting quality of paediatric CPGs using the AGREE II instrument and RIGHT standard. STATA version 12.0 and SPSS version 22.0 software were used to analyse the related data.
Results:
A total of 50 paediatric CPGs were included. The scores for all six domains by AGREE II instrument were presented as follows: scope and purpose (85.6 ± 9.59), stakeholder involvement (69.15 ± 19.32), rigour of development (73.19 ± 17.18), clarity of presentation (78.51 ± 14.36), applicability (54.61 ± 22.63) and editorial independence (68.42 ± 13.06). In the seven domains of the RIGHT standard, the reporting rate of the recommendation domain was the lowest (52.86%).The highest reporting rate was the other information domain, which was 68%.There was a high correlation between reporting the completeness of CPGs using the AGREE II instrument and RIGHT standard (r = 0.77, P < 0.001).
Conclusions:
The paediatric CPGs from NGC have good quality. There was a high correlation in the completeness of reporting for paediatric CPGs using the AGREE II instrument and RIGHT standard. It could be concluded that the CPGs of good methodological quality have good reporting quality. Maybe the researcher should effectively combine the AGREE II instrument and RIGHT standard in the development process of CPGs.
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