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The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments

Multiple guidelines on cutaneous melanoma (CM) are available from several consortia and countries. To provide up-to-date guidance in the rapidly changing field of melanoma treatment, guideline developers have to provide regular updates without compromises of quality. We performed a systematic search...

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Autores principales: Steeb, Theresa, Wessely, Anja, Drexler, Konstantin, Salzmann, Martin, Toussaint, Frédéric, Heinzerling, Lucie, Reinholz, Markus, Berking, Carola, Heppt, Markus V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352745/
https://www.ncbi.nlm.nih.gov/pubmed/32570843
http://dx.doi.org/10.3390/cancers12061613
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author Steeb, Theresa
Wessely, Anja
Drexler, Konstantin
Salzmann, Martin
Toussaint, Frédéric
Heinzerling, Lucie
Reinholz, Markus
Berking, Carola
Heppt, Markus V.
author_facet Steeb, Theresa
Wessely, Anja
Drexler, Konstantin
Salzmann, Martin
Toussaint, Frédéric
Heinzerling, Lucie
Reinholz, Markus
Berking, Carola
Heppt, Markus V.
author_sort Steeb, Theresa
collection PubMed
description Multiple guidelines on cutaneous melanoma (CM) are available from several consortia and countries. To provide up-to-date guidance in the rapidly changing field of melanoma treatment, guideline developers have to provide regular updates without compromises of quality. We performed a systematic search in guideline databases, Medline and Embase to identify guidelines on CM. The methodological quality of the identified guidelines was independently assessed by five reviewers using the instruments “Appraisal of Guidelines for Research and Evaluation” (AGREE II) and “Recommendation EXcellence” (AGREE-REX). We performed descriptive analysis, explored subgroup differences using the Kruskal–Wallis (H) test and examined the relationship between distinct domains and items of the instruments with Spearman’s correlation. Six guidelines by consortia from Australia, France, Germany, Scotland, Spain and the United States of America were included. The German guideline fulfilled 71%–98% of criteria in AGREE II and 78%–96% for AGREE-REX, obtaining the highest scores. Deficiencies in the domains of “applicability” and “values and preferences” were observed in all guidelines. The German and Spanish guidelines significantly differed from each other in most of the domains. The domains “applicability” and “values and preferences” were identified as methodological weaknesses requiring careful revision and improvement in the future.
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spelling pubmed-73527452020-07-15 The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments Steeb, Theresa Wessely, Anja Drexler, Konstantin Salzmann, Martin Toussaint, Frédéric Heinzerling, Lucie Reinholz, Markus Berking, Carola Heppt, Markus V. Cancers (Basel) Article Multiple guidelines on cutaneous melanoma (CM) are available from several consortia and countries. To provide up-to-date guidance in the rapidly changing field of melanoma treatment, guideline developers have to provide regular updates without compromises of quality. We performed a systematic search in guideline databases, Medline and Embase to identify guidelines on CM. The methodological quality of the identified guidelines was independently assessed by five reviewers using the instruments “Appraisal of Guidelines for Research and Evaluation” (AGREE II) and “Recommendation EXcellence” (AGREE-REX). We performed descriptive analysis, explored subgroup differences using the Kruskal–Wallis (H) test and examined the relationship between distinct domains and items of the instruments with Spearman’s correlation. Six guidelines by consortia from Australia, France, Germany, Scotland, Spain and the United States of America were included. The German guideline fulfilled 71%–98% of criteria in AGREE II and 78%–96% for AGREE-REX, obtaining the highest scores. Deficiencies in the domains of “applicability” and “values and preferences” were observed in all guidelines. The German and Spanish guidelines significantly differed from each other in most of the domains. The domains “applicability” and “values and preferences” were identified as methodological weaknesses requiring careful revision and improvement in the future. MDPI 2020-06-18 /pmc/articles/PMC7352745/ /pubmed/32570843 http://dx.doi.org/10.3390/cancers12061613 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Steeb, Theresa
Wessely, Anja
Drexler, Konstantin
Salzmann, Martin
Toussaint, Frédéric
Heinzerling, Lucie
Reinholz, Markus
Berking, Carola
Heppt, Markus V.
The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments
title The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments
title_full The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments
title_fullStr The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments
title_full_unstemmed The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments
title_short The Quality of Practice Guidelines for Melanoma: A Methodologic Appraisal with the AGREE II and AGREE-REX Instruments
title_sort quality of practice guidelines for melanoma: a methodologic appraisal with the agree ii and agree-rex instruments
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7352745/
https://www.ncbi.nlm.nih.gov/pubmed/32570843
http://dx.doi.org/10.3390/cancers12061613
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