Skip to main content
Top
Published in: Systematic Reviews 1/2021

Open Access 01-12-2021 | Stroke | Research

Reporting quality evaluation of the stroke clinical practice guidelines: a systematic review

Authors: Shuya Lu, Xufei Luo, Xiaojia Ni, Haoxuan Li, Miaomiao Meng, Yefeng Cai, Yunlan Liu, Mengjuan Ren, Yanrui Sun, Yaolong Chen

Published in: Systematic Reviews | Issue 1/2021

Login to get access

Abstract

Objectives

To analyze the effectiveness and quality of stroke clinical practice guidelines (CPGs) published in recent years in order to guide future guideline developers to develop better guidelines.

Participants

No patient involved

Method

PubMed, China Biology Medicine (CBM), Wanfang, CNKI, and CPG-relevant websites were searched from January 2015 to December 2019 by two researchers independently. The RIGHT (Reporting Items for Practice Guidelines in Healthcare) checklist was used to assess the reporting quality in terms of domains and items. Then, a subgroup analysis of the results was performed.

Primary and secondary outcome measures

RIGHT checklist reporting rate

Results

A total of 66 CPGs were included. Twice as many CPGs were published internationally as were published in China. More than half were updated. Most CPGs are published in journals, developed by societies or associations, and were evidence-based grading. The average reporting rate for all included CPGs was 47.6%. Basic information got the highest (71.7% ± 19.7%) reporting rate, while review and quality assurance got the lowest (22.0% ± 24.6%). Then, a cluster analysis between countries, publishing channels, and institutions was performed. There were no statistically significant differences in the reporting quality on the CPGs between publishing countries (China vs. international), publishing channels (journals vs. websites), and institutions (associations vs. non-associations).

