Naslov
Quality of evidence-based practice guidelines published in Croatia, 2004-2014: evaluation using the AGREE II tool

Autori
Kovačević, Tanja ; Jerončić, Ana ; Vrdoljak, Davorka ; Jurić Petričević, Slavica ; Krznarić, Željko ; Marušić, Ana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
8th Croatian Cochrane Symposium / Cochrane Croatia - Split : Cochrane Croatia, 2016, 7-7

Skup
8th Croatian Cochrane Symposium

Mjesto i datum
Split, Hrvatska, 09.05.2016

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
practice guidelines ; quality assessment ; AGREE-II ; Croatia

Sažetak
Background and objective: We assessed the quality of guidelines published between 2004 and 2014 by the Croatian Medical Association. Methods: Four independent raters assessed 51 guidelines from various clinical fields by using the validated AGREE II tool. The total score and the domain scores of AGREE scale were expressed as the percentage of maximum score. Results: The raters scored consistently on AGREE II scale (average per- study interclass correlation coefficient = 0.82 ; range 0.60- 0.91). Generally, the score was low, with the median total AGREE score of 35% (interquartile range, 29-43%). The domain “Rigour of Development”, which assesses the evidence-based quality of recommendations, was among the worst rated (23%, interquartile range 16-34%). We did not observe any time-trend on domain scores, except for the increasing trend for the “Stakeholder Involvement” domain scores (trend- analysis, P=0.038). The composition of official bodies/type of developers constituting a guideline’s working group clearly affected the end-quality of a guideline. National level guidelines supported by the Ministry of Health and unofficial working groups, regardless of the support from official professional societies, were the guidelines that constantly achieved highest scores throughout AGREE II domains. Moreover, the quality of guideline weakly decreased by the inclusion of greater number of official clinical societies in their development (Kendall’s tau correlation from -0.229 to -0.278, P≤0.046 on two out of six AGREE domains and on the total score). Conclusion: Guideline developers in Croatia should adopt better methodological framework in order to improve the quality of their clinical practice guidelines.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA