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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

Background: 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. Methods: CPGs by a professional society o...

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Autores principales: Noyahr, John K., Tatucu-Babet, Oana A., Chapple, Lee-anne S., Barlow, Christopher Jake, Chapman, Marianne J., Deane, Adam M., Fetterplace, Kate, Hodgson, Carol L., Winderlich, Jacinta, Udy, Andrew A., Marshall, Andrea P., Ridley, Emma J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9268338/
https://www.ncbi.nlm.nih.gov/pubmed/35807784
http://dx.doi.org/10.3390/nu14132603
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author Noyahr, John K.
Tatucu-Babet, Oana A.
Chapple, Lee-anne S.
Barlow, Christopher Jake
Chapman, Marianne J.
Deane, Adam M.
Fetterplace, Kate
Hodgson, Carol L.
Winderlich, Jacinta
Udy, Andrew A.
Marshall, Andrea P.
Ridley, Emma J.
author_facet Noyahr, John K.
Tatucu-Babet, Oana A.
Chapple, Lee-anne S.
Barlow, Christopher Jake
Chapman, Marianne J.
Deane, Adam M.
Fetterplace, Kate
Hodgson, Carol L.
Winderlich, Jacinta
Udy, Andrew A.
Marshall, Andrea P.
Ridley, Emma J.
author_sort Noyahr, John K.
collection PubMed
description Background: 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. Methods: 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). Results: 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. Conclusions: 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.
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spelling pubmed-92683382022-07-09 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 Noyahr, John K. Tatucu-Babet, Oana A. Chapple, Lee-anne S. Barlow, Christopher Jake Chapman, Marianne J. Deane, Adam M. Fetterplace, Kate Hodgson, Carol L. Winderlich, Jacinta Udy, Andrew A. Marshall, Andrea P. Ridley, Emma J. Nutrients Systematic Review Background: 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. Methods: 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). Results: 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. Conclusions: 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. MDPI 2022-06-23 /pmc/articles/PMC9268338/ /pubmed/35807784 http://dx.doi.org/10.3390/nu14132603 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Noyahr, John K.
Tatucu-Babet, Oana A.
Chapple, Lee-anne S.
Barlow, Christopher Jake
Chapman, Marianne J.
Deane, Adam M.
Fetterplace, Kate
Hodgson, Carol L.
Winderlich, Jacinta
Udy, Andrew A.
Marshall, Andrea P.
Ridley, Emma J.
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 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
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9268338/
https://www.ncbi.nlm.nih.gov/pubmed/35807784
http://dx.doi.org/10.3390/nu14132603
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