Characteristics and quality of clinical practice guidelines for depression in adults: A scoping review
BACKGROUND: Clinical Practice Guidelines (CPGs) should follow an adequate methodology using an evidence-based approach in order to provide reliable recommendations. However, little is known regarding the quality of CPGs for Depression, which precludes its adequate use by stakeholders and mental health professionals. Thus, the aim of this study was to conduct a scoping review to describe the characteristics and quality of CPGs for Depression in adults. METHODS: We searched CPGs for Depression in adults in eighteen databases. We included those that were published in English or Spanish between January 2014 and May 2018 and were based on systematic reviews of the evidence. Two independent authors extracted the characteristics, type and number of recommendations, and quality (using the Appraisal of Guidelines for Research and Evaluation-II [AGREE-II]) of each included CPG. RESULTS: We included eleven CPGs, of which 9/11 did not include the participation of patients in the development of the CPG, 4/11 CPGs had a score >/= 70% in the overall evaluation of AGREE-II, and 3/11 CPGs had a score >/= 70% in its third domain (rigor of development). In addition, only 5/11 CPGs shared their search strategy, while only 4/11 listed the selected studies they used to reach recommendations, and 7/11 CPGs did not clearly state which methodology they used to translate evidence into a recommendation. CONCLUSIONS: Most of evaluated CPGs did not take into account the patient's viewpoints, achieved a low score in the rigor of development domain, and did not clearly state the process used to reach the recommendations. Stakeholders, CPCGs developers, and CPGs users should take this into account when choosing CPGs, and interpreting and putting into practice their issued recommendations.
Showing items related by title, author, creator and subject.
Estudo de utilidade clínica da identificação de alterações gênicas nas vias PI3K/AKT e MAPK no diagnóstico do nódulo tiroidiano e na predição de evolução do paciente com câncer diferenciado da tiróide = Study of clinical utility in the identification of genetic alterations in PI3K/AKT and MAPK pathways in diagnosis of thyroid nodules and in prediction of outcome i patients with differentiated thyroid carcinoma Silva, Aline Carolina De Nadai da, 1986-