RT Journal Article
SR Electronic
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
FD European Respiratory Society
SP PA4443
DO 10.1183/13993003.congress-2016.PA4443
VO 48
IS suppl 60
A1 Fabiano Lima
A1 Anne Moseley
A1 Juliana Uzeloto
A1 Mark Elkins
A1 Marcia Costa Franco
A1 Rafael Pinto
A1 Ana Paula Freire
A1 Carlos Augusto Camillo
A1 Dionei Ramos
A1 Ercy Mara Ramos
YR 2016
UL http://erj.ersjournals.com/content/48/suppl_60/PA4443.abstract
AB 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.