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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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
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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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container_issue 1
container_start_page 59
container_title Pediatric surgery international
container_volume 40
creator Rizvi, Anza
Rizvi, Fatima
Chorath, Kevin
Suresh, Neeraj V.
De Ravin, Emma
Romeo, Dominic
Lakshmipathy, Deepak
Barrette, Louis-Xavier
Rajasekaran, Karthik
description 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.
doi_str_mv 10.1007/s00383-024-05637-9
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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 &gt;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.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-024-05637-9</identifier><identifier>PMID: 38411786</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Child ; Clinical medicine ; Clinical practice guidelines ; Eating ; Foreign bodies ; Humans ; Medicine ; Medicine &amp; Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Practice Guidelines as Topic ; Respiratory Aspiration ; Surgery</subject><ispartof>Pediatric surgery international, 2024-02, Vol.40 (1), p.59, Article 59</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. 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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 &gt;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. 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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
title Clinical practice guidelines in the management of pediatric foreign body aspiration and ingestion: a systematic evaluation using the AGREE II instrument
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