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Quality evaluation of metabolic and bariatric surgical guidelines
Zi-Han Qin1, Xin Yang2, Ya-Qi Zheng1
1The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Objective:
To evaluate the quality of surgical guidelines on bariatric/metabolic surgery.
Methods:
Four independent reviewers used the AGREE II (The Appraisal of Guidelines for Research and Evaluation II) tool to assess the methodological quality of the included guidelines and conducted a comparative analysis of the main recommendations for surgical methods of these guidelines.
Results:
Nine surgical guidelines were included in this study. Five articles with AGREE II scores over 60% are worthy of clinical recommendation. The field of rigor of development was relatively low, with an average score of 50.82%. Among 15 key recommendations and the corresponding best evidence in the guidelines, only 4 key recommendations were grade A recommendations.
Conclusions:
The quality of metabolic and bariatric guidelines is uneven, and there is much room for improvement.
