TY - JOUR T1 - The quality of evidence-based clinical practice guidelines for chronic respiratory diseases could be improved: An observational study JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2016.PA4443 VL - 48 IS - suppl 60 SP - PA4443 AU - Fabiano Lima AU - Anne Moseley AU - Juliana Uzeloto AU - Mark Elkins AU - Marcia Costa Franco AU - Rafael Pinto AU - Ana Paula Freire AU - Carlos Augusto Camillo AU - Dionei Ramos AU - Ercy Mara Ramos Y1 - 2016/09/01 UR - http://erj.ersjournals.com/content/48/suppl_60/PA4443.abstract N2 - Introduction: Pulmonary rehabilitation is an important component in the management of chronic respiratory diseases and physiotherapists are often responsible for implementing pulmonary rehabilitation programs. Many clinical practice guidelines have been developed for the management of chronic respiratory diseases. Unfortunately, the quality of guidelines in healthcare varies widely.AIms: To survey the quality of evidence-based clinical practice guidelines for chronic respiratory diseases relevant to physiotherapy practice using the AGREE II instrument and to evaluate the inter-rater reliability of AGREE II.Methods: Guidelines indexed in the Physiotherapy Evidence Database (PEDro) on chronic respiratory diseases were evaluated by four assessors using AGREE II.Results: Thirty-three guidelines were evaluated (58% were published in the last 5 years and 36% were for chronic obstructive pulmonary disease). The domains with the highest scores were scope and purpose (79%, SD 10%) and clarity of presentation (79%, SD 10%). The domain with the lowest score was applicability (37%, SD 23%). Mean overall quality was 5 out of 7 (SD 1). Intraclass correlation coefficients ranged from 0.66 to 0.93 for the six domains and first global item, suggesting good to excellent reliability. The second global item had very poor reliability (Kappa 0.097).Conclusion: The quality of evidence-based clinical practice guidelines for chronic respiratory diseases relevant to physiotherapy could be improved, particularly with regard to applicability. The number of assessors for AGREE II could be reduced because of the good inter-rater reliability. ER -