Conclusions

Current stroke CPGs reports are of low quality. We recommend that guideline developers improve the quality of reporting of key information and improve the management of conflicts of interest. We recommend that guideline developers consider the RIGHT checklist as an important tool for guideline development.
Literature
4.
go back to reference GBD 2016 Lifetime Risk of Stroke Collaborators, Feigin VL, Nguyen G, et al. Global, regional, and country-specific lifetime risks of stroke, 1990 and 2016. N Engl J Med. 2018;379(25):2429–37.CrossRef GBD 2016 Lifetime Risk of Stroke Collaborators, Feigin VL, Nguyen G, et al. Global, regional, and country-specific lifetime risks of stroke, 1990 and 2016. N Engl J Med. 2018;379(25):2429–37.CrossRef
11.
go back to reference Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
12.
go back to reference Chinese Society of Neurology, Neurorehabilitation Society, Chinese Society of Neurology, Cerebrovascular Disease Society, Chinese Society of Neurology. Guidelines for early rehabilitation of stroke in China. Chin J Neurol, 2017, 50(06): 405-412. [In Chinese] Chinese Society of Neurology, Neurorehabilitation Society, Chinese Society of Neurology, Cerebrovascular Disease Society, Chinese Society of Neurology. Guidelines for early rehabilitation of stroke in China. Chin J Neurol, 2017, 50(06): 405-412. [In Chinese]
15.
go back to reference Toni D, Mangiafico S, Agostoni E, et al. Intravenous thrombolysis and intra-arterial interventions in acute ischemic stroke: Italian Stroke Organisation (ISO)-SPREAD guidelines. Int J Stroke, 2015;10(7):1119–29. Toni D, Mangiafico S, Agostoni E, et al. Intravenous thrombolysis and intra-arterial interventions in acute ischemic stroke: Italian Stroke Organisation (ISO)-SPREAD guidelines. Int J Stroke, 2015;10(7):1119–29.
16.
go back to reference Liu L, Ding J, Leng X, et al. Guidelines for evaluation and management of cerebral collateral circulation in ischaemic stroke 2017, Stroke and vascular neurology. 2018;3(3):117–30. Liu L, Ding J, Leng X, et al. Guidelines for evaluation and management of cerebral collateral circulation in ischaemic stroke 2017, Stroke and vascular neurology. 2018;3(3):117–30.
17.
go back to reference Winstein C J, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016;47(6):e98–e169. Winstein C J, Stein J, Arena R, et al. Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2016;47(6):e98–e169.
18.
go back to reference Torbey MT, Bösel J, Rhoney DH, et al. Evidence-based guidelines for the management of large hemispheric infarction : a statement for health care professionals from the Neurocritical Care Society and the German Society for Neuro-intensive Care and Emergency Medicine. Neurocrit Care. 2015;22(1):146–64. https://doi.org/10.1007/s12028-014-0085-6. Torbey MT, Bösel J, Rhoney DH, et al. Evidence-based guidelines for the management of large hemispheric infarction : a statement for health care professionals from the Neurocritical Care Society and the German Society for Neuro-intensive Care and Emergency Medicine. Neurocrit Care. 2015;22(1):146–64. https://​doi.​org/​10.​1007/​s12028-014-0085-6.
22.
24.
go back to reference China Neurology Experts Group. Anhui province stroke hierarchical diagnosis and treatment guidelines [J]. Anhui Medicine,2016,37(04):367-382.[In Chinese]. China Neurology Experts Group. Anhui province stroke hierarchical diagnosis and treatment guidelines [J]. Anhui Medicine,2016,37(04):367-382.[In Chinese].
26.
go back to reference Charlotte D, Lisa L. Update: stroke guidelines. Nurs Manag. 2016;47(2):24–33 quiz 1.CrossRef Charlotte D, Lisa L. Update: stroke guidelines. Nurs Manag. 2016;47(2):24–33 quiz 1.CrossRef
27.
go back to reference Kim DH, Ko SB, Cha JK, et al. Updated Korean clinical practice guidelines on decompressive surgery for malignant middle cerebral artery territory infarction. J Stroke. 2015;17(3):369-76. Kim DH, Ko SB, Cha JK, et al. Updated Korean clinical practice guidelines on decompressive surgery for malignant middle cerebral artery territory infarction. J Stroke. 2015;17(3):369-76.
28.
go back to reference Gao F, Xu A. Chinese guidelines for endovascular treatment of acute ischemic stroke 2015. Chin J Stroke. 2015;10(07):590–606. [In Chinese]. Gao F, Xu A. Chinese guidelines for endovascular treatment of acute ischemic stroke 2015. Chin J Stroke. 2015;10(07):590–606. [In Chinese].
29.
go back to reference Liu M, He M-L. Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2014. Chin J Neurol. 2015;48(04):246–57 In Chinese. Liu M, He M-L. Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2014. Chin J Neurol. 2015;48(04):246–57 In Chinese.
35.
go back to reference Michelle G, Davis Andrew M. Guidelines for adult stroke rehabilitation and recovery. JAMA. 2018;319(8):820–1.CrossRef Michelle G, Davis Andrew M. Guidelines for adult stroke rehabilitation and recovery. JAMA. 2018;319(8):820–1.CrossRef
38.
