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10.1186/s12876-016-0466-8

http://scihub22266oqcxt.onion/10.1186/s12876-016-0466-8
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C4855801!4855801!27142422
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suck abstract from ncbi


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pmid27142422      BMC+Gastroenterol 2016 ; 16 (ä): ä
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  • An appraisal of clinical practice guidelines for constipation: a right attitude towards to guidelines #MMPMID27142422
  • Tian H; Ding C; Gong J; Ge X; McFarland LV; Gu L; Chen Q; Ma C; Zhu W; Li J; Li N
  • BMC Gastroenterol 2016[]; 16 (ä): ä PMID27142422show ga
  • Background: Clinical practice guidelines (CPGs) are formally developed statements that assist users to provide proper health care for a kind of disease and play a significant contribution in healthcare system. This study report the methodological quality of CPGs on constipation. Methods: The ?Appraisal of Guidelines and Research and Evaluation? (AGREEII) instrument was developed to determine the quality of CPGs. A comprehensive search was developed using five databases and three guideline websites until/up to December, 2015. Four independent authors evaluated the methodological issues of the CPGs by the AGREEII instrument. Results: We identified 22 relevant guidelines on constipation from 1234 citations. The overall agreement among evaluators was 0.84 using the intra-class correlation coefficient. The mean AGREEII scores for the domains ?scope and purpose? (51.77) and ?rigor of development? (56.73) were moderate; afterward, three domains ?stakeholder involvement? (32.23), ?editorial independence? (29.59) and ?applicability? (29.14) were low scores. The ?clarity and presentation? (23.73) had the lowest scores. Conclusion: Although existing constipation guidelines may accurately reflect current clinical practices, many guidelines? methodological quality is low. Therefore, more emphasis and attentions should be taken to the development of high-quality guidelines.
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