A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative
Abstract Objectives Dual energy X-ray absorptiometry (DXA) is the most widely used technique to measure bone mineral density (BMD). Appropriate and accurate use of DXA is of great importance, and several guidelines have been developed in the last years. Our aim was to evaluate the quality of publish...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2017-04-01
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| Series: | Insights into Imaging |
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| Online Access: | http://link.springer.com/article/10.1007/s13244-017-0553-6 |
| _version_ | 1828156515599515648 |
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| author | Carmelo Messina Bianca Bignotti Alberto Bazzocchi Catherine M. Phan Alberto Tagliafico Giuseppe Guglielmi Francesco Sardanelli Luca Maria Sconfienza |
| author_facet | Carmelo Messina Bianca Bignotti Alberto Bazzocchi Catherine M. Phan Alberto Tagliafico Giuseppe Guglielmi Francesco Sardanelli Luca Maria Sconfienza |
| author_sort | Carmelo Messina |
| collection | DOAJ |
| description | Abstract Objectives Dual energy X-ray absorptiometry (DXA) is the most widely used technique to measure bone mineral density (BMD). Appropriate and accurate use of DXA is of great importance, and several guidelines have been developed in the last years. Our aim was to evaluate the quality of published guidelines on DXA for adults. Methods Between June and July 2016 we conducted an online search for DXA guidelines, which were evaluated by four independent readers blinded to each other using the AGREE II instrument. A fifth independent reviewer calculated scores per each domain and agreement between reviewers’ scores. Results Four out of 59 guidelines met inclusion criteria and were included. They were published between 2005 and 2014. Three out of four guidelines reached a high level of quality, having at least five domain scores higher than 60%. Domain 1 (Scope and Purpose) achieved the highest result (total score = 86.8 ± 3.7%). Domain 6 (Editorial Independence) had the lowest score (total score = 54.7 ± 12.5%). Interobserver agreement ranged from fair (0.230) to good (0.702). Conclusions Overall, the quality of DXA guidelines is satisfactory when evaluated using the AGREE II instrument. The Editorial Independence domain was the most critical, thus deserving more attention when developing future guidelines. Main messages • Three of four guidelines on DXA had a high quality level (>60%). • Scope/purpose had the highest score (86.8 ± 3.7%). • Editorial Independence had the lowest score (54.7 ± 12.5%). • Interobserver agreement ranged from fair (0.230) to good (0.702). |
| first_indexed | 2024-04-11T23:11:58Z |
| format | Article |
| id | doaj.art-6dae37dab73645a49c9843b757d44755 |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-04-11T23:11:58Z |
| publishDate | 2017-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-6dae37dab73645a49c9843b757d447552022-12-22T03:57:47ZengSpringerOpenInsights into Imaging1869-41012017-04-018331131710.1007/s13244-017-0553-6A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiativeCarmelo Messina0Bianca Bignotti1Alberto Bazzocchi2Catherine M. Phan3Alberto Tagliafico4Giuseppe Guglielmi5Francesco Sardanelli6Luca Maria Sconfienza7Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di MilanoDepartment of Health Sciences, University of GenovaDiagnostic and Interventional Radiology, The “Rizzoli” Orthopaedic InstituteDepartment of Radiology, Saint-Antoine HospitalUniversity of Genova and AOU IRCCS San Martino ISTDepartment of Radiology, University of FoggiaServizio di Radiologia, IRCCS Policlinico San DonatoDipartimento di Scienze Biomediche per la Salute, Università degli Studi di MilanoAbstract Objectives Dual energy X-ray absorptiometry (DXA) is the most widely used technique to measure bone mineral density (BMD). Appropriate and accurate use of DXA is of great importance, and several guidelines have been developed in the last years. Our aim was to evaluate the quality of published guidelines on DXA for adults. Methods Between June and July 2016 we conducted an online search for DXA guidelines, which were evaluated by four independent readers blinded to each other using the AGREE II instrument. A fifth independent reviewer calculated scores per each domain and agreement between reviewers’ scores. Results Four out of 59 guidelines met inclusion criteria and were included. They were published between 2005 and 2014. Three out of four guidelines reached a high level of quality, having at least five domain scores higher than 60%. Domain 1 (Scope and Purpose) achieved the highest result (total score = 86.8 ± 3.7%). Domain 6 (Editorial Independence) had the lowest score (total score = 54.7 ± 12.5%). Interobserver agreement ranged from fair (0.230) to good (0.702). Conclusions Overall, the quality of DXA guidelines is satisfactory when evaluated using the AGREE II instrument. The Editorial Independence domain was the most critical, thus deserving more attention when developing future guidelines. Main messages • Three of four guidelines on DXA had a high quality level (>60%). • Scope/purpose had the highest score (86.8 ± 3.7%). • Editorial Independence had the lowest score (54.7 ± 12.5%). • Interobserver agreement ranged from fair (0.230) to good (0.702).http://link.springer.com/article/10.1007/s13244-017-0553-6Dual-energy X-ray absorptiometryDXAGuidelinesAgreeEvidence based medicine |
| spellingShingle | Carmelo Messina Bianca Bignotti Alberto Bazzocchi Catherine M. Phan Alberto Tagliafico Giuseppe Guglielmi Francesco Sardanelli Luca Maria Sconfienza A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative Insights into Imaging Dual-energy X-ray absorptiometry DXA Guidelines Agree Evidence based medicine |
| title | A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative |
| title_full | A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative |
| title_fullStr | A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative |
| title_full_unstemmed | A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative |
| title_short | A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: An EuroAIM initiative |
| title_sort | critical appraisal of the quality of adult dual energy x ray absorptiometry guidelines in osteoporosis using the agree ii tool an euroaim initiative |
| topic | Dual-energy X-ray absorptiometry DXA Guidelines Agree Evidence based medicine |
| url | http://link.springer.com/article/10.1007/s13244-017-0553-6 |
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