代谢和减重手术指南的质量评价。
Quality evaluation of metabolic and bariatric surgical guidelines.
机构信息
The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
出版信息
Front Endocrinol (Lausanne). 2023 Mar 9;14:1118564. doi: 10.3389/fendo.2023.1118564. eCollection 2023.
OBJECTIVE
To evaluate the quality of surgical guidelines on bariatric/metabolic surgery.
METHODS
Four independent reviewers used the AGREE II (The Appraisal of Guidelines for Research and Evaluation II) tool to assess the methodological quality of the included guidelines and conducted a comparative analysis of the main recommendations for surgical methods of these guidelines.
RESULTS
Nine surgical guidelines were included in this study. Five articles with AGREE II scores over 60% are worthy of clinical recommendation. The field of rigor of development was relatively low, with an average score of 50.82%. Among 15 key recommendations and the corresponding best evidence in the guidelines, only 4 key recommendations were grade A recommendations.
CONCLUSIONS
The quality of metabolic and bariatric guidelines is uneven, and there is much room for improvement.
目的
评估减重/代谢手术外科指南的质量。
方法
四位独立评审员使用 AGREE II（研究和评估指南的评估 II）工具评估纳入指南的方法学质量，并对这些指南的外科方法主要建议进行比较分析。
结果
本研究纳入了 9 项外科指南。有 5 篇文章的 AGREE II 评分超过 60%，值得临床推荐。制定的严谨性领域相对较低，平均得分为 50.82%。在指南中的 15 条关键建议和相应的最佳证据中，只有 4 条关键建议是 A 级建议。
结论
代谢和减重指南的质量参差不齐，有很大的改进空间。
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