Evidence map›Paper›PMID 25614152›Full record

ArticleThe spine journal : official journal of the North American Spine Society2015

A critical appraisal of the North American Spine Society guidelines with the Appraisal of Guidelines for Research and Evaluation II instrument.

Mesut Emre Yaman, Ahmet Gudeloglu, Salim Senturk, Nur Dikmen Yaman, Tolga Tolunay, Yasar Ozturk, Arslan Kağan Arslan

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Article in The spine journal : official journal of the North American Spine Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 6 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

10 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. [Guideline for stratified screening and surveillance of primary liver cancer(2020 Edition)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
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  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Mesut Emre YamanDepartment of Neurosurgery, Yenimahalle Education and Research Hospital, 2026.Cd, 06370, Batikent, Ankara, Turkey. Electronic address: mesutemreyaman@hotmail.com.
Ahmet GudelogluDepartment of Urology, Memorial Hospital, 1422.Sokak No:4, 06520 Çankaya, Ankara, Turkey.
Salim SenturkDepartment of Neurosurgery, Corum Education and Research Hospital, Çamlık Cad.No:2, Corum, Turkey.
Nur Dikmen YamanDepartment of Cardiovascular Surgery, Ankara University School of Medicine, 06590, Cebeci, Ankara, Turkey.
Tolga TolunayDepartment of Orthopaedics, Yenimahalle Education and Research Hospital, 2026.Cd, 06370, Batikent, Ankara, Turkey.
Yasar OzturkDepartment of Neurosurgery, Yenimahalle Education and Research Hospital, 2026.Cd, 06370, Batikent, Ankara, Turkey.
Arslan Kağan ArslanDepartment of Orthopaedics, Yenimahalle Education and Research Hospital, 2026.Cd, 06370, Batikent, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background contextThe North American Spine Society (NASS) publishes clinical guidelines that are taken into consideration worldwide by clinicians who have a special interest in spinal surgery. The Appraisal of Guidelines for Research and Evaluation (AGREE) II is the second version of the original AGREE instrument to assess the quality of guidelines in terms of development process. This appraisal aims to evaluate each individual NASS guideline using AGREE II tool to demonstrate its methodologic robust and weakness. PURPOSE: To evaluate the quality of the clinical practice guidelines published by the NASS. STUDY

designFour appraisers used the AGREE II guideline evaluation instrument to evaluate the NASS guidelines.

methodsAll six guidelines available on the NASS web site as of July 1, 2014 were evaluated. Four reviewers independently assessed these guidelines using the AGREE II instrument. The instrument standardizes the quantitative assessment of quality for a guideline's development process across six domains that include: scope and purpose, stakeholder involvement, rigor of development, clarity and presentation, applicability, and editorial independence. Additionally, each reviewer rated the overall quality of the guidelines.

resultsOverall results for the AGREE II domains across all six guidelines were: scope and purpose (median score, 94.4%), stakeholder involvement (median score, 56.9%), rigor of development (median score, 91.7%), clarity of presentation (median score, 94.4%), applicability (median score, 60.9%), and editorial independence (median score, 71.9%).

conclusionsOur study showed that the quality of the NASS guidelines needs some improvement. There is a critical need for broader stakeholder involvement including patient representatives and health economists. Consideration of resource implications and monitoring process and standardization of how recommendations are implemented need to be improved. Studies analyzing facilitators and barriers would be helpful for future NASS guidelines.

Indexed as

HumansOrthopedic ProceduresPractice Guidelines as TopicResearch DesignSocieties, MedicalSpineUnited StatesAGREEAppraisalClinical guidelinesNorth American Spine SocietyQualitySpine surgery

Identifiers

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Registered trials

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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.