Appraising the quality standard of clinical practice guidelines related to central venous catheter-related thrombosis prevention: a systematic review of clinical practice guidelines

• Published in: BMJ open 2024-03, Vol.14 (3), p.e074854
• Main Authors: Zhang, Jing, Wu, Yongya, Zhang, Shuai, Yao, Wenmo, Bu, Faqian, Wang, Aoxue, Hu, Xiuying, Wang, Guan
• Format: Article
• Language: English
• Subjects: Anaesthesia in oncology; Cardiovascular Medicine; Catheters; Central Venous Catheters; Chemotherapy; Clinical medicine; Clinical practice guidelines; Content analysis; Evidence-Based Practice; Humans; Patients; Practice Guidelines as Topic; Prevention; Researchers; Software; Systematic Review; Thromboembolism; Thrombosis; VASCULAR MEDICINE; Veins & arteries
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2023-074854

ObjectiveTo evaluate the quality and analyse the content of clinical practice guidelines regarding central venous catheter-related thrombosis (CRT) to provide evidence for formulating an evidence-based practice protocol and a risk assessment scale to prevent it.DesignScoring and analysis of the guidelines using the AGREE II and AGREE REX scales.Data sourcesPubmed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang, VIP, and the Chinese Biomedical Literature, and the relevant websites of the guideline, were searched from 1 January 2017 to 26 March 2022.Eligibility criteriaGuidelines covering CRT treatment, prevention, or management were included from 1 January 2017 to 26 March 2022.Data extraction and synthesisThree independent reviewers systematically trained in using the AGREE II and AGREE REX scales were selected to evaluate these guidelines.ResultsNine guidelines were included, and the quality grade results showed that three were at A-level and six were at B-level. The included guidelines mainly recommended the prevention measure of central venous CRT from three aspects: risk screening, prevention strategies, and knowledge training, with a total of 22 suggestions being recommended.ConclusionThe overall quality of the guidelines is high, but there are few preventive measures for central venous CRT involved in the guidelines. All preventive measures have yet to be systematically integrated and evaluated, and no risk assessment scale dedicated to this field has been recommended. Therefore, developing an evidence-based practice protocol and a risk assessment scale to prevent it is urgent.