Jia-Jun Lv1, Ting Yang2, Yun-Ying Gong2, Xing-Zong Huang2, Lin Zhang2, Jin-Hong Wu2, Yun-Yun Cen3, Da-Li Sun4. 1. Department of Gastroenterology, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical University, Kunming, 650101, China. 2. Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical University, Kunming, 650101, China. 3. Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical University, Kunming, 650101, China. destinyky@163.com. 4. Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical University, Kunming, 650101, China. sundali2018@126.com.
Abstract
BACKGROUND: Some guidelines for management of Hirschsprung's disease (HSCR, HD) have been developed, but their quality is vague. This study will systematically assess the quality of guidelines and analyze the key recommendations and the best evidence for guidelines. METHODS: Applicable guidelines were retrieved using a systematic search of databases. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was used to assess the quality of the guidelines. Then, the recommendations and evidence for the included guidelines were extracted and compared. RESULTS: A total of nine guidelines were included in this study, and only one had an overall standardized score of more than 60%, indicating that it is worthy of recommendation. The problems identified included ambiguous and low-quality evidence; obvious distributional heterogeneity among the recommendations; a lack of in-depth discussion on the interpretation of staging, diagnostic methods, conservative treatment, and surgical staging of disease. CONCLUSION: The quality of guidelines varies widely, and there is a lack of high-quality professional opinions and supporting evidence for the main recommendations. At present, only comprehensive guidelines can be considered high-quality and there is still room for improvement.
BACKGROUND: Some guidelines for management of Hirschsprung's disease (HSCR, HD) have been developed, but their quality is vague. This study will systematically assess the quality of guidelines and analyze the key recommendations and the best evidence for guidelines. METHODS: Applicable guidelines were retrieved using a systematic search of databases. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was used to assess the quality of the guidelines. Then, the recommendations and evidence for the included guidelines were extracted and compared. RESULTS: A total of nine guidelines were included in this study, and only one had an overall standardized score of more than 60%, indicating that it is worthy of recommendation. The problems identified included ambiguous and low-quality evidence; obvious distributional heterogeneity among the recommendations; a lack of in-depth discussion on the interpretation of staging, diagnostic methods, conservative treatment, and surgical staging of disease. CONCLUSION: The quality of guidelines varies widely, and there is a lack of high-quality professional opinions and supporting evidence for the main recommendations. At present, only comprehensive guidelines can be considered high-quality and there is still room for improvement.
Authors: Laura V Veras; Michael Arnold; Jeffrey R Avansino; Kevin Bove; Robert A Cowles; Megan M Durham; Allan M Goldstein; Chandra Krishnan; Jacob C Langer; Marc Levitt; Hector Monforte-Munoz; Raja Rabah; Miguel Reyes-Mugica; Michael D Rollins; Raj P Kapur; Ankush Gosain Journal: J Pediatr Surg Date: 2019-03-21 Impact factor: 2.545
Authors: Ankush Gosain; Philip K Frykman; Robert A Cowles; John Horton; Marc Levitt; David H Rothstein; Jacob C Langer; Allan M Goldstein Journal: Pediatr Surg Int Date: 2017-02-02 Impact factor: 1.827
Authors: J C Langer; M D Rollins; M Levitt; A Gosain; L de la Torre; R P Kapur; R A Cowles; J Horton; D H Rothstein; A M Goldstein Journal: Pediatr Surg Int Date: 2017-02-08 Impact factor: 1.827
Authors: P Saadai; A F Trappey; A M Goldstein; R A Cowles; L De La Torre; M M Durham; E Y Huang; M A Levitt; K Rialon; M Rollins; D H Rothstein; J C Langer Journal: Pediatr Surg Int Date: 2019-06-14 Impact factor: 1.827
Authors: Fleur De Lorijn; Johannes B Reitsma; Wieger P Voskuijl; Daniel C Aronson; Fiebo J Ten Kate; Anne M J B Smets; Jan A J M Taminiau; Marc A Benninga Journal: J Pediatr Date: 2005-06 Impact factor: 4.406
Authors: Larissa Shamseer; David Moher; Mike Clarke; Davina Ghersi; Alessandro Liberati; Mark Petticrew; Paul Shekelle; Lesley A Stewart Journal: BMJ Date: 2015-01-02
Authors: Kristiina Kyrklund; Cornelius E J Sloots; Ivo de Blaauw; Kristin Bjørnland; Udo Rolle; Duccio Cavalieri; Paola Francalanci; Fabio Fusaro; Annette Lemli; Nicole Schwarzer; Francesco Fascetti-Leon; Nikhil Thapar; Lars Søndergaard Johansen; Dominique Berrebi; Jean-Pierre Hugot; Célia Crétolle; Alice S Brooks; Robert M Hofstra; Tomas Wester; Mikko P Pakarinen Journal: Orphanet J Rare Dis Date: 2020-06-25 Impact factor: 4.123