ReviewHepatobiliary surgery and nutrition2020
Appraisal of the current guidelines for management of cholangiocarcinoma-using the Appraisal of Guidelines Research and Evaluation II (AGREE II) Instrument.
Review in Hepatobiliary surgery and nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.
- Pooled it
- Assessment of guidelines for bariatric and metabolic surgery: a systematic review and evaluation using appraisal of guidelines for research and evaluation II (AGREE II).International journal of obesity (2005) · 2024Pooled it
- Appraisal of the current guidelines for the management of diverticular disease using the Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument.Annals of the Royal College of Surgeons of England · 2021Pooled it
- Pelvic floor rehabilitation management in females with stress urinary incontinence: a summary of best-evidence strategies.BMC nursing · 2026Article
- Assessing the quality for integrated guidelines: systematic comparison between the AGREE Ⅱ and AGREE-HS tools.BMC medical research methodology · 2025Article
- An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders.Frontiers in neurology · 2025Review
- Summary of the best evidence for vocal rehabilitation training in adults with unilateral vocal fold paralysis.Annals of medicine and surgery (2012) · 2024Review
- Clinical practice guidelines in adult diagnostic flexible bronchoscopy: systematic review of the literature and quality appraisal with AGREE II.Journal of thoracic disease · 2024Review
- Evidence-based summary of preventive care for central venous access device-related thrombosis in hospitalized children.BMC nursing · 2024Article
- Summary of evidence on prevention and management of bladder dysfunction in patients after radical hysterectomy.Nursing open · 2024Review
- National guidelines for the diagnosis and treatment of hilar cholangiocarcinoma.World journal of gastroenterology · 2024Review
- Limitations concerning evaluation of the current guidelines using the Appraisal of Guidelines Research and Evaluation II.Annals of translational medicine · 2023Article
- Evaluation of the current guidelines for the management of haemorrhoidal disease using the Appraisal of Guidelines Research and Evaluation II instrument.Annals of translational medicine · 2023Review
- Systemic review of the robustness of randomized controlled trials for the treatment of cholangiocarcinoma in three domains: survival-inferred fragility index, restricted mean survival time, and the spin effect.Hepatobiliary surgery and nutrition · 2022Review
- Article
- The quest for optimal and reliable guidelines based on robust evidence for the treatment of cholangiocarcinoma.Hepatobiliary surgery and nutrition · 2021Article
- Evidence summary of human milk fortifier in preterm infants.Translational pediatrics · 2021Article
- Comprehensive analysis of coagulation indices for predicting survival in patients with biliary tract cancer.BMC cancer · 2021Article
- An exploration of how developers use qualitative evidence: content analysis and critical appraisal of guidelines.BMC medical research methodology · 2020Article
Corrections and comments
- Commented on by
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cholangiocarcinoma (CC) is the second most common primary liver tumour. High-quality guidelines are essential for effective patient stratification and individualised treatment. This study aimed to appraise the methodological quality of existing guidelines for the resection of CC using the Appraisal of Guidelines for Research & Evaluation (AGREE II) instrument. A systematic search of the literature in Cochrane, PubMed, Google Scholar, and Embase was performed. Assessment of the clinical practice guidelines (CPGs) and consensuses was performed using the AGREE II instrument by four clinicians experienced in surgical practice and the AGREE II appraisal method. Literature searches identified 13 guidelines of highly variable quality according to the AGREE II criteria. The guidelines scored well in certain domains such as scope & purpose (median score across all guidelines; 65%), clarity of presentation (76%), and editorial independence (56%). However, they scored poorly for applicability (13%), rigour of development (30%), and stakeholder involvement (39%). None of the 13 guidelines was recommended universally for use without modification. Overall, the methodological quality of guidelines on the surgical management of CC is poor. Future updates should address and modify shortcomings detected by the AGREE II instrument, thereby facilitating better patient stratification and individualised treatment strategies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.