Evidence map›Paper›PMID 30575332›Full record

ArticleCancer medicine2019

A critical appraisal of the quality of head and neck cancer imaging guidelines using the AGREE II tool: A EuroAIM initiative.

Valeria Romeo, Arnaldo Stanzione, Sirio Cocozza, Lorenzo Ugga, Renato Cuocolo, Arturo Brunetti, Sotirios Bisdas

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
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  7. Article
  8. Review
  9. Article
  10. Imaging for Laryngeal Malignancies: Guidelines for Clinicians.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  11. Article
  12. Clinical practice guidelines for management of head and neck squamous cell carcinoma of unknown primary: an AGREE II appraisal.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Review
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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

7 authors.

Valeria RomeoDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Napoli, Italy.ORCID 0000-0002-1603-6396
Arnaldo StanzioneDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Napoli, Italy.ORCID 0000-0002-7905-5789
Sirio CocozzaDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Napoli, Italy.ORCID 0000-0002-0300-5160
Lorenzo UggaDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Napoli, Italy.
Renato CuocoloDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Napoli, Italy.
Arturo BrunettiDepartment of Advanced Biomedical Sciences, University of Naples "Federico II", Napoli, Italy.
Sotirios BisdasDepartment of Neuroradiology, The National Hospital for Neurology and Neurosurgery, University College London NHS Foundation Trust, London, UK.ORCID 0000-0001-9930-5549

Funding

Department of HealthMedical Research Council MR/M009106/1
6 · The paper itself

Abstract

backgroundDiagnostic imaging guidelines are increasingly embraced in oncologic imaging in order to improve examinations appropriateness and technical quality. The usefulness of guidelines employment in clinical practice is dramatically related to the quality of the guidelines themselves. However, an extreme variability in guidelines' quality may occur. Following a European Network for the Assessment of Imaging in Medicine (EuroAIM) initiative, the aim of this study was to assess the quality of the available guidelines regarding head and neck cancer (HNC) imaging.

methodsA literature search was conducted to identify imaging guidelines focused on HNC. Selected guidelines were evaluated by four independent appraisers using the Appraisal of Guidelines for Research & Evaluation version 2.0 (AGREE II) tool, which comprises 23 key items, rated on a 7-point scale (1-strongly disagree to 7-strongly agree) and organized within six domains. For each domain, the intraclass correlation coefficient (ICC) was used to assess the agreement among appraisers' scores.

resultsAfter literature search, three guidelines were selected and evaluated. One guideline scored "average" as overall quality, while the remaining two scored a "low" overall quality. The highest result (total score = 75.0% ± 19.3%) was obtained in domain 4 (Clarity of presentation) while the lowest (total score = 27.1% ± 4.2%) in domain 6 (Editorial independence). ICC analysis showed a very good agreement (range: 0.932-0.961) among the four appraisers.

conclusionsOur results showed a heterogeneous quality of existing guidelines in HNC imaging. Issues raised from this appraisal should be considered when developing future guidelines on HNC imaging.

Indexed as

Practice Guidelines as TopicHead and Neck NeoplasmsHumansAGREE IIevidence-based medicineguidelineshead and neck cancerimaging

Identifiers

PMID30575332
PMCPMC6346224

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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.