Evidence map›Paper›PMID 23759888›Full record

ReviewJournal of the Royal Society of Medicine2013

Guidelines in cardiac clinical practice: evaluation of their methodological quality using the AGREE II instrument.

Sanjeeve Sabharwal, Vanash Patel, Sukhjinder S Nijjer, Ali Kirresh, Ara Darzi, John C Chambers, Iqbal Malik, Jaspal S Kooner, Thanos Athanasiou

Abstract readEvaluation StudyReview
In one paragraph

Review in Journal of the Royal Society of Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: a systematic quality appraisal using the AGREE II instrument.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sanjeeve SabharwalDepartment of Surgery and Cancer, Imperial College, London W2 1NY, UK. sanjeeve.sabharwal@ic.ac.uk
Vanash Patel
Sukhjinder S Nijjer
Ali Kirresh
Ara Darzi
John C Chambers
Iqbal Malik
Jaspal S Kooner
Thanos Athanasiou

Funding

Medical Research Council G1100443
6 · The paper itself

Abstract

Although clinical guidelines have an influential role in healthcare practice, their development process and the evidence they cite has been subject to criticism. This study evaluates the quality of guidelines in cardiac clinical practice by examining how they adhere to validated methodological standards in guideline development. A structured review of cardiac clinical practice guidelines published in seven cardiovascular journals between January 2001 and May 2011 was performed. The AGREE II assessment tool was used by two researchers to evaluate guideline quality. A total of 101 guidelines were identified. Assessment of guidelines using AGREE II found methodological quality to be highly variable (median score, 58.70%; range, 45.34-76.40%). 'Scope and purpose' (median score, 86.1%) and 'clarity of development' (median score, 83.3 %) were the two domains within AGREE II that received the highest scores. Applicability (median score, 20.80%; range, 4.20-54.20%) and editorial independence (median score, 33.30%; range, 0-62.50%) had the lowest scores. There is considerable variability in the quality of cardiac clinical practice guidelines and this has not improved over the last 10 years. Incorporating validated guideline assessment tools, such as AGREE II, may improve the quality of guidelines.

Indexed as

Evidence-Based MedicineCardiologyHumansPractice Guidelines as TopicQuality ControlAGREE IIcardiac practiceguidelines

Identifiers

PMID23759888
PMCPMC3725856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.