Assessing methodological quality of Russian clinical practice guidelines and introducing AGREE II instrument in Russia

There are multiple organisations in Russia that publish clinical practice guidelines (CPGs). The demand for CPGs and appreciation of their role in healthcare provision has been steadily growing. However, quality and methodology of development of CPGs have not been systematically addressed. To analys...

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Bibliographic Details
Published in:PloS one 2018-09, Vol.13 (9), p.e0203328-e0203328
Main Authors: Lienhard, Dina Ayratova, Kisser, Lidiya Vacheslavovna, Ziganshina, Liliya Eugenevna
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
Cholangitis
Clinical medicine
Clinical practice guidelines
Emergency medical care
Evidence-based medicine
Gallbladder
Gallbladder diseases
Gallstones
Guidelines
Health aspects
Health care
Inflammation
Liver diseases
Medical care quality
Medical diagnosis
Medical technology
Medical treatment
Medicine
Medicine and Health Sciences
Otolaryngology
Pain
Pancreas
Pancreatitis
Patients
People and Places
Physicians
Quality
Quality assessment
Research and Analysis Methods
Surgeons
Surgery
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Summary:There are multiple organisations in Russia that publish clinical practice guidelines (CPGs). The demand for CPGs and appreciation of their role in healthcare provision has been steadily growing. However, quality and methodology of development of CPGs have not been systematically addressed. To analyse the quality of Russian-produced CPGs for surgical treatment of hepatic-pancreatic-biliary diseases. We searched Russian databases for CPGs, published between 2013 and 2017. We identified 6 relevant documents that met our inclusion criteria. We approached four experts in the field with written and verbal instructions on the use of the AGREE II questionnaire. All six CPGs received the highest domain scores for the domain Clarity of Presentation (46%-80%). The lowest domain scores were for the domain Editorial Independence (6%-25%). Overall, the experts put the highest total sum scores to the CPG for treating chronic pancreatitis (70%), while the lowest total sum score was attributed to the CPG for treating acute cholangitis (22%). The overall quality of CPGs, as assessed by the four experts with the AGREE II instrument, was low. The highest scoring, best organized and most comprehensive and straightforward CPG was the one for chronic pancreatitis. The AGREE II instrument should be considered for use in Russia by guideline developers to assess existing CPGs and inform the creation of new guidelines.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0203328