Vande Veegaete Axel, Borra Vere, De Buck Emmy, Vandekerckhove Philippe
Center for Evidence-Based Practice (CEBaP), Belgian Red Cross, Mechelen, Belgium.
Center for Evidence-Based Practice (CEBaP), Belgian Red Cross, Mechelen, Belgium Faculty of Medicine, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
BMJ Open. 2016 Sep 27;6(9):e011744. doi: 10.1136/bmjopen-2016-011744.
To appraise the quality of guidelines developed by the International Federation of Red Cross and Red Crescent Societies (IFRC) between 2001 and 2015.
Cross-sectional.
2 authors independently assessed the quality of IFRC guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Average domain scores were calculated and overall quality scores and recommendation for use were determined.
Out of 77 identified guidelines, 27 met the inclusion criteria and were assessed. The domains with the highest average scores across guidelines were 'scope and purpose', 'clarity of presentation' and 'applicability'. The lowest scoring domains were 'rigour of development' and 'editorial independence'. No guideline can be 'recommended for immediate use', 23 guidelines are 'recommended with modifications' and 4 guidelines are 'not recommended'.
The IFRC produces guidelines that should be adhered to by millions of staff and volunteers in 190 countries. These guidelines should therefore be of high quality. Up until now, the IFRC had no uniform guideline development process. The results of the AGREE II appraisal indicate that the quality of the guidelines needs to be improved.
评估2001年至2015年期间红十字与红新月国际联合会（IFRC）制定的指南质量。
横断面研究。
2名作者使用研究与评估指南评估工具（AGREE II）独立评估IFRC指南的质量。计算各领域平均得分，并确定总体质量得分及使用建议。
在77份已识别的指南中，27份符合纳入标准并进行了评估。各指南中平均得分最高的领域是“范围和目的”“表述清晰度”及“适用性”。得分最低的领域是“制定的严谨性”和“编辑独立性”。没有指南可“推荐立即使用”，23份指南“推荐修改后使用”，4份指南“不推荐使用”。
IFRC制定的指南应由190个国家的数百万工作人员和志愿者遵守。因此，这些指南应具有高质量。到目前为止，IFRC没有统一的指南制定流程。AGREE II评估结果表明，指南质量有待提高。
