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Academia Mexicana de Neurología, A.C.

2017, Number 1

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Rev Mex Neuroci 2017; 18 (1)

Assesment of guidelines for intracerebral hemorrhage: A systematic review on the methodological quality

Alva-Diaz C, Gomez J, Becerra BY, Custodio N, Montesinos R, Castro-Suárez S, Lira D, Sequeiros J, Mori N

Language: Spanish
References: 44
Page: 116-130
PDF size: 289.95 Kb.


ABSTRACT

Introduction: Intracerebral hemorrhage (ICH) is one of the most devastating types of stroke. In order to improve the management there are a lot of clinical practice guidelines (GPC) but no all have the minimum quality requirements.
Objective: To evaluate the quality of the published guidelines about diagnosis, treatment and prognosis of ICH using the AGREE II instrument.
Methods: We conducted a systematic review to identify CPGs. Based on prespecified inclusion criteria we choose the eligible ones to be evaluated by the AGREE II instrument. It was established that a domain was acceptable if it reached a minimum score of 60%.
Results: A total of ten guidelines of ICH were identified. Only four were eligible for methodological quality assessment. The scores for the guideline No. 1, 2, 3 and 4 in the domains’ scope and objectives’, ‘stakeholder involvement’, ‘rigor of development’, ‘clarity of presentation’, ‘relevance’, ‘independence Editorial ‘were respectively 89%, 72%, 67% and 42%; 61%, 78%, 61% and 22%; 72%, 70%, 40% and 28%; 83%, 78%, 75% and 67%; 50%, 50%, 31% and 29%; 75%, 71%, 25% and 63% and; 75%, 67%, 50% and 50%. The overall score were 75%, 67%, 50% and 50% respectively.
Conclusion: The overall methodological quality of the four selected guidelines for ICH was moderate to high, as assessed by the AGREE II instrument. CPG No. 1 and 2 showed better performance and we recommend it to be used in adoption and adaptation strategies in variable health care systems


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