Leonila F Dans1, Ma Lourdes A Salaveria-Imperial2, Red Thaddeus D Miguel3, Carol Stephanie C Tan-Lim4, Gina Antonina S Eubanas5, Maria Teresa S Tolosa5, Beverly Lorraine C Ho6, Maria Asuncion A Silvestre7. 1. Department of Pediatrics, University of the Philippines Manila - Philippine General Hospital, Pedro Gil Street Ermita, Manila, Philippines. Electronic address: lddans@up.edu.ph. 2. Dr. Jose Fabella Memorial Hospital, 1003 Lope de Vega Street Santa Cruz, Manila, Philippines. 3. Asia-Pacific Center for Evidence-Based Healthcare, Mirasol Bldg, 854 Apacible St, Manila 1000, Philippines. 4. Department of Pediatrics, University of the Philippines Manila - Philippine General Hospital, Pedro Gil Street Ermita, Manila, Philippines. 5. St. Luke's College of Medicine, 279 E. Rodriguez Sr. Avenue, Quezon City, Philippines. 6. Department of Health, San Lazaro St, Santa Cruz, Manila, Philippines. 7. Asia-Pacific Center for Evidence-Based Healthcare, Mirasol Bldg, 854 Apacible St, Manila 1000, Philippines; Kalusugan ng Mag-Ina (Health of Mother and Child), Inc., Green Grove Villa, Lantana Road, New Manila, Quezon City, Philippines.
Abstract
BACKGROUND AND OBJECTIVE: High-quality clinical practice guidelines (CPGs) are needed to guide practitioners, policy makers, and other stakeholders to provide optimal health care. This study aims to appraise the CPGs developed in the Philippines using the AGREE II instrument. METHODS: Ninety-one CPGs were appraised independently by two health-care professionals. CPGs were considered acceptable if they garnered an overall mean score of at least 75.0% for all 6 domains and a domain score of at least 75.0% for rigor of development. A mean score of <75.0% on either of the criteria implied that the CPG needed revision. RESULTS: Overall mean scores of the CPGs ranged from 8.4% to 79.2%, with a mean of 43.9% (standard deviation = 13.4%). In general, CPGs scored better for the domains of clarity of presentation, scope and purpose, and stakeholder involvement. Lowest scores were obtained for the domains of rigor of development, applicability, and editorial independence. Only 1 (1.1%) CPG qualified as acceptable. CONCLUSION: AGREE II is a practical and useful guide in appraising the quality of CPGs. Strengthening technical capacity in various medical fields is essential to improve the quality of CPGs. Rigor of development, applicability issues, and editorial independence should be emphasized in CPG capacity-building activities.
BACKGROUND AND OBJECTIVE: High-quality clinical practice guidelines (CPGs) are needed to guide practitioners, policy makers, and other stakeholders to provide optimal health care. This study aims to appraise the CPGs developed in the Philippines using the AGREE II instrument. METHODS: Ninety-one CPGs were appraised independently by two health-care professionals. CPGs were considered acceptable if they garnered an overall mean score of at least 75.0% for all 6 domains and a domain score of at least 75.0% for rigor of development. A mean score of <75.0% on either of the criteria implied that the CPG needed revision. RESULTS: Overall mean scores of the CPGs ranged from 8.4% to 79.2%, with a mean of 43.9% (standard deviation = 13.4%). In general, CPGs scored better for the domains of clarity of presentation, scope and purpose, and stakeholder involvement. Lowest scores were obtained for the domains of rigor of development, applicability, and editorial independence. Only 1 (1.1%) CPG qualified as acceptable. CONCLUSION: AGREE II is a practical and useful guide in appraising the quality of CPGs. Strengthening technical capacity in various medical fields is essential to improve the quality of CPGs. Rigor of development, applicability issues, and editorial independence should be emphasized in CPG capacity-building activities.
Authors: Tanja Kovačević; Davorka Vrdoljak; Slavica Jurić Petričević; Ivan Buljan; Dario Sambunjak; Željko Krznarić; Ana Marušić; Ana Jerončić Journal: Int J Environ Res Public Health Date: 2022-08-03 Impact factor: 4.614