Standards of Nutritional Care for Patients with Cystic Fibrosis: A Methodological Primer and AGREE II Analysis of Guidelines.
Standards of Nutritional Care for Patients with Cystic Fibrosis: A Methodological Primer and AGREE II Analysis of Guidelines.
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DOI：
10.3390/children8121180
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发表时间：
2021-12-14
期刊：
影响因子：
--
通讯作者：
Bogdanos DP
中科院分区：
文献类型：
--
作者：
Grammatikopoulou MG;Vassilakou T;Goulis DG;Theodoridis X;Nigdelis MP;Petalidou A;Gkiouras K;Poulimeneas D;Alexatou O;Tsiroukidou K;Marakis G;Daniil Z;Bogdanos DP
虽然许多临床实践指南（CPG）已出版的囊性纤维化（CF）患者的护理，包括各种营养建议，这些CPG的质量从未进行过评估。本研究的目的是比较，审查，并严格评价CPG的营养管理CF，在整个生命周期。我们检索了PubMed、Guidelines International Network（GIN）、ECRI Institute和Guidelines Central，以获得关于CF营养管理的信息。检索的CPG进行了评估，由三个独立的审查员，使用评估指南，研究和评估II（AGREE II）工具和检查表。共检索到14个不同出版商的22个CPG（7个仅以营养为导向）。澳大利亚和新西兰胸科协会CPG的总体质量得分最高（94.4%），而儿科胃肠病学协会/澳大利亚营养师协会CPG的得分最低（27.8%）。在AGREE II领域的具体分数的变化很大，观察到在所有的CPG，这表明存在不同的优势和劣势。尽管有几个CPG可用，但许多似乎过时，缺乏严谨性，透明度，适用性和效率，同时存在偏见。考虑到CPG的依从性与更好的结局相关，并且需要提高CF患者的预期寿命，因此认为有必要开发质量更好的CPG。
Although many Clinical Practice Guidelines (CPGs) have been published for the care of patients with Cystic Fibrosis (CF), including a variety of nutrition recommendations, the quality of these CPGs has never been evaluated. The aim of this study was to compare, review, and critically appraise CPGs for the nutritional management of CF, throughout the lifespan. We searched PubMed, Guidelines International Network (GIN), ECRI Institute, and Guidelines Central for CPGs, with information on the nutritional management of CF. Retrieved CPGs were appraised by three independent reviewers, using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument and checklist. A total of 22 CPGs (seven solely nutrition oriented), by 14 different publishers, were retrieved. The Thoracic Society of Australia and New Zealand CPGs scored the highest overall quality (94.4%), while the Paediatric Gastroenterology Society/Dietitians Association of Australia CPGs had the lowest score (27.8%). Great variation in AGREE II domain-specific scores was observed in all CPGs, suggesting the existence of different strengths and weaknesses. Despite the availability of several CPGs, many appear outdated, lacking rigor, transparency, applicability, and efficiency, while incorporating bias. Considering that CPGs adherence is associated with better outcomes and the need for improving life expectancy in patients with CF, the development of CPGs of better quality is deemed necessary.
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DOI：
10.1136/bmj.i1152
发表时间：
2016-03-08
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Brouwers MC;Kerkvliet K;Spithoff K;AGREE Next Steps Consortium
通讯作者：
AGREE Next Steps Consortium
DOI：
10.1590/1984-0462/;2018;36;1;00006
发表时间：
2018-01
期刊：
Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
影响因子：
--
作者：
Hauschild DB;Rosa AF;Ventura JC;Barbosa E;Moreira EAM;Ludwig Neto N;Moreno YMF
通讯作者：
Moreno YMF
影响因子：
3.1
作者：
Garber, Elizabeth;Desai, Manisha;Saiman, Lisa
通讯作者：
Saiman, Lisa
影响因子：
5.1
作者：
BOROWITZ, DS;GRAND, RJ;ZERIN, JM
通讯作者：
ZERIN, JM
影响因子：
7.1
作者：
Bradley, Gia M.;Blackman, Scott M.;Cutting, Garry R.
通讯作者：
Cutting, Garry R.