Abstract：
The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument has been developed to inform the methodology, reporting and appraisal of clinical practice guidelines. Evidence suggests that the quality of surgical guidelines can be improved, and the structure and content of AGREE II can be modified to help enhance the quality of guidelines of surgical interventions.
To develop an extension of AGREE II specifically designed for guidelines of surgical interventions.
In the tripartite Guideline Assessment Project (GAP) funded by United European Gastroenterology and the European Association for Endoscopic Surgery, (i) we assessed the quality of surgical guidelines and we identified factors associated with higher quality (GAP I); (ii) we applied correlation analysis, factor analysis and the item response theory to inform an adaption of AGREE II for the purposes of surgical guidelines (GAP II); and (iii) we developed an AGREE II extension for surgical interventions, informed by the results of GAP I, GAP II, and a Delphi process of stakeholders, including representation from interventional and surgical disciplines; the Guideline International Network (GIN); the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group; the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) initiative; and representation of surgical journal editors and patient/public.
We developed AGREE-S, an AGREE II extension for surgical interventions, which comprises 24 items organized in 6 domains; Scope and purpose, Stakeholders, Evidence synthesis, Development of recommendations, Editorial independence, and Implementation and update. The panel of stakeholders proposed 3 additional items: development of a guideline protocol, consideration of practice variability and surgical/interventional expertise in different settings, and specification of infrastructures required to implement the recommendations. Three of the existing items were amended, 7 items were rearranged among the domains, and one item was removed. The domain Rigour of Development was divided into domains on Evidence Synthesis and Development of Recommendations. The new domain Development of Recommendations incorporates items from the original AGREE II domain Clarity of Presentation.
AGREE-S is an evidence-based and stakeholder-informed extension of the AGREE II instrument, that can be used as a guide for the development and adaption of guidelines on surgical interventions.
To develop an extension of AGREE II specifically designed for guidelines of surgical interventions.
In the tripartite Guideline Assessment Project (GAP) funded by United European Gastroenterology and the European Association for Endoscopic Surgery, (i) we assessed the quality of surgical guidelines and we identified factors associated with higher quality (GAP I); (ii) we applied correlation analysis, factor analysis and the item response theory to inform an adaption of AGREE II for the purposes of surgical guidelines (GAP II); and (iii) we developed an AGREE II extension for surgical interventions, informed by the results of GAP I, GAP II, and a Delphi process of stakeholders, including representation from interventional and surgical disciplines; the Guideline International Network (GIN); the Grading of Recommendations Assessment, Development and Evaluation (GRADE) Working Group; the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) initiative; and representation of surgical journal editors and patient/public.
We developed AGREE-S, an AGREE II extension for surgical interventions, which comprises 24 items organized in 6 domains; Scope and purpose, Stakeholders, Evidence synthesis, Development of recommendations, Editorial independence, and Implementation and update. The panel of stakeholders proposed 3 additional items: development of a guideline protocol, consideration of practice variability and surgical/interventional expertise in different settings, and specification of infrastructures required to implement the recommendations. Three of the existing items were amended, 7 items were rearranged among the domains, and one item was removed. The domain Rigour of Development was divided into domains on Evidence Synthesis and Development of Recommendations. The new domain Development of Recommendations incorporates items from the original AGREE II domain Clarity of Presentation.
AGREE-S is an evidence-based and stakeholder-informed extension of the AGREE II instrument, that can be used as a guide for the development and adaption of guidelines on surgical interventions.
摘要：
已经制定了《研究和评价指南评估》(AGREE)II工具，为该方法提供信息，临床实践指南的报告和评估。证据表明，手术指南的质量可以提高，可以修改AGREEII的结构和内容，以帮助提高手术干预指南的质量。
开发专门为手术干预指南设计的AGREEII的扩展。
在由欧洲胃肠病学联合会和欧洲内镜手术协会资助的三方指南评估项目（GAP）中，（i）我们评估了手术指南的质量，并确定了与更高质量（GAPI）相关的因素；（ii）我们应用了相关分析，因素分析和项目反应理论为手术指南（GAPII）的目的提供了AGREEII的改编；（iii）我们为手术干预开发了AGREEII扩展，根据GAPI的结果，GAPII,和利益相关者的德尔菲过程，包括介入和外科学科的代表；国际指南网络(GIN)；建议评估分级，开发和评估（等级）工作组；增强健康研究的质量和透明度（EQUATOR）倡议；以及外科期刊编辑和患者/公众的代表。
我们开发了AGREE-S,手术干预的协议II延期，其中包括组织在6个领域的24个项目；范围和目的，利益相关者，证据综合，发展建议，编辑独立,以及实施和更新。利益相关者小组提出了3个额外项目：制定指南协议，考虑不同环境下的实践变异性和手术/介入专业知识，以及实施建议所需的基础设施规范。对现有项目中的三个进行了修正,在域之间重新排列了7个项目，并删除了一个项目。发展的严谨领域分为证据综合和建议发展领域。新域“建议开发”包含了原始AGREEII域“演示文稿清晰度”中的项目。
AGREE-S是AGREEII工具的基于证据和利益相关者的扩展，这可以作为制定和适应外科干预指南的指南。
开发专门为手术干预指南设计的AGREEII的扩展。
在由欧洲胃肠病学联合会和欧洲内镜手术协会资助的三方指南评估项目（GAP）中，（i）我们评估了手术指南的质量，并确定了与更高质量（GAPI）相关的因素；（ii）我们应用了相关分析，因素分析和项目反应理论为手术指南（GAPII）的目的提供了AGREEII的改编；（iii）我们为手术干预开发了AGREEII扩展，根据GAPI的结果，GAPII,和利益相关者的德尔菲过程，包括介入和外科学科的代表；国际指南网络(GIN)；建议评估分级，开发和评估（等级）工作组；增强健康研究的质量和透明度（EQUATOR）倡议；以及外科期刊编辑和患者/公众的代表。
我们开发了AGREE-S,手术干预的协议II延期，其中包括组织在6个领域的24个项目；范围和目的，利益相关者，证据综合，发展建议，编辑独立,以及实施和更新。利益相关者小组提出了3个额外项目：制定指南协议，考虑不同环境下的实践变异性和手术/介入专业知识，以及实施建议所需的基础设施规范。对现有项目中的三个进行了修正,在域之间重新排列了7个项目，并删除了一个项目。发展的严谨领域分为证据综合和建议发展领域。新域“建议开发”包含了原始AGREEII域“演示文稿清晰度”中的项目。
AGREE-S是AGREEII工具的基于证据和利益相关者的扩展，这可以作为制定和适应外科干预指南的指南。
