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What determines the quality of rehabilitation Clinical Practice Guidelines? An overview study.


ABSTRACT:

Objective

To determine what factors determine the quality of rehabilitation Clinical Practice Guidelines (CPGs).

Design

6 Databases were searched for papers that had applied the Appraisal of Guidelines for Research & Evaluation II (AGREE II) quality assessment tool to rehabilitation CPGs. The 573 de-duplicated abstracts were independently screened by two authors, resulting in 81 articles, the full texts of which were independently screened by two authors for AGREE II application to rehabilitation CPGs, resulting in a final selection of 40 reviews appraising 504 CPGs. Data were extracted from these by one author and checked by a second. Data on each CPG included the 6 AGREE II domain scores, as well as the two AGREE II global evaluations.

Results

All six AGREE II domain scores were statistically significant predictors of Overall CPG quality rating; D3 (rigor of development) was the strongest and D1 (scope and purpose) the weakest; overall model p < 0.001; R = 0.53. Five of the 6 domain scores were significant predictors of the CPG use Recommendation, with D3 the strongest predictor and D5 (applicability) the weakest; overall model p < 0.001; pseudo R = 0.53.

Conclusions

Quality of rehabilitation CPGs may be improved by addressing key domains such as Rigor of development.

SUBMITTER: Dijkers MP 

PROVIDER: S-EPMC8265547 | biostudies-literature |

REPOSITORIES: biostudies-literature

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