Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines

Background and objectiveNeonatal sepsis (NS) continues to be a critical healthcare priority for the coming decades worldwide. The aim of this study was to critically appraise the quality of recent clinical practice guidelines (CPGs) for neonatal sepsis and to summarize and compare their recommendati...

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Main Authors: Yasser S. Amer, Lana A. Shaiba, Adnan Hadid, Jasim Anabrees, Abdulrahman Almehery, Manal AAssiri, Abdulrahman Alnemri, Amira R. Al Darwish, Badi Baqawi, Ahmad Aboshaiqah, Layal Hneiny, Rana H. Almaghrabi, Ahmed M. El-Malky, Nawaf M. Al-Dajani
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.891572/full
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author Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Lana A. Shaiba
Lana A. Shaiba
Adnan Hadid
Adnan Hadid
Jasim Anabrees
Jasim Anabrees
Jasim Anabrees
Abdulrahman Almehery
Manal AAssiri
Abdulrahman Alnemri
Abdulrahman Alnemri
Abdulrahman Alnemri
Amira R. Al Darwish
Amira R. Al Darwish
Badi Baqawi
Ahmad Aboshaiqah
Layal Hneiny
Layal Hneiny
Rana H. Almaghrabi
Ahmed M. El-Malky
Ahmed M. El-Malky
Nawaf M. Al-Dajani
author_facet Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Lana A. Shaiba
Lana A. Shaiba
Adnan Hadid
Adnan Hadid
Jasim Anabrees
Jasim Anabrees
Jasim Anabrees
Abdulrahman Almehery
Manal AAssiri
Abdulrahman Alnemri
Abdulrahman Alnemri
Abdulrahman Alnemri
Amira R. Al Darwish
Amira R. Al Darwish
Badi Baqawi
Ahmad Aboshaiqah
Layal Hneiny
Layal Hneiny
Rana H. Almaghrabi
Ahmed M. El-Malky
Ahmed M. El-Malky
Nawaf M. Al-Dajani
author_sort Yasser S. Amer
collection DOAJ
description Background and objectiveNeonatal sepsis (NS) continues to be a critical healthcare priority for the coming decades worldwide. The aim of this study was to critically appraise the quality of recent clinical practice guidelines (CPGs) for neonatal sepsis and to summarize and compare their recommendations.MethodsThis study involves a systematic review of CPGs. We identified clinical questions and eligibility criteria and searched and screened for CPGs using bibliographic and CPG databases and professional societies. Each included CPG was assessed by four independent appraisers using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE II) instrument. We summarized the recommendations in a comparison practical table. The systematic review was drafted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. Its protocol was registered in the PROSPERO International Prospective Register of Systematic Reviews (ID: CRD42021258732).ResultsOur search retrieved 4,432 citations; of which five CPGs were eligible and appraised: American Academy of Pediatrics (AAP 2018) (35 and 34 weeks); Canadian Pediatric Society (CPS 2017); National Institute for Health and Care Excellence (NICE 2021); and Queensland Maternity and Neonatal Services (QH 2020). Among these, the overall assessment of two evidence-based CPGs scored > 70% (NICE and QH), which was consistent with their higher scores in the six domains of the AGREE II instrument. In domain 3 (rigor of development), NICE and QH scored 99 and 60%, respectively. In domain 5 (applicability), they scored 96 and 74%, respectively, and in domain 6 (editorial independence), they scored 90 and 71%, respectively.ConclusionThe methodological quality of the NICE CPG was superior followed by the QH CPG with relevant recommendations for use in practice.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021258732, PROSPERO (CRD42021258732).
