Evaluation of reporting quality in clinical practice guidelines for acute myeloid leukemia using the RIGHT checklist
Ding Li1, Cheng Cheng2, Ziming Wang3
1Department of Pharmacy, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Insights
Clinical practice guidelines for Acute myeloid leukemia (AML) show poor reporting quality. This study evaluated recent AML guidelines, finding significant room for improvement in their reporting standards.
Area of Science:
- Hematology
- Clinical Practice Guidelines
- Medical Research Reporting
Background:
- Acute myeloid leukemia (AML) is a severe blood cancer.
- Clinical practice guidelines (CPGs) are crucial for AML management.
- The reporting quality of AML CPGs has not been previously assessed.
Purpose of the Study:
- To evaluate the reporting quality of recent global AML CPGs.
- To assess adherence to the Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist.
Main Methods:
- Systematic literature search of multiple databases (PubMed, CNKI, Wanfang, CBM) and organizational websites.
- Inclusion of AML CPGs published between January 2016 and December 2020.
- Assessment of 35 RIGHT checklist items by two independent researchers.
Main Results:
- 16 AML CPGs were identified (13 English, 3 Chinese).
- Average overall reporting rate was 52.9%, with only 43.8% of guidelines exceeding 50%.
- Reporting rates varied significantly across RIGHT domains, with 'evidence' and 'review and quality assurance' being particularly low.
Conclusions:
- The reporting quality of current Acute myeloid leukemia CPGs is inadequate.
- Improvements in reporting are necessary to enhance the utility of AML CPGs in clinical practice.
Background:
Acute myeloid leukemia (AML) is an aggressive hematologic malignancy. Clinical practice guidelines (CPGs) on the management of AML have great value in clinical practice. However, the reporting quality of CPGs for AML has not yet been evaluated. This is the first study aiming to evaluate the reporting quality of the most recent AML CPGs published worldwide using the Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist.
Methods:
We systematically searched PubMed, Chinese National Knowledge Infrastructure (CNKI), Wanfang, and Chinese Biomedical Literature (CBM) to extract CPGs for AML published between January 2016 and December 2020. Websites for guideline development organizations and medical associations were also searched. Two independent researchers assessed compliance of the guidelines to each of the 35 checklist items and summarized reporting rates for the 7 domains of the RIGHT checklist.
Results:
We identified 16 guidelines, of which 3 (18.8%) were written in Chinese and 13 (81.3%) were written in English. The average overall reporting rate of the 16 guidelines was 52.9%, and only 7 CPGs (43.8%) had a reporting rate >50%. The average reporting rates of the 7 domains (basic information; background; evidence; recommendations; review and quality assurance; funding, declaration, and management of interests; and other information) were 79.2%, 62.5%, 38.8%, 53.6%, 21.9%, 32.8%, and 43.8%, respectively. For the 35 checklist items, the average reporting rate was 52.9%, and only 16 items had a reporting rate >50%, of which 5 items were reported by all the guidelines. There was 1 item which was not reported by any of the guidelines.
Conclusions:
The reporting quality of recently published AML guidelines remains poor. While the recommendations of CPGs have great value in clinical practice, the reporting quality of CPGs for AML still needs to be improved.
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