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Abstract
Background and objectiveHigh quality evidence-based clinical practice guidelines (CPGs) have a major impact on the appropriate diagnosis and management and positive outcomes. The evidence-based healthcare for patients with attention deficit hyperactive disorder (ADHD) is challenging. The objective of this study was to appraise the quality of published CPGs for ADHD.MethodsA systematic review was conducted for ADHD CPGs using CPG databases, DynaMed, PubMed, and Google Scholar. The quality of each included CPG was appraised by three independent appraisers using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument.ResultsSix CPGs were critically reviewed. The AGREE II standardized domain scores revealed variation between the quality of these CPGs with the National Institute of Health and Care Excellence (NICE), University of Michigan Health System, and American Academy of Pediatrics CPGs as the top three. Overall, the recommendations for management of ADHD were similar in these CPGs.ConclusionsReporting of CPG development is often poorly documented. Guideline development groups should aim to follow the AGREE II criteria to improve the standards and quality of CPGs. The NICE CPG showed the best quality. Embedding the AGREE II appraisal of CPGs in the training and education of healthcare providers is recommended.The protocol for this study was published in PROSPERO (International prospective register of systematic reviews). Link: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42017078712 and is additionally available from protocols.io. Link: https://dx.doi.org/10.17504/protocols.io.q27dyhn.
Highlights
Attention deficit hyperactivity disorder [1,2] or Attention-Deficit/ Hyperactivity Disorder [3,4] (ADHD), is a chronic neurodevelopmental disorder characterized by developmentally inappropriate levels of hyperactivity-impulsivity and/or inattention [1,2,3,4,5,6,7,8,9]
A systematic review was conducted for attention deficit hyperactivity disorder (ADHD) clinical practice guidelines (CPGs) using CPG databases, DynaMed, PubMed, and Google Scholar
The protocol for this study was published in PROSPERO (International prospective register of systematic reviews)
Summary
Attention deficit hyperactivity disorder [1,2] or Attention-Deficit/ Hyperactivity Disorder [3,4] (ADHD), is a chronic neurodevelopmental disorder characterized by developmentally inappropriate levels of hyperactivity-impulsivity and/or inattention [1,2,3,4,5,6,7,8,9]. ADHD is clinically and genetically heterogeneous with multiple possible etiologies and frequent neuropsychiatric comorbidities [10,11]. ADHD is highly prevalent in 5–6% of children and in 3.8–4.4% of adults [12]. Clinical practice guidelines (CPGs) summarize the best available evidence and provide guidance for healthcare providers during their daily practice. Published evidence has revealed that CPGs can improve patient outcomes, patient experience, and quality and safety in healthcare [13]. High quality evidence-based clinical practice guidelines (CPGs) have a major impact on the appropriate diagnosis and management and positive outcomes. The evidence-based healthcare for patients with attention deficit hyperactive disorder (ADHD) is challenging. The objective of this study was to appraise the quality of published CPGs for ADHD
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