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spelling doaj.art-791dc296124f4266a5d7fac78707235d2022-12-22T04:00:59ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-08-011010.3389/fped.2022.891572891572Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelinesYasser S. Amer0Yasser S. Amer1Yasser S. Amer2Yasser S. Amer3Yasser S. Amer4Lana A. Shaiba5Lana A. Shaiba6Adnan Hadid7Adnan Hadid8Jasim Anabrees9Jasim Anabrees10Jasim Anabrees11Abdulrahman Almehery12Manal AAssiri13Abdulrahman Alnemri14Abdulrahman Alnemri15Abdulrahman Alnemri16Amira R. Al Darwish17Amira R. Al Darwish18Badi Baqawi19Ahmad Aboshaiqah20Layal Hneiny21Layal Hneiny22Rana H. Almaghrabi23Ahmed M. El-Malky24Ahmed M. El-Malky25Nawaf M. Al-Dajani26Pediatrics Department, King Khalid University Hospital, Riyadh, Saudi ArabiaClinical Practice Guidelines and Quality Research Unit, Quality Management Department, King Saud University Medical City, Riyadh, Saudi ArabiaResearch Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi ArabiaAlexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University, Alexandria, EgyptAdaptation Working Group, Guidelines International Network, Perth, ScotlandPediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi ArabiaNeonatal Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi ArabiaPediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi ArabiaNeonatal Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi ArabiaPediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi ArabiaNeonatal Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi ArabiaSaudi Neonatology Society (SNS), Riyadh, Saudi ArabiaNeonatology Department, Ministry of Health, Assir, Saudi Arabia0Neonatology Department, King Abdulaziz Hospital, Ministry of Health, Jeddah, Saudi ArabiaPediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi ArabiaNeonatal Intensive Care Unit, King Saud University Medical City, Riyadh, Saudi ArabiaSaudi Neonatology Society (SNS), Riyadh, Saudi Arabia1Clinical Pharmacy Department, Pharmacy Services, Second Health Cluster in Central Region, Riyadh, Saudi Arabia2Pharmacy Department, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia3Obstetrics and Gynecology Department, King Fahad Medical City, Ministry of Health, Riyadh, Saudi Arabia4College of Nursing, King Saud University, Riyadh, Saudi Arabia5Saab Medical Library, University Libraries, American University of Beirut, Beirut, Lebanon6Wegner Health Sciences Library, University of South Dakota, Sioux Falls, SD, United States7Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia8Morbidity and Mortality Unit, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia9Public Health and Community Medicine Department, Theodor Bilharz Research Institute (TBRI), Academy of Scientific Research, Cairo, Egypt0Neonatal Intensive Care Unit, Infectious Diseases Unit, Pediatrics Department, King Abdulaziz University Hospital, Jeddah, Saudi ArabiaBackground and objectiveNeonatal sepsis (NS) continues to be a critical healthcare priority for the coming decades worldwide. The aim of this study was to critically appraise the quality of recent clinical practice guidelines (CPGs) for neonatal sepsis and to summarize and compare their recommendations.MethodsThis study involves a systematic review of CPGs. We identified clinical questions and eligibility criteria and searched and screened for CPGs using bibliographic and CPG databases and professional societies. Each included CPG was assessed by four independent appraisers using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE II) instrument. We summarized the recommendations in a comparison practical table. The systematic review was drafted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement. Its protocol was registered in the PROSPERO International Prospective Register of Systematic Reviews (ID: CRD42021258732).ResultsOur search retrieved 4,432 citations; of which five CPGs were eligible and appraised: American Academy of Pediatrics (AAP 2018) (35 and 34 weeks); Canadian Pediatric Society (CPS 2017); National Institute for Health and Care Excellence (NICE 2021); and Queensland Maternity and Neonatal Services (QH 2020). Among these, the overall assessment of two evidence-based CPGs scored > 70% (NICE and QH), which was consistent with their higher scores in the six domains of the AGREE II instrument. In domain 3 (rigor of development), NICE and QH scored 99 and 60%, respectively. In domain 5 (applicability), they scored 96 and 74%, respectively, and in domain 6 (editorial independence), they scored 90 and 71%, respectively.ConclusionThe methodological quality of the NICE CPG was superior followed by the QH CPG with relevant recommendations for use in practice.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021258732, PROSPERO (CRD42021258732).https://www.frontiersin.org/articles/10.3389/fped.2022.891572/fullneonatal sepsispediatricsclinical practice guidelinessystematic reviewAGREE II instrumentquality assessment
spellingShingle Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Yasser S. Amer
Lana A. Shaiba
Lana A. Shaiba
Adnan Hadid
Adnan Hadid
Jasim Anabrees
Jasim Anabrees
Jasim Anabrees
Abdulrahman Almehery
Manal AAssiri
Abdulrahman Alnemri
Abdulrahman Alnemri
Abdulrahman Alnemri
Amira R. Al Darwish
Amira R. Al Darwish
Badi Baqawi
Ahmad Aboshaiqah
Layal Hneiny
Layal Hneiny
Rana H. Almaghrabi
Ahmed M. El-Malky
Ahmed M. El-Malky
Nawaf M. Al-Dajani
Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
Frontiers in Pediatrics
neonatal sepsis
pediatrics
clinical practice guidelines
systematic review
AGREE II instrument
quality assessment
title Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
title_full Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
title_fullStr Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
title_full_unstemmed Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
title_short Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
title_sort quality assessment of clinical practice guidelines for neonatal sepsis using the appraisal of guidelines for research and evaluation agree ii instrument a systematic review of neonatal guidelines
topic neonatal sepsis
pediatrics
clinical practice guidelines
systematic review
AGREE II instrument
quality assessment
url https://www.frontiersin.org/articles/10.3389/fped.2022.891572/full
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