Evidence map›Paper›PMID 35705753›Full record

ArticleSurgical endoscopy2022

AGREE-S: AGREE II extension for surgical interventions: appraisal instrument.

Stavros A Antoniou, Ivan D Florez, Sheraz Markar, Patricia Logullo, Manuel López-Cano, Gianfranco Silecchia, George A Antoniou, Sofia Tsokani, Dimitrios Mavridis, Melissa Brouwers and 1 more

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In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
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  11. Appraisal of current surgical guidelines for inflammatory bowel disease using the AGREE-S instrument: A scoping review.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Stavros A AntoniouDepartment of Surgery, Mediterranean Hospital of Cyprus, Limassol, Cyprus. stavros.antoniou@hotmail.com.ORCID http://orcid.org/0000-0002-4630-6748
Ivan D FlorezDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Sheraz MarkarNuffield Department of Surgery, University of Oxford, Oxford, UK.
Patricia LogulloUK EQUATOR Centre, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Manuel López-CanoAbdominal Wall Surgery Unit, Val d' Hebrón University Hospital, Universidad Autónoma de Barcelona, Barcelona, Spain.
Gianfranco SilecchiaDepartment of Medico-Surgical Sciences and Translation Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
George A AntoniouDepartment of Vascular and Endovascular Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
Sofia TsokaniDepartment of Primary Education, School of Education, University of Ioannina, Ioannina, Greece.
Dimitrios MavridisDepartment of Primary Education, School of Education, University of Ioannina, Ioannina, Greece.
Melissa BrouwersDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
GAP Consortium

Funding

Cancer Research UK 27294
6 · The paper itself

Abstract

backgroundThe Appraisal of Guidelines Research and Evaluation (AGREE) II instrument was developed to evaluate the quality of clinical practice guidelines. Evidence suggests that development, reporting, and appraisal of guidelines on surgical interventions may be better informed by modification of the instrument.

objectiveWe aimed to develop an AGREE II extension specifically designed for appraisal of guidelines of surgical interventions.

methodsIn a three-part project funded by the United European Gastroenterology and the European Association for Endoscopic Surgery, (i) we identified factors that were associated with higher quality of surgical guidelines, (ii) we statistically calibrated the AGREE II instrument in the context of surgical guidelines using correlation, reliability, and factor analysis, and (iii) we undertook a Delphi consensus process of stakeholders to inform the development of an AGREE II extension instrument for surgical interventions.

resultsSeveral features were prioritized by stakeholders as of particular importance for guidelines of surgical interventions, including development of a guideline protocol, consideration of practice variability and surgical expertise in different settings, and specification of infrastructures required to implement the recommendations. The AGREE-S-AGREE II extension instrument for surgical interventions has 25 items, compared to the 23 items of the original AGREE II instrument, organized into the following 6 domains: Scope and purpose, Stakeholders, Evidence synthesis, Development of recommendations, Editorial independence, and Implementation and update. As the original instrument, it concludes with an overall appraisal of the quality of the guideline and a judgement on whether the guideline is recommended for use. Several items were amended and rearranged among domains, and an item was deleted. The Rigor of Development domain of the original AGREE II was divided into Evidence Synthesis and Development of Recommendations. Items of the AGREE II domain Clarity of Presentation were incorporated in the new domain Development of Recommendations. Three new items were introduced, addressing the development of a guideline protocol, support by a guideline methodologist, and consideration of surgical experience/expertise.

conclusionThe AGREE-S appraisal instrument has been developed to be used for assessment of the methodological and reporting quality of guidelines on surgical interventions.

Indexed as

Reproducibility of ResultsConsensusHumansAGREE IIAGREE-SClinical practice guidelineGuideline qualityQuality appraisalSurgery

Identifiers

PMID35705753

What OpenQuestion holds

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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.