Reporting and Methodological Quality of Systematic Reviews Underpinning Clinical Practice Guidelines for Vascular Surgery: A Systematic Review.

IF 5.7 1区医学 Q1 PERIPHERAL VASCULAR DISEASE European Journal of Vascular and Endovascular Surgery Pub Date : 2024-11-13 DOI:10.1016/j.ejvs.2024.11.010

Alex Murigu, Kitty H F Wong, Ross T Mercer, Robert J Hinchcliffe, Christopher P Twine

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Abstract

Objective: Clinical practice guideline recommendations are often informed by systematic reviews. This review aimed to appraise the reporting and methodological quality of systematic reviews informing clinical practice recommendations relevant to vascular surgery.

Data sources: MEDLINE and Embase.

Methods: MEDLINE and Embase were searched from 1 January 2021 to 5 May 2023 for clinical practice guidelines relevant to vascular surgery. Guidelines were then screened for systematic reviews informing recommendations. The reporting and methodological quality of these systematic reviews were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement and Assessment of Multiple Systematic Reviews 2 (AMSTAR 2) 2017 tool. Pearson correlation and multiple regression analyses were performed to determine associations between these scores and extracted study characteristics.

Results: Eleven clinical practice guidelines were obtained, containing 1 783 references informing guideline recommendations. From these, 215 systematic reviews were included for synthesis. PRISMA item completeness ranged 14 - 100%, with a mean of 63% across reviews. AMSTAR 2 item completeness ranged 2 - 95%, with a mean of 50%. Pearson correlation highlighted a statistically significant association between a review's PRISMA and AMSTAR 2 score (r = 0.85, p < .001). A more recent publication year was associated with a statistically significant increase in both scores (PRISMA coefficient 1.28, p < .001; and AMSTAR 2 coefficient 1.31, p < .001). Similarly, the presence of funding in a systematic review was shown to be statistically significantly associated with an increase in both PRISMA and AMSTAR 2 scores (coefficient 4.93, p = .024; and coefficient 6.07, p = .019, respectively).

Conclusion: Systematic reviews informing clinical practice guidelines relevant to vascular surgery were of moderate quality at best. Organisations producing clinical practice guidelines should consider funding systematic reviews to improve the quality of their recommendations.

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血管外科临床实践指南所依据的系统综述的报告和方法质量：系统综述。

目的：临床实践指南的建议通常以系统综述为依据。本综述旨在评估为血管外科临床实践建议提供依据的系统综述的报告和方法学质量：数据来源：MEDLINE 和 Embase：在MEDLINE和Embase中检索了2021年1月1日至2023年5月5日期间与血管外科相关的临床实践指南。然后对指南进行筛选，以确定是否有系统性综述为建议提供依据。这些系统性综述的报告和方法学质量采用2020年系统性综述和Meta分析首选报告项目（PRISMA）声明和2017年多重系统性综述评估2（AMSTAR 2）工具进行评估。通过皮尔逊相关分析和多元回归分析，确定这些评分与提取的研究特征之间的关联：获得了 11 份临床实践指南，其中包含 1 783 篇为指南建议提供参考的参考文献。其中，有 215 篇系统综述被纳入综述。PRISMA项目的完整性从14%到100%不等，各篇综述的平均完整性为63%。AMSTAR 2 项目完整度为 2 - 95%，平均为 50%。皮尔逊相关性表明，综述的 PRISMA 和 AMSTAR 2 分数之间存在显著的统计学关联（r = 0.85，p < .001）。发表年份越近，这两项得分都会有统计学意义上的显著提高（PRISMA 系数为 1.28，p < .001；AMSTAR 2 系数为 1.31，p < .001）。同样，系统性综述中是否存在资助也与 PRISMA 和 AMSTAR 2 分数的增加有显著的统计学关系（系数分别为 4.93，p = .024; 和系数 6.07，p = .019）：为血管外科临床实践指南提供信息的系统综述充其量只是中等质量。制定临床实践指南的机构应考虑资助系统综述，以提高其建议的质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Vascular and Endovascular Surgery 医学-外科

CiteScore

6.80

自引率

15.80%

发文量

471

审稿时长

66 days

期刊介绍： The European Journal of Vascular and Endovascular Surgery is aimed primarily at vascular surgeons dealing with patients with arterial, venous and lymphatic diseases. Contributions are included on the diagnosis, investigation and management of these vascular disorders. Papers that consider the technical aspects of vascular surgery are encouraged, and the journal includes invited state-of-the-art articles. Reflecting the increasing importance of endovascular techniques in the management of vascular diseases and the value of closer collaboration between the vascular surgeon and the vascular radiologist, the journal has now extended its scope to encompass the growing number of contributions from this exciting field. Articles describing endovascular method and their critical evaluation are included, as well as reports on the emerging technology associated with this field.