Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II
Abstract Background Many patients with inflammatory bowel disease (IBD) use complementary and alternative medicine (CAM) for disease management. There is, however, a communication gap between patients and healthcare professionals regarding CAM use, where patients are hesitant to disclose CAM use to...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Complementary Medicine and Therapies |
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| Online Access: | https://doi.org/10.1186/s12906-023-04062-0 |
| _version_ | 1797779060937457664 |
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| author | Jeremy Y. Ng Henry Liu Michelle Chenghuazou Wang |
| author_facet | Jeremy Y. Ng Henry Liu Michelle Chenghuazou Wang |
| author_sort | Jeremy Y. Ng |
| collection | DOAJ |
| description | Abstract Background Many patients with inflammatory bowel disease (IBD) use complementary and alternative medicine (CAM) for disease management. There is, however, a communication gap between patients and healthcare professionals regarding CAM use, where patients are hesitant to disclose CAM use to providers. The purpose of this study was to identify the quantity and assess the quality of CAM recommendations in IBD clinical practice guidelines (CPGs) using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. Methods MEDLINE, EMBASE, and CINAHL were systematically searched from 2011 to 2022 to find CPGs for the treatment and/or management of IBD. The Guidelines International Network (GIN) and National Center for Complementary and Integrative Health (NCCIH) websites were also searched. Eligible CPGs were assessed using the AGREE II instrument. Results Nineteen CPGs made CAM recommendations for IBD and were included in this review. Average scaled domain percentages of CPGs were as follows (overall CPG, CAM section): scope and purpose (91.5%, 91.5%), clarity of presentation (90.3%, 64.0%), editorial independence (57.0%, 57.0%), stakeholder involvement (56.7%, 27.8%), rigour of development (54.7%, 45.9%), and applicability (14.6%, 2.1%). Conclusions The majority of CPGs with CAM recommendations were of low quality and their CAM sections scored substantially lower relative to other therapies in the overall CPG. In future updates, CPGs with low scaled-domain percentages could be improved in accordance with AGREE II and other guideline development resources. Further research investigating how CAM therapies can best be incorporated into IBD CPGs is warranted. |
| first_indexed | 2024-03-12T23:26:16Z |
| format | Article |
| id | doaj.art-7c1a16b5a82f45deb211c896cfff9af9 |
| institution | Directory Open Access Journal |
| issn | 2662-7671 |
| language | English |
| last_indexed | 2024-03-12T23:26:16Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Complementary Medicine and Therapies |
| spelling | doaj.art-7c1a16b5a82f45deb211c896cfff9af92023-07-16T11:09:20ZengBMCBMC Complementary Medicine and Therapies2662-76712023-07-0123111910.1186/s12906-023-04062-0Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE IIJeremy Y. Ng0Henry Liu1Michelle Chenghuazou Wang2Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster UniversityDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster UniversityDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster UniversityAbstract Background Many patients with inflammatory bowel disease (IBD) use complementary and alternative medicine (CAM) for disease management. There is, however, a communication gap between patients and healthcare professionals regarding CAM use, where patients are hesitant to disclose CAM use to providers. The purpose of this study was to identify the quantity and assess the quality of CAM recommendations in IBD clinical practice guidelines (CPGs) using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. Methods MEDLINE, EMBASE, and CINAHL were systematically searched from 2011 to 2022 to find CPGs for the treatment and/or management of IBD. The Guidelines International Network (GIN) and National Center for Complementary and Integrative Health (NCCIH) websites were also searched. Eligible CPGs were assessed using the AGREE II instrument. Results Nineteen CPGs made CAM recommendations for IBD and were included in this review. Average scaled domain percentages of CPGs were as follows (overall CPG, CAM section): scope and purpose (91.5%, 91.5%), clarity of presentation (90.3%, 64.0%), editorial independence (57.0%, 57.0%), stakeholder involvement (56.7%, 27.8%), rigour of development (54.7%, 45.9%), and applicability (14.6%, 2.1%). Conclusions The majority of CPGs with CAM recommendations were of low quality and their CAM sections scored substantially lower relative to other therapies in the overall CPG. In future updates, CPGs with low scaled-domain percentages could be improved in accordance with AGREE II and other guideline development resources. Further research investigating how CAM therapies can best be incorporated into IBD CPGs is warranted.https://doi.org/10.1186/s12906-023-04062-0AGREE IIClinical practice guidelineComplementary and alternative medicineCrohn’s diseaseInflammatory bowel diseaseUlcerative colitis |
| spellingShingle | Jeremy Y. Ng Henry Liu Michelle Chenghuazou Wang Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II BMC Complementary Medicine and Therapies AGREE II Clinical practice guideline Complementary and alternative medicine Crohn’s disease Inflammatory bowel disease Ulcerative colitis |
| title | Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II |
| title_full | Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II |
| title_fullStr | Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II |
| title_full_unstemmed | Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II |
| title_short | Complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines: systematic review and assessment using AGREE II |
| title_sort | complementary and alternative medicine mention and recommendations in inflammatory bowel disease guidelines systematic review and assessment using agree ii |
| topic | AGREE II Clinical practice guideline Complementary and alternative medicine Crohn’s disease Inflammatory bowel disease Ulcerative colitis |
| url | https://doi.org/10.1186/s12906-023-04062-0 |
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