Clinical practice guidelines in the management of pediatric foreign body aspiration and ingestion: a systematic evaluation using the AGREE II instrument

Purpose Several clinical practice guidelines (CPGs) have been produced to optimize the diagnosis and management of pediatric foreign body aspiration and ingestion. However, to date there have been no critical evaluations of their methodological rigor or quality. Herein, we address this need via the...

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Bibliographic Details
Published in:Pediatric surgery international 2024-02, Vol.40 (1), p.59, Article 59
Main Authors: Rizvi, Anza, Rizvi, Fatima, Chorath, Kevin, Suresh, Neeraj V., De Ravin, Emma, Romeo, Dominic, Lakshmipathy, Deepak, Barrette, Louis-Xavier, Rajasekaran, Karthik
Format: Article
Language:English
Subjects:
Child
Clinical medicine
Clinical practice guidelines
Eating
Foreign bodies
Humans
Medicine
Medicine & Public Health
Original Article
Pediatric Surgery
Pediatrics
Practice Guidelines as Topic
Respiratory Aspiration
Surgery
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Summary:Purpose Several clinical practice guidelines (CPGs) have been produced to optimize the diagnosis and management of pediatric foreign body aspiration and ingestion. However, to date there have been no critical evaluations of their methodological rigor or quality. Herein, we address this need via the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Methods A literature search of Embase, MEDLINE via PubMed, and Scopus was performed up until February 25, 2021. Identified CPGs were then assessed by four independent reviewers trained in AGREE II. A scaled domain score of >60% was indicated as satisfactory quality. Intraclass correlation coefficients (ICC) were calculated to assess inter-reviewer agreement. Results 11 guidelines were assessed with only one being classified as high quality and others being either average (two) or low quality (eight). Domain 4 (clarity of presentation) achieved the highest mean score (66.41 ± 13.33%), while domain 5 (applicability) achieved the lowest score (10.80 ± 10.37%). ICC analysis revealed generally strong agreement between reviewers with a range of 0.60–0.98. Conclusion Quality appraisal using the AGREE II instrument suggests that the methodologic rigor and quality of current guidelines for the diagnosis and management of pediatric foreign body aspiration and ingestion need significant improvement.
ISSN:1437-9813
0179-0358
1437-9813
DOI:10.1007/s00383-024-05637-9