The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal
Background: Several guidelines and expert consensuses have been developed for management of primary aldosteronism (PA). It is important to understand the detailed recommendations and quality of these guidelines to help physicians make informed and reliable decision.Methods: PubMed, EMBASE, and three...
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Frontiers Media S.A.
2020-05-01
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| Online Access: | https://www.frontiersin.org/article/10.3389/fmed.2020.00136/full |
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| author | Zhe Meng Zhe Meng Liang Zhou Zhe Dai Zhe Dai Chang Xu Guofeng Qian Mou Peng Yuchun Zhu Joey S. W. Kwong Xinghuan Wang |
| author_facet | Zhe Meng Zhe Meng Liang Zhou Zhe Dai Zhe Dai Chang Xu Guofeng Qian Mou Peng Yuchun Zhu Joey S. W. Kwong Xinghuan Wang |
| author_sort | Zhe Meng |
| collection | DOAJ |
| description | Background: Several guidelines and expert consensuses have been developed for management of primary aldosteronism (PA). It is important to understand the detailed recommendations and quality of these guidelines to help physicians make informed and reliable decision.Methods: PubMed, EMBASE, and three websites were searched for practice guidelines or consensuses of PA from inception to January 24, 2019. We summarized the major recommendations on the management of PA from these guidelines and consensuses. The Appraisal of Guidelines for Research and Evaluation II was used to assess quality of the included guidelines and consensuses.Results: We identified three clinical practice guidelines and three consensus statements. Most of the recommendations on the diagnosis and treatment of PA from these guidelines and consensuses were consistent. Some minor conflicts were recorded for patient's screen and confirmation test. All included guideline documents have a good quality (score, >70%) on the scope and purpose (mean score, 81.02%) and clarity of presentation of the recommendations (mean score, 86.88%). However, the reporting for the stakeholder involvement (mean score, 54.32%) and applicability (mean score, 47.92%) were insufficient. There was an insufficient rigorousness in most of the guideline documents (mean score, 45.56%) on the development process. The Endocrine Society practice guideline 2016 ranked highest in quality (score, 81.13%).Conclusions: Existing guideline documents provided valuable recommendations on the management of PA, but further efforts are needed to improve the methodological quality. The Endocrine Society practice guideline 2016 was recommended for use. |
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| publishDate | 2020-05-01 |
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| series | Frontiers in Medicine |
| spelling | doaj.art-ce2bdcdf82004e0eb945a7ad7b88973d2022-12-21T17:31:21ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-05-01710.3389/fmed.2020.00136525535The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical AppraisalZhe Meng0Zhe Meng1Liang Zhou2Zhe Dai3Zhe Dai4Chang Xu5Guofeng Qian6Mou Peng7Yuchun Zhu8Joey S. W. Kwong9Xinghuan Wang10Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, ChinaDepartment of Adrenal Hypertension, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, ChinaDepartment of Urology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Adrenal Hypertension, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, ChinaDepartment of Endocrinology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, ChinaChinese Evidence Based Medicine Center, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, The First Hospital of Zhejiang University, Zhejiang University, Hangzhou, ChinaDepartment of Urology, The Second Hospital of Xiangya, Zhongnan University, Hangzhou, ChinaDepartment of Adrenal Hypertension, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, ChinaJC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, ChinaBackground: Several guidelines and expert consensuses have been developed for management of primary aldosteronism (PA). It is important to understand the detailed recommendations and quality of these guidelines to help physicians make informed and reliable decision.Methods: PubMed, EMBASE, and three websites were searched for practice guidelines or consensuses of PA from inception to January 24, 2019. We summarized the major recommendations on the management of PA from these guidelines and consensuses. The Appraisal of Guidelines for Research and Evaluation II was used to assess quality of the included guidelines and consensuses.Results: We identified three clinical practice guidelines and three consensus statements. Most of the recommendations on the diagnosis and treatment of PA from these guidelines and consensuses were consistent. Some minor conflicts were recorded for patient's screen and confirmation test. All included guideline documents have a good quality (score, >70%) on the scope and purpose (mean score, 81.02%) and clarity of presentation of the recommendations (mean score, 86.88%). However, the reporting for the stakeholder involvement (mean score, 54.32%) and applicability (mean score, 47.92%) were insufficient. There was an insufficient rigorousness in most of the guideline documents (mean score, 45.56%) on the development process. The Endocrine Society practice guideline 2016 ranked highest in quality (score, 81.13%).Conclusions: Existing guideline documents provided valuable recommendations on the management of PA, but further efforts are needed to improve the methodological quality. The Endocrine Society practice guideline 2016 was recommended for use.https://www.frontiersin.org/article/10.3389/fmed.2020.00136/fullprimary aldosteronismclinical practice guidelinequality assessmentAGREE IIsystematic review |
| spellingShingle | Zhe Meng Zhe Meng Liang Zhou Zhe Dai Zhe Dai Chang Xu Guofeng Qian Mou Peng Yuchun Zhu Joey S. W. Kwong Xinghuan Wang The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal Frontiers in Medicine primary aldosteronism clinical practice guideline quality assessment AGREE II systematic review |
| title | The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal |
| title_full | The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal |
| title_fullStr | The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal |
| title_full_unstemmed | The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal |
| title_short | The Quality of Clinical Practice Guidelines and Consensuses on the Management of Primary Aldosteronism: A Critical Appraisal |
| title_sort | quality of clinical practice guidelines and consensuses on the management of primary aldosteronism a critical appraisal |
| topic | primary aldosteronism clinical practice guideline quality assessment AGREE II systematic review |
| url | https://www.frontiersin.org/article/10.3389/fmed.2020.00136/full |
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