Appraisal Tools for Clinical Practice Guidelines: A Systematic Review

摘要: IntroductionClinical practice guidelines can improve healthcare processes and patient outcomes, but are often of low quality. Guideline appraisal tools aim to help potential guideline users in assessing We conducted a systematic review publications describing order identify compare existing tools. MethodsAmong others we searched MEDLINE, EMBASE the Cochrane Database Systematic Reviews from 1995 May 2011 for relevant primary secondary publications. also handsearched reference lists On basis available literature firstly generated 34 items be used comparison grouped them into thirteen quality dimensions. then extracted formal characteristics as well questions statements assigned items. ResultsWe identified 40 different They covered between three possible dimensions 29 The main focus were “evaluation evidence” (mentioned 35 tools; 88%), “presentation content” (34 85%), “transferability” (33 83%), “independence” (32 80%), “scope” (30 75%), “information retrieval” (29 73%). “consideration perspectives” “dissemination, implementation evaluation guideline” by only twenty (50%) eighteen (45%) respectively. ConclusionsMost assess whether search evaluation, synthesis presentation evidence follow principles evidence-based medicine. Although conflicts interest norms values developers, involvement, affect trustworthiness guidelines, they currently insufficiently considered. Greater should placed on these issues further development