Guidelines - How to evaluate the quality of a guideline

7 important questions on Guidelines - How to evaluate the quality of a guideline

How to evaluate the quality of guidelines?

AGREE II: appraisal of guidelines research and evaluation

= Instrument to evaluate guidelines

It’s developed to improve the quality of guidelines. And it helps to evaluate the methodology and transparency of guidelines.

! Important to use a recent guideline or the newest rewrite -> recommendations are based on new scientific evidence

Where does domain 1: purpose and scope focusses on?

focusses on clarifying the key topic/subject of the guideline,
Possible questions:

  • The overall objective(s) and key questions of the guideline is (are) specifically described
  • The population (clients) to whom the guideline is meant to apply is specifically described.

Where does domain 2: Stakeholder involvement focusses on?

focusses on the method of guideline development, more specifically the involvement of the future user.
Possible questions:

  • The guideline development group includes individuals from all relevant professional groups
  • The view and preferences of the target population (clients) have been included
  • The target users of the guideline are clearly defined (e.g. therapists, general practitioners, etc.)
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Where does domain 3: Rigour of development focusses on?

focusses on the method of guideline development, more specifically the scientific validity of the used method. How is the evidence collected and evaluated?
Possible questions:

  • Systematic methods were used to search for evidence (databases, search terms, search strategy)
  • The criteria for selecting evidence are clearly described
  • The methodological quality of the included studies is described
  • Description of how the recommendations are chosen (e.g. Delphi-method, informal consensus, etc.)
  • The guideline is reviewed by external experts

Where does domain 4: Clarity of presentation focusses on?

focusses on the language, structure and format of the guideline. Is everything clear?
Possible questions:
  • The recommendations are specific and precise.
  • The different options for screening, prevention, diagnostics or treatment are clearly presented. 

Where does domain 5: Applicability focusses on?

focusses on possible barriers and facilitators for implementation.
Possible questions:

  • The guideline provides advice and/or tools on how the recommendations can be put into practice (e.g. education materials, summary, computer support, checklist, etc.)
  • Possible organizational barriers and facilitators to implement the recommendations are described.
  • Potential costs of applying the recommendations have been considered
  • The guideline provides important criteria to monitor whether the guideline is followed.

Where does domain 6: Editorial independence focusses on?

focuses on the independence of the developers. Aren’t there any conflicting interests?
Possible questions:

  • Could there be an influence from a financing institution?
  • Conflicting interests of the developers are transparently described.

The question on the page originate from the summary of the following study material:

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