Article type
Abstract
Background: Adapting a guideline or other tool of knowledge is a key component of the knowledge-to-action cycle.
Objectives: The aim of this study was to adapt the international clinical practice guidelines and their recommendations to the Iranian health care context regarding female lower urinary tract symptoms.
Methods: This methodological study was conducted based on the ADAPTE process. The health problem of this guideline adaptation was articulated based on Population, Intervention, Professions, Outcomes and Health care system (PIPOH). A literature search was conducted on guidelines clearinghouses, professional websites, and medical databases from January 1, 2019, to January 25, 2024. Three appraisers assessed guidelines using Appraisal of Guidelines for Research and Evaluation II (AGREE II). Final recommendations were selected and their usefulness, cost-effectiveness, acceptability, and feasibility were assessed through a 2-round ranking by experts.
Results: Nine international clinical guidelines were assessed for quality using the AGREE II tool. Of these, 5 clinical guidelines fulfilled the inclusion criteria and were included. Two were excluded, and 2 were included with modifications.
Conclusion: To our knowledge, this is the first adaptation study in Iran regarding female lower urinary tract symptoms. It provides guidance to urologists on managing female patients with lower urinary tract symptoms. Future studies should test the effectiveness of implementing this adapted guideline to improve local urology care in Iran.
Objectives: The aim of this study was to adapt the international clinical practice guidelines and their recommendations to the Iranian health care context regarding female lower urinary tract symptoms.
Methods: This methodological study was conducted based on the ADAPTE process. The health problem of this guideline adaptation was articulated based on Population, Intervention, Professions, Outcomes and Health care system (PIPOH). A literature search was conducted on guidelines clearinghouses, professional websites, and medical databases from January 1, 2019, to January 25, 2024. Three appraisers assessed guidelines using Appraisal of Guidelines for Research and Evaluation II (AGREE II). Final recommendations were selected and their usefulness, cost-effectiveness, acceptability, and feasibility were assessed through a 2-round ranking by experts.
Results: Nine international clinical guidelines were assessed for quality using the AGREE II tool. Of these, 5 clinical guidelines fulfilled the inclusion criteria and were included. Two were excluded, and 2 were included with modifications.
Conclusion: To our knowledge, this is the first adaptation study in Iran regarding female lower urinary tract symptoms. It provides guidance to urologists on managing female patients with lower urinary tract symptoms. Future studies should test the effectiveness of implementing this adapted guideline to improve local urology care in Iran.