Evidence mapPaperPMID 37188477Full record

ArticleBMJ open2023

Involvement of methodological experts and the quality of clinical practice guidelines: a critical appraisal of clinical practice guidelines and a questionnaire survey of the development groups in Japan.

Yosuke Hatakeyama, Kanako Seto, Ryo Onishi, Koki Hirata, Kunichika Matsumoto, Yinghui Wu, Tomonori Hasegawa

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Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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

2 citing papers in PubMed.

  1. Article
  2. Moving toward the Development and Effective Implementation of High-Quality Guidelines in Pediatric Surgery: A Review of the Literature.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yosuke HatakeyamaSchool of Medicine, Toho University, Ota-ku, Tokyo, Japan.ORCID 0000-0002-9538-4654
Kanako SetoSchool of Medicine, Toho University, Ota-ku, Tokyo, Japan.
Ryo OnishiSchool of Medicine, Toho University, Ota-ku, Tokyo, Japan.ORCID 0000-0003-1117-5917
Koki HirataSchool of Medicine, Toho University, Ota-ku, Tokyo, Japan.
Kunichika MatsumotoSchool of Medicine, Toho University, Ota-ku, Tokyo, Japan.
Yinghui WuSchool of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Tomonori HasegawaSchool of Medicine, Toho University, Ota-ku, Tokyo, Japan health@med.toho-u.ac.jp.ORCID 0000-0002-1057-9867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether the involvement of methodological experts improves the quality of clinical practice guidelines (CPGs) after adjusting for other factors.

settingThe quality of Japanese CPGs published in 2011-2019 was assessed using the Appraisal of Guidelines, Research, and Evaluation (AGREE) II instrument. A questionnaire survey targeting CPG development groups was conducted through postal mail.

participants405 CPGs were retrieved from a Japanese CPG clearinghouse. Questionnaires were distributed to the 405 CPG development groups. Of the 178 respondents, 22 were excluded because of missing values. Finally, 156 participants representing their CPG development groups were included in the analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: CPG quality was assessed using the AGREE II tool. The characteristics of CPGs, including publication year, development organisation, versions, number of members in the development group and involvement of methodological experts, were corrected from the description in the CPGs and the questionnaire survey. We performed multiple logistic regressions using the quality of CPGs as the dependent variable and the involvement of experts as the independent variable, adjusting for other possible factors.

resultsA total of 156 CPGs were included. Expert involvement was significantly associated with the AGREE II instrument scores in domains 1 (β=0.207), 2 (β=0.370), 3 (β=0.413), 4 (β=0.289), 5 (β=0.375), 6 (β=0.240) and overall (β=0.344).

conclusionThis study revealed that the involvement of methodological experts in the CPG development process improves the quality of CPGs. The results suggest the importance of establishing a training and certification programme for experts and constructing expert referral systems that meet CPG developers' needs to improve the quality of CPGs.

Indexed as

Surveys and QuestionnairesHumansJapanHealth informaticsHealth policyHealth & safetyProtocols & guidelinesQuality in health careSOCIAL MEDICINE

Identifiers

PMID37188477
PMCPMC10186473

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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 Socratic graph.