RAND Corporation, Santa Monica (Dr Shetty, Ms Raaen, Dr Khodyakov, Dr Nuckols); Cedars-Sinai Medical Center, Los Angeles (Dr Boutsicaris, Dr Nuckols), California.
J Occup Environ Med. 2018 Mar;60(3):e146-e151. doi: 10.1097/JOM.0000000000001230.
The widely used Official Disability Guidelines (ODG), a utilization review guideline for occupational conditions, has not been independently evaluated recently.
We applied the appraisal of guidelines for research and evaluation (AGREE II) and modified a measurement tool to assess systematic reviews (AMSTAR) instruments to assess guideline development methods and the quality of supporting systematic reviews. Multidisciplinary experts rated the validity of clinical content for 47 topics.
The overall AGREE II score was 58% due to a combination of favorable attributes (breadth, clear recommendations, frequent updating, and application tools) and unfavorable attributes (scant input from workers and uncertainty about editorial independence). The modified AMSTAR rating was fair/good due to limited information on methods. Panelists rated clinical content as valid for 41 topics.
ODG appears to be acceptable to clinicians, but ODG requires greater rigor to keep pace with methodological advances in the field of guideline development.
广泛使用的官方残疾指南（ODG）是一种针对职业状况的利用审查指南，最近尚未进行独立评估。
我们应用了评估研究和评估指南（AGREE II）以及修改后的评估系统评价工具（AMSTAR）工具来评估指南制定方法和支持系统评价的质量。多学科专家对 47 个主题的临床内容的有效性进行了评估。
由于有利属性（广泛、明确的建议、频繁更新和应用工具）和不利属性（工人的投入不足和编辑独立性不确定）的结合，总体 AGREE II 评分为 58%。由于方法方面的信息有限，修改后的 AMSTAR 评级为一般/良好。小组成员认为 41 个主题的临床内容有效。
ODG 似乎为临床医生所接受，但为了跟上指南制定领域的方法学进步，ODG 需要更加严格。
