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BMC Pediatrics

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Open Access 01-12-2016 | Research article

Appraisal of clinical practice guidelines on community-acquired pneumonia in children with AGREE II instrument

Authors: Zhenwei Xie, Xiaoling Wang, Lin Sun, Jun Liu, Yan Guo, Baoping Xu, Libo Zhao, Adong Shen

Published in: BMC Pediatrics | Issue 1/2016

Abstract

Background

Community-acquired pneumonia (CAP) remains a major cause of morbidity and mortality worldwide among children. The growing number of guidelines have been accompanied with a growing concern about variance and conflicts among guideline recommendations. There is a need to critically appraise clinical practice guidelines (CPGs) in order to ensure safe and effective practices.

Methods

A literature search was systematically conducted in English and Chinese major academic databases (from January 2000 to March 2015). CPGs related to CAP in children were evaluated by four independent assessors, according to AGREE II instruments. Standardized domain scores were calculated for each guideline. Inter-rater reliability was assessed by intraclass correlation coefficient. The software used for analysis was SPSS 17.0.

Results

A total of 10 guidelines met the inclusion criteria and were appraised. Scope and purpose (69.03 %) and clarity of presentation (83.33 %) achieved relative high scores, while the scores of the other four domains were low: stakeholder involvement (42.78 %), rigour of development (44.95 %), applicability (37.60 %), and editorial independence (23.74 %). 3 guidelines were strongly recommended as a result of the overall scores were greater than 60 %.

Conclusion

The qualities of CPGs for CAP in children were generally acceptable with several flaws. Stakeholder involvement, rigour of development, applicability and editorial independence should be considered and well described in the future development of CPGs.

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Title: Appraisal of clinical practice guidelines on community-acquired pneumonia in children with AGREE II instrument
Authors: Zhenwei Xie
Xiaoling Wang
Lin Sun
Jun Liu
Yan Guo
Baoping Xu
Libo Zhao
Adong Shen
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Pediatrics / Issue 1/2016
Electronic ISSN: 1471-2431
DOI: https://doi.org/10.1186/s12887-016-0651-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Appraisal of clinical practice guidelines on community-acquired pneumonia in children with AGREE II instrument

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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