How to assess clinical practice guidelines with agree ii: the example of neonatal jaundice

Renesme, L.; Bedu, Antoine; Tourneux, Pierre; Truffert, Patrick

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.arcped.2015.11.021

PMID :

26724979

Permalink :

http://hdl.handle.net/20.500.12210/16907

Title :

How to assess clinical practice guidelines with agree ii: the example of neonatal jaundice

Author(s) :

Renesme, L. [Auteur]
Bedu, Antoine [Auteur]
Tourneux, Pierre [Auteur]
Truffert, Patrick [Auteur]

Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Journal title :

Archives de pediatrie . organe officiel de la Societe francaise de pediatrie

Abbreviated title :

Arch. Pediatr.

Volume number :

Pages :

241-248

Publication date :

2016-03-01

ISSN :

0929-693X

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

BACKGROUND: Neonatal jaundice is a very frequent condition that occurs in approximately 50-70% of term or near-term (>35 GA) babies in the 1st week of life. In some cases, a high bilirubin blood level can lead to kernicterus. ...
Show more >BACKGROUND: Neonatal jaundice is a very frequent condition that occurs in approximately 50-70% of term or near-term (>35 GA) babies in the 1st week of life. In some cases, a high bilirubin blood level can lead to kernicterus. There is no consensus for the management of neonatal jaundice and few countries have published national clinical practice guidelines for the management of neonatal jaundice. The aim of this study was to assess the quality of these guidelines. METHODS: We conducted a systematic review of the literature for national clinical practice guidelines for the management of neonatal jaundice in term or near-term babies. Four independent reviewers assessed the quality of each guideline using the AGREE II evaluation. For each of the clinical practice guidelines, the management modalities were analyzed (screening, treatment, follow-up, etc.). RESULTS: Seven national clinical practice guidelines were found (South Africa, USA AAP, UK NICE, Canada, Norway, Switzerland, and Israel). The AGREE II score showed widespread variation regarding the quality of these national guidelines. There was no major difference between the guidelines concerning the clinical management of these babies. CONCLUSIONS: The NICE guideline is the most valuable guideline regarding the AGREE II score. NICE showed that, despite a strong and rigorous methodology, there is no evidenced-based recommended code of practice (RCP). Comparing RCPs, we found no major differences. CONCLUSIONS: The NICE guideline showed the best quality. The AGREE II instrument should be used as a framework when developing clinical practice guidelines to improve the quality of the future guideline. In France, a national guideline is needed for a more standardized management of neonatal jaundice.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2019-12-09T16:50:49Z

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