Validation and reliability of a guideline appraisal mini-checklist for daily practice use.
Validation and reliability of a guideline appraisal mini-checklist for daily practice use.
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DOI：
10.1186/s12874-016-0139-x
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发表时间：
2016-04-02
影响因子：
4
通讯作者：
Hartig J
中科院分区：
文献类型：
--
作者：
Siebenhofer A;Semlitsch T;Herborn T;Siering U;Kopp I;Hartig J
使用综合工具进行指南评估是耗时的，需要高素质的人员。由于执业医生通常很忙碌，因此开发了快速评估迷你清单（MiChe）工具，以帮助他们快速评估指南的质量和实用性。本研究的目的是验证米切比较AGREE II工具，并确定其可靠性作为一种工具，指导方针的评价。12名全科医生使用MiChe评估了10项与一般实践相关的指南，并由2名独立评审员使用AGREE II进行了评估。平均MiChe评分和AGREE II总分之间的相关性强度使用Pearson相关系数进行估计。使用类内相关性（ICC）和Kendall's W确定MiChe整体质量评级和认可的评级者间可靠性。为了确定全科医生对MiChe的满意度，使用六点Likert量表计算了五个问题的平均评分。该研究显示MiChe和AGREE II在指南质量评级方面具有较高的一致性（Pearson r = 0.872; P < 0.001）。整体MiChe评分（ICC = 0.755; P < 0.001）和认可（Kendall's W = 0.73; P < 0.001）的评分者间可靠性较高。指南评估所需的平均时间不到15分钟，用户满意度普遍较高。与AGREE II相比，MiChe表现良好，适用于指南质量和实用性的快速评价。德国临床试验注册中心：DRKS 00007480
The use of comprehensive instruments for guideline appraisal is time-consuming and requires highly qualified personnel. Since practicing physicians are generally busy, the rapid-assessment Mini-Checklist (MiChe) tool was developed to help them evaluate the quality and utility of guidelines quickly. The aim of this study was to validate the MiChe in comparison to the AGREE II instrument and to determine its reliability as a tool for guideline appraisal. Ten guidelines that are relevant to general practice and had been evaluated by 2 independent reviewers using AGREE II were assessed by 12 GPs using the MiChe. The strength of the correlation between average MiChe ratings and AGREE II total scores was estimated using Pearson’s correlation coefficient. Inter-rater reliability for MiChe overall quality ratings and endorsements was determined using intra-class correlations (ICC) and Kendall’s W for ordinal recommendations. To determine the GPs’ satisfaction with the MiChe, mean scores for the ratings on five questions were computed using a six-point Likert scale. The study showed a high level of agreement between MiChe and AGREE II in the quality rating of guidelines (Pearson’s r = 0.872; P < 0.001). Inter-rater-reliability for overall MiChe ratings (ICC = 0.755; P < 0.001) and endorsements (Kendall’s W = 0.73; P < 0.001) were high. The mean time required for guideline assessment was less than 15 min und user satisfaction was generally high. The MiChe performed well in comparison to AGREE II and is suitable for the rapid evaluation of guideline quality and utility in practice. German Clinical Trials Register: DRKS00007480