Article type
Abstract
Background: The Japan Council for Quality Health Care (JQ) has managed evidence-based medicine promoting project which works on the evaluation, certification and dissemination of clinical practice guidelines (CPGs) developed in Japan as a guideline clearinghouse.
Objectives: To clarify the methodological tasks of CPGs developed in Japan.
Methods: After searching and screening with exclusion criteria, we evaluated identified CPGs from the aspect of methodological quality using Appraisal of Guidelines for Research & Evaluation II Instrument (AGREE II) by guideline evaluation expert committee. Each guideline was evaluated by 4 expert members, and CPG evaluation conferences were held to facilitate consensus-building among members. We adopted the second scoring after the conferences and calculated the mean scores of domains and items of AGREE II. In this study, we focused on the domain 3 (Rigour of Development).
Results: A total of 441 guidelines were evaluated by the AGREE II from September 2011 to January 2017. The mean scores of each AGREE II domain (0-100%) were as follows: Scope and Purpose, 63.0%; Stakeholder Involvement, 47.8%; Rigour of Development, 40.8%; Clarity of Presentation, 59.8%; Applicability, 44.5%; Editorial Independence, 38.7% and Overall Guideline Assessment, 50.4%. The low-scoring items in the mean scores of Rigour of Development (
Objectives: To clarify the methodological tasks of CPGs developed in Japan.
Methods: After searching and screening with exclusion criteria, we evaluated identified CPGs from the aspect of methodological quality using Appraisal of Guidelines for Research & Evaluation II Instrument (AGREE II) by guideline evaluation expert committee. Each guideline was evaluated by 4 expert members, and CPG evaluation conferences were held to facilitate consensus-building among members. We adopted the second scoring after the conferences and calculated the mean scores of domains and items of AGREE II. In this study, we focused on the domain 3 (Rigour of Development).
Results: A total of 441 guidelines were evaluated by the AGREE II from September 2011 to January 2017. The mean scores of each AGREE II domain (0-100%) were as follows: Scope and Purpose, 63.0%; Stakeholder Involvement, 47.8%; Rigour of Development, 40.8%; Clarity of Presentation, 59.8%; Applicability, 44.5%; Editorial Independence, 38.7% and Overall Guideline Assessment, 50.4%. The low-scoring items in the mean scores of Rigour of Development (