Quality assessment of the guidelines for the management of malignant pleural effusions and ascites
Abstract Objectives To fully assess the quality of the guidelines for the management of malignant pleural effusions (MPE) and ascites and reveal the heterogeneity of recommendations and possible reasons among guidelines. Methods A systematic search was performed in the database to obtain guidelines...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-12-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12957-020-02097-y |
| _version_ | 1831585719874748416 |
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| author | Jia-Xi Li Yan-Mei Shi Li-Ya An Jin-Xu Yang Yu-Xing Qi Ting Yang Yun-Yun Cen Yue-Ying Lin Da-Li Sun |
| author_facet | Jia-Xi Li Yan-Mei Shi Li-Ya An Jin-Xu Yang Yu-Xing Qi Ting Yang Yun-Yun Cen Yue-Ying Lin Da-Li Sun |
| author_sort | Jia-Xi Li |
| collection | DOAJ |
| description | Abstract Objectives To fully assess the quality of the guidelines for the management of malignant pleural effusions (MPE) and ascites and reveal the heterogeneity of recommendations and possible reasons among guidelines. Methods A systematic search was performed in the database to obtain guidelines for the management of MPE and ascites. The AGREE IIGtool was used to assess the quality of these guidelines. The Measurement Scale of Rate of Agreement (MSRA) was introduced to assess the scientific agreement of formulated recommendations for the management of MPE and ascites among guidelines, and evidence supporting these recommendations was extracted and analyzed. Results Nine guidelines were identified. Only 4 guidelines scored more than 60% and are worth recommending. Recommendations were also heterogeneous among guidelines for the management of MPE, and the main reasons were the different emphases of the recommendations for the treatment of MPE, the contradictions in recommendations, and the unreasonably cited evidence for MPE. Conclusions The quality of the management guidelines for patients with MPE and malignant ascites was highly variable. Specific improvement of the factors leading to the heterogeneity of recommendations will be a reasonable and effective way for developers to upgrade the recommendations in the guidelines for MPE. |
| first_indexed | 2024-12-17T21:23:42Z |
| format | Article |
| id | doaj.art-777e61b330b44da1910f0b8e3c583c97 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-17T21:23:42Z |
| publishDate | 2020-12-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-777e61b330b44da1910f0b8e3c583c972022-12-21T21:32:06ZengBMCWorld Journal of Surgical Oncology1477-78192020-12-0118111010.1186/s12957-020-02097-yQuality assessment of the guidelines for the management of malignant pleural effusions and ascitesJia-Xi Li0Yan-Mei Shi1Li-Ya An2Jin-Xu Yang3Yu-Xing Qi4Ting Yang5Yun-Yun Cen6Yue-Ying Lin7Da-Li Sun8Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityDepartment of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University/Second Faculty of Clinical Medicine, Kunming Medical UniversityAbstract Objectives To fully assess the quality of the guidelines for the management of malignant pleural effusions (MPE) and ascites and reveal the heterogeneity of recommendations and possible reasons among guidelines. Methods A systematic search was performed in the database to obtain guidelines for the management of MPE and ascites. The AGREE IIGtool was used to assess the quality of these guidelines. The Measurement Scale of Rate of Agreement (MSRA) was introduced to assess the scientific agreement of formulated recommendations for the management of MPE and ascites among guidelines, and evidence supporting these recommendations was extracted and analyzed. Results Nine guidelines were identified. Only 4 guidelines scored more than 60% and are worth recommending. Recommendations were also heterogeneous among guidelines for the management of MPE, and the main reasons were the different emphases of the recommendations for the treatment of MPE, the contradictions in recommendations, and the unreasonably cited evidence for MPE. Conclusions The quality of the management guidelines for patients with MPE and malignant ascites was highly variable. Specific improvement of the factors leading to the heterogeneity of recommendations will be a reasonable and effective way for developers to upgrade the recommendations in the guidelines for MPE.https://doi.org/10.1186/s12957-020-02097-yMalignant pleural effusionMalignant ascitesGuideline appraisal |
| spellingShingle | Jia-Xi Li Yan-Mei Shi Li-Ya An Jin-Xu Yang Yu-Xing Qi Ting Yang Yun-Yun Cen Yue-Ying Lin Da-Li Sun Quality assessment of the guidelines for the management of malignant pleural effusions and ascites World Journal of Surgical Oncology Malignant pleural effusion Malignant ascites Guideline appraisal |
| title | Quality assessment of the guidelines for the management of malignant pleural effusions and ascites |
| title_full | Quality assessment of the guidelines for the management of malignant pleural effusions and ascites |
| title_fullStr | Quality assessment of the guidelines for the management of malignant pleural effusions and ascites |
| title_full_unstemmed | Quality assessment of the guidelines for the management of malignant pleural effusions and ascites |
| title_short | Quality assessment of the guidelines for the management of malignant pleural effusions and ascites |
| title_sort | quality assessment of the guidelines for the management of malignant pleural effusions and ascites |
| topic | Malignant pleural effusion Malignant ascites Guideline appraisal |
| url | https://doi.org/10.1186/s12957-020-02097-y |
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