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Global Guidelines in Dermatology Mapping Project (GUIDEMAP)—A systematic review of the methodological quality of contact dermatitis clinical practice guidelines
Contact Dermatitis ( IF 5.5 ) Pub Date : 2024-02-25 , DOI: 10.1111/cod.14530
Esther J. van Zuuren 1 , Bernd W. M. Arents 2 , Sofieke Vermeulen 3 , Jan W. Schoones 4 , Zbys Fedorowicz 5
Affiliation  

The Global Guidelines in Dermatology Mapping Project (GUIDEMAP) assesses the methodological quality of clinical practice guidelines (CPGs) for high-burden skin diseases. This review focuses on contact dermatitis. We searched MEDLINE, Embase, PubMed, Web of Science, Cochrane Library, Emcare, Epistemonikos, PsycINFO and Academic Search Premier for CPGs published between 1 November 2018 and 1 November 2023. Prespecified guideline resources were hand searched. Two authors independently undertook screening, data extraction and quality assessments. Instruments used were the Appraisal of Guidelines for Research and Evaluation (AGREE) II Reporting Checklist, the U.S. Institute of Medicine's (IOM) criteria of trustworthiness, The Agency for Healthcare Research and Quality's National Guideline Clearinghouse Extent Adherence to Trustworthy Standards (NEATS) Instrument and Lenzer's Red Flags. Twenty five CPGs were included, exhibiting heterogeneity in both the topics they addressed and their methodological quality. Whereas the CPGs on management of hand eczema from Denmark, Europe and the Netherlands scored best, most CPGs fell short of being clear, unbiased, trustworthy and evidence-based. Disclosure of conflicts of interest scored well, and areas needing improvement include ‘strength and wording of recommendations’, ‘applicability’, ‘updating’ and ‘external review’. Adhering to AGREE II and Grading of Recommendations, Assessment, Development and Evaluations (GRADE) enhances methodological quality.

中文翻译:

皮肤病学绘图项目全球指南 (GUIDEMAP)——接触性皮炎临床实践指南方法学质量的系统评价

皮肤病学绘图项目全球指南 (GUIDEMAP) 评估高负担皮肤病临床实践指南 (CPG) 的方法学质量。本综述重点关注接触性皮炎。我们检索了 MEDLINE、Embase、PubMed、Web of Science、Cochrane Library、Emcare、Epistemonikos、PsycINFO 和学术检索 Premier 来查找 2018 年 11 月 1 日至 2023 年 11 月 1 日期间发表的 CPG。预先指定的指南资源是手动检索的。两位作者独立进行筛选、数据提取和质量评估。使用的工具是研究和评估指南评估 (AGREE) II 报告清单、美国医学研究所 (IOM) 的可信度标准、医疗保健研究和质量机构的国家指南信息交换所遵守可信标准的程度 (NEATS) 工具和伦泽的危险信号。其中包括 25 个 CPG,它们所讨论的主题和方法质量都表现出异质性。尽管来自丹麦、欧洲和荷兰的手部湿疹管理 CPG 得分最高,但大多数 CPG 不够清晰、公正、值得信赖和基于证据。利益冲突披露得分较高,需要改进的领域包括“建议的强度和措辞”、“适用性”、“更新”和“外部审查”。遵守 AGREE II 和建议、评估、制定和评价分级 (GRADE) 可提高方法学质量。
更新日期:2024-02-27
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