Messina Carmelo, Bignotti Bianca, Tagliafico Alberto, Orlandi Davide, Corazza Angelo, Sardanelli Francesco, Sconfienza Luca Maria
Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.
Department of Health Sciences, University of Genova, Genoa, Italy.
Insights Imaging. 2017 Oct;8(5):491-497. doi: 10.1007/s13244-017-0563-4. Epub 2017 Jul 28.
Our aim was to evaluate the quality of published guidelines on musculoskeletal ultrasound (MSK-US) for adults.
Between June and July 2016, we conducted an online search for MSK-US guidelines, which were evaluated by four independent readers blinded to each other using the AGREE II tool. A fifth independent reviewer calculated scores per each domain and agreement between reviewers' scores using the intraclass correlation coefficient (ICC).
Five guidelines were included in this appraisal. They were published between 2001 and 2014. Our appraisal showed intermediate results, with four out of five guidelines scoring "average" as overall quality. Domain 1 (scope and purpose) achieved the highest result (total score = 71.1% ± 18.7%). Domain 6 (editorial independence) had the lowest score (total score = 26.3% ± 19.3%). Interobserver agreement was very good for all the evaluated guidelines (ICC ranged between 0.932 and 0.956).
Overall, quality of MSK-US guidelines ranges from low to average when evaluated using the AGREE II tool. The editorial independence domain was the most critical, thus deserving more attention when developing future guidelines.
• Four of five guidelines on MSK-US had an average quality level. • Scope/purpose had the highest score (71.1% ± 18.7%). • Editorial independence had the lowest score (26.3% ± 19.3%). • Interobserver agreement was very good (ranges: 0.932-0.956).
我们的目的是评估已发表的成人肌肉骨骼超声（MSK-US）指南的质量。
2016年6月至7月期间，我们对MSK-US指南进行了在线搜索，由四名相互不知情的独立读者使用AGREE II工具进行评估。第五名独立评审员计算每个领域的得分以及评审员得分之间的一致性，使用组内相关系数（ICC）。
本次评估纳入了五项指南。它们于2001年至2014年之间发表。我们的评估显示结果中等，五项指南中有四项总体质量得分为“中等”。领域1（范围和目的）得分最高（总分=71.1%±18.7%）。领域6（编辑独立性）得分最低（总分=26.3%±19.3%）。所有评估指南的观察者间一致性都非常好（ICC范围在0.932至0.956之间）。
总体而言，使用AGREE II工具评估时，MSK-US指南的质量从低到中等。编辑独立性领域最为关键，因此在制定未来指南时应给予更多关注。
• 五项MSK-US指南中有四项质量水平中等。• 范围/目的得分最高（71.1%±18.7%）。• 编辑独立性得分最低（26.3%±19.3%）。• 观察者间一致性非常好（范围：0.932 - 0.956）。
