Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument
Abstract Background and Aims Venous thromboembolism (VTE) is the most common cause of death during the first 30 days after surgery. There is not any study which critically evaluated clinical guidelines related to VTE prophylaxis in urological surgeries. Therefore, in this study, we decided to evalua...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-02-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.1118 |
| _version_ | 1797772416433258496 |
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| author | Behnam Shakiba Ali Kabir Shirin Irani Nasim Torabi Vahid Nourmohamad Mohaddese Farid |
| author_facet | Behnam Shakiba Ali Kabir Shirin Irani Nasim Torabi Vahid Nourmohamad Mohaddese Farid |
| author_sort | Behnam Shakiba |
| collection | DOAJ |
| description | Abstract Background and Aims Venous thromboembolism (VTE) is the most common cause of death during the first 30 days after surgery. There is not any study which critically evaluated clinical guidelines related to VTE prophylaxis in urological surgeries. Therefore, in this study, we decided to evaluate related clinical guidelines using the AGREE II instrument to take a positive step towards improving the care of these patients. Methods The latest version of all available clinical guidelines related to the topic of VTE prophylaxis in urological surgeries until 2021 was searched. Four appraisers, including one urologist, one cardiologist, one epidemiologist, and one MD who had prior knowledge of working with the AGREE II tool and international articles in this field appraised selected clinical guidelines. Using the AGREE II review tool, clinical guidelines were critically evaluated. Then, the score of six domains of AGREE II for each guideline was calculated and compared with each other, and the relationship between the domains was measured by Kendall's correlation test. To determine the reliability of the test, interclass correlation coefficients were calculated for all indicators. Results Items were rated on a 7‐point scale from 1 (strongly disagree) to 7 (strongly agree). NICE, CHEST, and EAU guidelines obtained the highest scores from the Overall Assessment criteria by scoring 6, 5.75, and 5.25, respectively. There was only a correlation between the score of Overall Assessment criterion with “Applicability” domain, with Kendall's correlation coefficient of 0.867 and p = 0.015. The domains of “Clarity and presentation” and “Scope and purpose” obtained the highest standardized scores by getting 84.49% and 75.69%, respectively, and “Applicability” with 30.04% obtained the lowest standardized score. Conclusion In this study, NICE, CHEST, and EAU guidelines are suggested as clinical guidelines by obtaining the highest scores from Overall Assessment criterion. |
| first_indexed | 2024-03-12T21:51:29Z |
| format | Article |
| id | doaj.art-baaafd608fd5429b99f8a10b2f5bf3dd |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-12T21:51:29Z |
| publishDate | 2023-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-baaafd608fd5429b99f8a10b2f5bf3dd2023-07-26T04:06:15ZengWileyHealth Science Reports2398-88352023-02-0162n/an/a10.1002/hsr2.1118Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrumentBehnam Shakiba0Ali Kabir1Shirin Irani2Nasim Torabi3Vahid Nourmohamad4Mohaddese Farid5Department of Urology, School of Medicine, Firoozgar Hospital Iran University of Medical Sciences Tehran IranAssociate Professor of Epidemiology, Minimally Invasive Surgery Research Center Iran University of Medical Sciences Tehran IranOtorhinolaryngology Research Center, Amiralam Hospital, School of medicine Tehran University of Medical Sciences Tehran IranDepartment of Cardiology, School of Medicine, Firoozgar Hospital Iran University of Medical Sciences Tehran IranFiroozgar Clinical Research Development Center Iran University of Medical Sciences Tehran IranSchool of Medicine Tabriz University of Medical Sciences Tabriz IranAbstract Background and Aims Venous thromboembolism (VTE) is the most common cause of death during the first 30 days after surgery. There is not any study which critically evaluated clinical guidelines related to VTE prophylaxis in urological surgeries. Therefore, in this study, we decided to evaluate related clinical guidelines using the AGREE II instrument to take a positive step towards improving the care of these patients. Methods The latest version of all available clinical guidelines related to the topic of VTE prophylaxis in urological surgeries until 2021 was searched. Four appraisers, including one urologist, one cardiologist, one epidemiologist, and one MD who had prior knowledge of working with the AGREE II tool and international articles in this field appraised selected clinical guidelines. Using the AGREE II review tool, clinical guidelines were critically evaluated. Then, the score of six domains of AGREE II for each guideline was calculated and compared with each other, and the relationship between the domains was measured by Kendall's correlation test. To determine the reliability of the test, interclass correlation coefficients were calculated for all indicators. Results Items were rated on a 7‐point scale from 1 (strongly disagree) to 7 (strongly agree). NICE, CHEST, and EAU guidelines obtained the highest scores from the Overall Assessment criteria by scoring 6, 5.75, and 5.25, respectively. There was only a correlation between the score of Overall Assessment criterion with “Applicability” domain, with Kendall's correlation coefficient of 0.867 and p = 0.015. The domains of “Clarity and presentation” and “Scope and purpose” obtained the highest standardized scores by getting 84.49% and 75.69%, respectively, and “Applicability” with 30.04% obtained the lowest standardized score. Conclusion In this study, NICE, CHEST, and EAU guidelines are suggested as clinical guidelines by obtaining the highest scores from Overall Assessment criterion.https://doi.org/10.1002/hsr2.1118AGREE IIclinical guidelinesurological surgeryvenous thromboembolism |
| spellingShingle | Behnam Shakiba Ali Kabir Shirin Irani Nasim Torabi Vahid Nourmohamad Mohaddese Farid Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument Health Science Reports AGREE II clinical guidelines urological surgery venous thromboembolism |
| title | Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument |
| title_full | Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument |
| title_fullStr | Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument |
| title_full_unstemmed | Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument |
| title_short | Evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the AGREE II review instrument |
| title_sort | evaluation of the quality of clinical guidelines for prophylaxis of venous thromboembolism in urological surgeries by the agree ii review instrument |
| topic | AGREE II clinical guidelines urological surgery venous thromboembolism |
| url | https://doi.org/10.1002/hsr2.1118 |
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