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Systematic review of shared decision‐making in guidelines about colorectal cancer screening
INTRODUCTION: We aimed to systematically evaluate quality of shared decision‐making (SDM) in colorectal cancer (CRC) screening clinical practice guidelines (CPGs) and consensus statements (CSs). METHODS: Search for CRC screening guidances was from 2010 to November 2021 in EMBASE, Web of Science, MED...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9786598/ https://www.ncbi.nlm.nih.gov/pubmed/36254840 http://dx.doi.org/10.1111/ecc.13738 |
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author | Maes‐Carballo, Marta García‐García, Manuel Gómez‐Fandiño, Yolanda Estrada‐López, Carlos Roberto Iglesias‐Álvarez, Andrés Bueno‐Cavanillas, Aurora Khan, Khalid Saeed |
author_facet | Maes‐Carballo, Marta García‐García, Manuel Gómez‐Fandiño, Yolanda Estrada‐López, Carlos Roberto Iglesias‐Álvarez, Andrés Bueno‐Cavanillas, Aurora Khan, Khalid Saeed |
author_sort | Maes‐Carballo, Marta |
collection | PubMed |
description | INTRODUCTION: We aimed to systematically evaluate quality of shared decision‐making (SDM) in colorectal cancer (CRC) screening clinical practice guidelines (CPGs) and consensus statements (CSs). METHODS: Search for CRC screening guidances was from 2010 to November 2021 in EMBASE, Web of Science, MEDLINE, Scopus and CDSR, and the World Wide Web. Three independent reviewers and an arbitrator rated the quality of each guidance using a SDM quality assessment tool (maximum score: 31). Reviewer agreement was 0.88. RESULTS: SDM appeared in 41/83 (49.4%) CPGs and 9/19 (47.4%) CSs. None met all the quality criteria, and 51.0% (52/102) failed to meet any quality items. Overall compliance was low (mean 1.63, IQR 0–2). Quality was better in guidances published after 2015 (mean 1, IQR 0–3 vs. mean 0.5, IQR 0–1.5; p = 0.048) and when the term SDM was specifically reported (mean 4.5, IQR 2.5–4.5 vs. mean 0.5, IQR 0–1.5; p < 0.001). CPGs underpinned by systematic reviews showed better SDM quality than consensus (mean 1, IQR 0–3 vs. mean 0, IQR 0–2, p = 0.040). CONCLUSION: SDM quality was suboptimal and mentioned in less than half of the guidances, and recommendations were scarce. Guideline developers should incorporate evidence‐based SDM recommendations in guidances to underpin the translation of evidence into practice. |
format | Online Article Text |
id | pubmed-9786598 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97865982022-12-27 Systematic review of shared decision‐making in guidelines about colorectal cancer screening Maes‐Carballo, Marta García‐García, Manuel Gómez‐Fandiño, Yolanda Estrada‐López, Carlos Roberto Iglesias‐Álvarez, Andrés Bueno‐Cavanillas, Aurora Khan, Khalid Saeed Eur J Cancer Care (Engl) Reviews INTRODUCTION: We aimed to systematically evaluate quality of shared decision‐making (SDM) in colorectal cancer (CRC) screening clinical practice guidelines (CPGs) and consensus statements (CSs). METHODS: Search for CRC screening guidances was from 2010 to November 2021 in EMBASE, Web of Science, MEDLINE, Scopus and CDSR, and the World Wide Web. Three independent reviewers and an arbitrator rated the quality of each guidance using a SDM quality assessment tool (maximum score: 31). Reviewer agreement was 0.88. RESULTS: SDM appeared in 41/83 (49.4%) CPGs and 9/19 (47.4%) CSs. None met all the quality criteria, and 51.0% (52/102) failed to meet any quality items. Overall compliance was low (mean 1.63, IQR 0–2). Quality was better in guidances published after 2015 (mean 1, IQR 0–3 vs. mean 0.5, IQR 0–1.5; p = 0.048) and when the term SDM was specifically reported (mean 4.5, IQR 2.5–4.5 vs. mean 0.5, IQR 0–1.5; p < 0.001). CPGs underpinned by systematic reviews showed better SDM quality than consensus (mean 1, IQR 0–3 vs. mean 0, IQR 0–2, p = 0.040). CONCLUSION: SDM quality was suboptimal and mentioned in less than half of the guidances, and recommendations were scarce. Guideline developers should incorporate evidence‐based SDM recommendations in guidances to underpin the translation of evidence into practice. John Wiley and Sons Inc. 2022-10-18 2022-11 /pmc/articles/PMC9786598/ /pubmed/36254840 http://dx.doi.org/10.1111/ecc.13738 Text en © 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Reviews Maes‐Carballo, Marta García‐García, Manuel Gómez‐Fandiño, Yolanda Estrada‐López, Carlos Roberto Iglesias‐Álvarez, Andrés Bueno‐Cavanillas, Aurora Khan, Khalid Saeed Systematic review of shared decision‐making in guidelines about colorectal cancer screening |
title | Systematic review of shared decision‐making in guidelines about colorectal cancer screening |
title_full | Systematic review of shared decision‐making in guidelines about colorectal cancer screening |
title_fullStr | Systematic review of shared decision‐making in guidelines about colorectal cancer screening |
title_full_unstemmed | Systematic review of shared decision‐making in guidelines about colorectal cancer screening |
title_short | Systematic review of shared decision‐making in guidelines about colorectal cancer screening |
title_sort | systematic review of shared decision‐making in guidelines about colorectal cancer screening |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9786598/ https://www.ncbi.nlm.nih.gov/pubmed/36254840 http://dx.doi.org/10.1111/ecc.13738 |
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