Generación de Nuevo Conocimiento: Artículos publicados en revistas especializadas - Electrónicos
Evaluación de la calidad clínica y metodológica de las guías de práctica clínica para el manejo fisioterapéutico del paciente con enfermedad respiratoria
Fecha
2014-06Autor
Ramírez-Vélez, R.
Meneses-Echavez, J.F.
Duran-Palomino, D.
Campos-Rodríguez, A.
Institución
Resumen
Objective: To evaluate the design, structure and methodological quality of Clinical Practice
Guidelines (CPG) for the management of respiratory patient through the AGREE II tool.
Materials and methods: A total of 5 CPG were initially selected. The countries the CPGs come
from are: The United States, England, Australia and Canada. They were published between
2003-2013. A technical document denominated as CPG, with reference to respiratory patients
and physiotherapy management published in 2009 by Bott et al. «Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient,» was independently
assessed by 4 authors using the Spanish version of AGREE II tool. The concordance among
evaluators was calculated with Kappa (k) coefficients.
Results: Both structure and methodological quality of the CPG were satisfactory, with a score
of 5-7 for most of the 23 items. The fields that obtained a lower score were applicability
(31%), followed by rigor of elaboration with 56%. The higher scores were found in the fields of
editorial independency (88%), objectives and scopes (83%) and clarity of presentation (71%).
Global concordance among evaluators was moderate ( = 0,57), this varying in accordance to
the CPG evaluated between 0,33 and 0,88.
Conclusions: Based on AGREE II scores, the application of the CPG published by Bott et al. is
recommended for physiotherapeutic management of respiratory patients in Colombia.