go back to reference Gao CY, Wu CH, Zhao JG, et al. Guidelines for the diagnosis and treatment of Chinese and Western medicine in cerebral infarction in China (2017). Chin J Integr Trad Chin West Med. 2018;38(02):136–44 In Chinese. Gao CY, Wu CH, Zhao JG, et al. Guidelines for the diagnosis and treatment of Chinese and Western medicine in cerebral infarction in China (2017). Chin J Integr Trad Chin West Med. 2018;38(02):136–44 In Chinese.
40.
go back to reference Zheng TH, Huang HM, Zhang XL, et al. Guidelines for secondary prevention of stroke and transient ischemic attack (part VI). Chin J Stroke. 2015;10(01):75–83 In Chinese. Zheng TH, Huang HM, Zhang XL, et al. Guidelines for secondary prevention of stroke and transient ischemic attack (part VI). Chin J Stroke. 2015;10(01):75–83 In Chinese.
41.
go back to reference Wang CJ, Wang CHX, Miao CR. Chinese guidelines for secondary prevention of ischemic stroke and transient ischemic attack 2014. Chin J Neurol. 2015;48(04):258–73 In Chinese. Wang CJ, Wang CHX, Miao CR. Chinese guidelines for secondary prevention of ischemic stroke and transient ischemic attack 2014. Chin J Neurol. 2015;48(04):258–73 In Chinese.
42.
go back to reference Peng B, Wu B. Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2018. Chin J Neurol. 2018;51(09):666–82 In Chinese. Peng B, Wu B. Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2018. Chin J Neurol. 2018;51(09):666–82 In Chinese.
43.
go back to reference Liu XF, Sun W, Zhu WS, et al. Guidelines for early endovascular interventional treatment of acute ischemic stroke in China 2018. Chin J Neurol. 2018;51(09):683–91. In Chinese. Liu XF, Sun W, Zhu WS, et al. Guidelines for early endovascular interventional treatment of acute ischemic stroke in China 2018. Chin J Neurol. 2018;51(09):683–91. In Chinese.
50.
52.
go back to reference Marques P-NO, et al. Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke. Arq Neuropsiquiatr. 2017;75(1):50–6.CrossRef Marques P-NO, et al. Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke. Arq Neuropsiquiatr. 2017;75(1):50–6.CrossRef
53.
go back to reference Qiang D, et al. The Chinese Stroke Association scientific statement: intravenous thrombolysis in acute ischaemic stroke. Stroke and Vascular Neurology. 2017;2(3):147–59.CrossRef Qiang D, et al. The Chinese Stroke Association scientific statement: intravenous thrombolysis in acute ischaemic stroke. Stroke and Vascular Neurology. 2017;2(3):147–59.CrossRef
55.
go back to reference Guillaume T, et al. European stroke organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke. J Neurointervention Surgery. 2019;11:535.CrossRef Guillaume T, et al. European stroke organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke. J Neurointervention Surgery. 2019;11:535.CrossRef
56.
go back to reference Sang-Bae K, et al. 2019 update of the Korean clinical practice guidelines of stroke for endovascular recanalization therapy in patients with acute ischemic stroke. J Stroke. 2019;14:71. Sang-Bae K, et al. 2019 update of the Korean clinical practice guidelines of stroke for endovascular recanalization therapy in patients with acute ischemic stroke. J Stroke. 2019;14:71.
57.
go back to reference Xiaochuan H, Gao F. Chinese guidelines for endovascular treatment of acute ischemic stroke 2018. Chin J Stroke. 2018;13(07):706–29 In Chinese. Xiaochuan H, Gao F. Chinese guidelines for endovascular treatment of acute ischemic stroke 2018. Chin J Stroke. 2018;13(07):706–29 In Chinese.
58.
go back to reference Furie Karen L, Jayaraman MV. Guidelines for the early management of patients with acute ischemic stroke. 2018, Stroke;2018, 49(3):509–10. Furie Karen L, Jayaraman MV. Guidelines for the early management of patients with acute ischemic stroke. 2018, Stroke;2018, 49(3):509–10.
60.
go back to reference Zhang S, Xu Y, Suiqiang Z. Chinese guidelines for the diagnosis and treatment of cerebral hemorrhage (2014). Chin J Neurol. 2015;48(06):435–44 In Chinese. Zhang S, Xu Y, Suiqiang Z. Chinese guidelines for the diagnosis and treatment of cerebral hemorrhage (2014). Chin J Neurol. 2015;48(06):435–44 In Chinese.
62.
go back to reference Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke: a clinical practice guideline. BMJ (Clinical research ed.), 2019, 364 : l103. Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke: a clinical practice guideline. BMJ (Clinical research ed.), 2019, 364 : l103.
63.
go back to reference Zhu WS, Liu WH, Liu XF, et al. Guidelines for Early Endovascular Interventions in Acute Ischemic Stroke in China. Chin J Neurol.2015,48(05):356-361.[In Chinese] Zhu WS, Liu WH, Liu XF, et al. Guidelines for Early Endovascular Interventions in Acute Ischemic Stroke in China. Chin J Neurol.2015,48(05):356-361.[In Chinese]
64.
