Iberoamerican Cochrane Centre - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Iberoamerican Cochrane Centre - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
J Clin Epidemiol. 2018 Dec;104:62-72. doi: 10.1016/j.jclinepi.2018.08.018. Epub 2018 Aug 29.
To identify, describe, and map contemporary nutrition guidelines (NGs) from reviews that used the Appraisal of Guidelines, Research and Evaluation (AGREE) tool.
We performed an overview of reviews that systematically assessed the quality of NGs using the AGREE tool. We searched MEDLINE and EMBASE from inception to February 2018. Two authors independently selected and assessed reviews and extracted data.
We included nine evaluations with a total of 67 NGs. The higher median AGREE scores were for the domains "scope and purpose" (80%, Q1-Q3: 59-89%) and "clarity and presentation" (69%, Q1-Q3: 53-89%), while the lower were for "rigor of development" (58%, Q1-Q3: 31-84%), "editorial independence" (53%, Q1-Q3: 19-79%), "stakeholder involvement" (50%, Q1-Q3: 28-72%), and "applicability" (22%, Q1-Q3: 11-50%). The median AGREE overall rating was 5 (Q1-Q3: 4-6), and most were recommended for use (75%; 30/40). Twenty-nine NGs (43.3%; 29/67) scored ≥60% in three or more domains, including "rigor of development" domain. The methodological quality of NGs did not improve over time.
The methodological quality of NGs varies widely, but there is general need for improvement in most AGREE domains. NG developers could incorporate available tools to ensure the development of high-quality NGs.
识别、描述和绘制使用评估、研究和评估（AGREE）工具的综述中的当代营养指南（NGs）。
我们对使用 AGREE 工具系统评估 NGs 质量的综述进行了概述。我们从创建到 2018 年 2 月在 MEDLINE 和 EMBASE 中进行了搜索。两名作者独立选择和评估了综述并提取了数据。
我们纳入了 9 项评估，共涉及 67 项 NGs。AGREE 评分较高的是“范围和目的”（80%，Q1-Q3：59-89%）和“清晰度和表述”（69%，Q1-Q3：53-89%），而“开发严谨性”（58%，Q1-Q3：31-84%）、“编辑独立性”（53%，Q1-Q3：19-79%）、“利益相关者参与”（50%，Q1-Q3：28-72%）和“适用性”（22%，Q1-Q3：11-50%）得分较低。AGREE 总体评分为 5 （Q1-Q3：4-6），其中 75%（30/40）被推荐使用。29 项 NGs（43.3%，29/67）在三个或更多领域（包括“开发严谨性”领域）的评分≥60%。NGs 的方法学质量并没有随着时间的推移而提高。
NGs 的方法学质量差异很大，但在大多数 AGREE 领域都普遍需要改进。NG 开发者可以采用现有的工具来确保高质量 NGs 的开发。
