Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools
<i>Background:</i> To evaluate the methodological quality of (1) clinical practice guidelines (CPGs) that inform nutrition care in critically ill adults using the AGREE II tool and (2) CPG recommendations for determining energy expenditure using the AGREE-REX tool. <i>Methods:</...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/13/2603 |
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| author | John K. Noyahr Oana A. Tatucu-Babet Lee-anne S. Chapple Christopher Jake Barlow Marianne J. Chapman Adam M. Deane Kate Fetterplace Carol L. Hodgson Jacinta Winderlich Andrew A. Udy Andrea P. Marshall Emma J. Ridley |
| author_facet | John K. Noyahr Oana A. Tatucu-Babet Lee-anne S. Chapple Christopher Jake Barlow Marianne J. Chapman Adam M. Deane Kate Fetterplace Carol L. Hodgson Jacinta Winderlich Andrew A. Udy Andrea P. Marshall Emma J. Ridley |
| author_sort | John K. Noyahr |
| collection | DOAJ |
| description | <i>Background:</i> To evaluate the methodological quality of (1) clinical practice guidelines (CPGs) that inform nutrition care in critically ill adults using the AGREE II tool and (2) CPG recommendations for determining energy expenditure using the AGREE-REX tool. <i>Methods:</i> CPGs by a professional society or academic group, intended to guide nutrition care in critically ill adults, that used a systematic literature search and rated the evidence were included. Four databases and grey literature were searched from January 2011 to 19 January 2022. Five investigators assessed the methodological quality of CPGs and recommendations specific to energy expenditure determination. Scaled domain scores were calculated for AGREE II and a scaled total score for AGREE-REX. Data are presented as medians (interquartile range). <i>Results:</i> Eleven CPGs were included. Highest scoring domains for AGREE II were clarity of presentation (82% [76–87%]) and scope and purpose (78% [66–83%]). Lowest scoring domains were applicability (37% [32–42%]) and stakeholder involvement (46% [33–51%]). Eight (73%) CPGs provided recommendations relating to energy expenditure determination; scores were low overall (37% [36–40%]) and across individual domains. <i>Conclusions:</i> Nutrition CPGs for critically ill patients are developed using systematic methods but lack engagement with key stakeholders and guidance to support application. The quality of energy expenditure determination recommendations is low. |
| first_indexed | 2024-03-09T10:26:43Z |
| format | Article |
| id | doaj.art-e3570d3b9dc94cbaa4fec6669433700b |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T10:26:43Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-e3570d3b9dc94cbaa4fec6669433700b2023-12-01T21:38:00ZengMDPI AGNutrients2072-66432022-06-011413260310.3390/nu14132603Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX ToolsJohn K. Noyahr0Oana A. Tatucu-Babet1Lee-anne S. Chapple2Christopher Jake Barlow3Marianne J. Chapman4Adam M. Deane5Kate Fetterplace6Carol L. Hodgson7Jacinta Winderlich8Andrew A. Udy9Andrea P. Marshall10Emma J. Ridley11Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaAustralian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaIntensive Care Unit, Royal Adelaide Hospital, Adelaide, SA 5000, AustraliaCardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland 1023, New ZealandCentre of Research Excellence in Translating Nutritional Science to Good Health, The University of Adelaide, Adelaide, SA 5005, AustraliaDepartment of Medicine and Radiology, Melbourne Medical School, Royal Melbourne Hospital, University of Melbourne, Melbourne, VIC 3010, AustraliaDepartment of Medicine and Radiology, Melbourne Medical School, Royal Melbourne Hospital, University of Melbourne, Melbourne, VIC 3010, AustraliaAustralian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaAustralian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaAustralian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, AustraliaIntensive Care Unit, Gold Coast Hospital and Health Service, Gold Coast, QLD 4215, AustraliaAustralian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventative Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia<i>Background:</i> To evaluate the methodological quality of (1) clinical practice guidelines (CPGs) that inform nutrition care in critically ill adults using the AGREE II tool and (2) CPG recommendations for determining energy expenditure using the AGREE-REX tool. <i>Methods:</i> CPGs by a professional society or academic group, intended to guide nutrition care in critically ill adults, that used a systematic literature search and rated the evidence were included. Four databases and grey literature were searched from January 2011 to 19 January 2022. Five investigators assessed the methodological quality of CPGs and recommendations specific to energy expenditure determination. Scaled domain scores were calculated for AGREE II and a scaled total score for AGREE-REX. Data are presented as medians (interquartile range). <i>Results:</i> Eleven CPGs were included. Highest scoring domains for AGREE II were clarity of presentation (82% [76–87%]) and scope and purpose (78% [66–83%]). Lowest scoring domains were applicability (37% [32–42%]) and stakeholder involvement (46% [33–51%]). Eight (73%) CPGs provided recommendations relating to energy expenditure determination; scores were low overall (37% [36–40%]) and across individual domains. <i>Conclusions:</i> Nutrition CPGs for critically ill patients are developed using systematic methods but lack engagement with key stakeholders and guidance to support application. The quality of energy expenditure determination recommendations is low.https://www.mdpi.com/2072-6643/14/13/2603systematic reviewpractice guidelinecritical illnessintensive care unitsnutrition therapyenergy metabolism |
| spellingShingle | John K. Noyahr Oana A. Tatucu-Babet Lee-anne S. Chapple Christopher Jake Barlow Marianne J. Chapman Adam M. Deane Kate Fetterplace Carol L. Hodgson Jacinta Winderlich Andrew A. Udy Andrea P. Marshall Emma J. Ridley Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools Nutrients systematic review practice guideline critical illness intensive care units nutrition therapy energy metabolism |
| title | Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools |
| title_full | Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools |
| title_fullStr | Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools |
| title_full_unstemmed | Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools |
| title_short | Methodological Rigor and Transparency in Clinical Practice Guidelines for Nutrition Care in Critically Ill Adults: A Systematic Review Using the AGREE II and AGREE-REX Tools |
| title_sort | methodological rigor and transparency in clinical practice guidelines for nutrition care in critically ill adults a systematic review using the agree ii and agree rex tools |
| topic | systematic review practice guideline critical illness intensive care units nutrition therapy energy metabolism |
| url | https://www.mdpi.com/2072-6643/14/13/2603 |
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