go back to reference Chinese Society of Neurology; Chinese Stroke Society; Neurovascular Intervention Group of Chinese Society of Neurology. Chinese guidelines for the diagnosis and treatment of cerebral hemorrhage (2019). Chinese Journal of Neurology, 2019, 52(12):994-1005.[In Chinese] Chinese Society of Neurology; Chinese Stroke Society; Neurovascular Intervention Group of Chinese Society of Neurology. Chinese guidelines for the diagnosis and treatment of cerebral hemorrhage (2019). Chinese Journal of Neurology, 2019, 52(12):994-1005.[In Chinese]
65.
go back to reference Chinese Society of Neurology; Chinese Stroke Society; Neurovascular Intervention Group of Chinese Society of Neurology. Chinese guidelines for primary prevention of cerebrovascular disease 2019. Chinese Journal of Neurology,2019(09):684-709.[In Chinese] Chinese Society of Neurology; Chinese Stroke Society; Neurovascular Intervention Group of Chinese Society of Neurology. Chinese guidelines for primary prevention of cerebrovascular disease 2019. Chinese Journal of Neurology,2019(09):684-709.[In Chinese]
66.
go back to reference Chinese Society of Neurology; Chinese Stroke Society; Neurovascular Intervention Group of Chinese Society of Neurology.Chinese guidelines for the diagnosis and treatment of subarachnoid hemorrhage 2019. Chinese Journal of Neurology,2019, 52(12):1006-1021.[In Chinese] Chinese Society of Neurology; Chinese Stroke Society; Neurovascular Intervention Group of Chinese Society of Neurology.Chinese guidelines for the diagnosis and treatment of subarachnoid hemorrhage 2019. Chinese Journal of Neurology,2019, 52(12):1006-1021.[In Chinese]
67.
go back to reference Cong F, Cui Y. Chinese evidence-based clinical practice guidelines for aquatic exercise therapy in stroke (2019 edition). Chin Rehabil Theory Practice. 2020;26(03):249–62 In Chinese. Cong F, Cui Y. Chinese evidence-based clinical practice guidelines for aquatic exercise therapy in stroke (2019 edition). Chin Rehabil Theory Practice. 2020;26(03):249–62 In Chinese.
68.
go back to reference Dong Yi, Wang Yilong, Liu Liping et al. Chinese guidelines for clinical management of cerebrovascular disease. Chin J Stroke, 2019, 14.[In Chinese] Dong Yi, Wang Yilong, Liu Liping et al. Chinese guidelines for clinical management of cerebrovascular disease. Chin J Stroke, 2019, 14.[In Chinese]
70.
go back to reference Turc G, Bhogal P, Fischer U, et al. European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE). Eur Stroke J. 2019;4(1):6-12. https://doi.org/10.1177/2396987319832140. Turc G, Bhogal P, Fischer U, et al. European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE). Eur Stroke J. 2019;4(1):6-12. https://​doi.​org/​10.​1177/​2396987319832140​.
71.
go back to reference Powers William J et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 Update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2019, 50(12) : e344-e418 https://doi.org/10.1161/STR.0000000000000211. Powers William J et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 Update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 2019, 50(12) : e344-e418 https://​doi.​org/​10.​1161/​STR.​0000000000000211​.
76.
go back to reference Teasell R, Salbach NM, Foley N, Mountain A, Cameron JI, Jong A d, et al. Canadian stroke best practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019. Int J Stroke. 2020;15(7):763–88. https://doi.org/10.1177/1747493019897843. Teasell R, Salbach NM, Foley N, Mountain A, Cameron JI, Jong A d, et al. Canadian stroke best practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019. Int J Stroke. 2020;15(7):763–88. https://​doi.​org/​10.​1177/​1747493019897843​.
77.
go back to reference Yasha Kayan et al. Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee. J NeuroInterventional Surgery. 2019;11(10):1055–62. Yasha Kayan et al. Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee. J NeuroInterventional Surgery. 2019;11(10):1055–62.
83.
84.
go back to reference Yang KH, Chen YL, Li YP, et al. Members of the Lanzhou international guideline symposium. Editorial: can China master the guideline challenge? Health Res Policy Syst. 2013;11:1 Published 2013 Jan 9.CrossRef Yang KH, Chen YL, Li YP, et al. Members of the Lanzhou international guideline symposium. Editorial: can China master the guideline challenge? Health Res Policy Syst. 2013;11:1 Published 2013 Jan 9.CrossRef
85.
go back to reference Chen YL, Ma YF, Zhou Q, et al. Who should participate in the development of clinical practice guidelines? Med J Peking Union Med Coll Hospital. 2019;10(05):524–30 [In Chinese]. Chen YL, Ma YF, Zhou Q, et al. Who should participate in the development of clinical practice guidelines? Med J Peking Union Med Coll Hospital. 2019;10(05):524–30 [In Chinese].
Metadata
Title
Reporting quality evaluation of the stroke clinical practice guidelines: a systematic review
Authors
Shuya Lu
Xufei Luo
Xiaojia Ni
Haoxuan Li
Miaomiao Meng
Yefeng Cai
Yunlan Liu
Mengjuan Ren
Yanrui Sun
Yaolong Chen
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Stroke
Published in
Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-021-01805-3

Other articles of this Issue 1/2021

Systematic Reviews 1/2021 Go to the issue