Abstract
BackgroundThere are multiple organisations in Russia that publish clinical practice guidelines (CPGs). The demand for CPGs and appreciation of their role in healthcare provision has been steadily growing. However, quality and methodology of development of CPGs have not been systematically addressed.AimTo analyse the quality of Russian-produced CPGs for surgical treatment of hepatic-pancreatic-biliary diseases.MethodsWe searched Russian databases for CPGs, published between 2013 and 2017. We identified 6 relevant documents that met our inclusion criteria. We approached four experts in the field with written and verbal instructions on the use of the AGREE II questionnaire.ResultsAll six CPGs received the highest domain scores for the domain Clarity of Presentation (46%–80%). The lowest domain scores were for the domain Editorial Independence (6%-25%). Overall, the experts put the highest total sum scores to the CPG for treating chronic pancreatitis (70%), while the lowest total sum score was attributed to the CPG for treating acute cholangitis (22%).ConclusionsThe overall quality of CPGs, as assessed by the four experts with the AGREE II instrument, was low. The highest scoring, best organized and most comprehensive and straightforward CPG was the one for chronic pancreatitis. The AGREE II instrument should be considered for use in Russia by guideline developers to assess existing CPGs and inform the creation of new guidelines.
Highlights
Clinical practice guidelines (CPG) are a useful tool for evidence-based healthcare provision
The experts put the highest total sum scores to the CPG for treating chronic pancreatitis (70%), while the lowest total sum score was attributed to the CPG for treating acute cholangitis (22%)
The highest scoring, best organized and most comprehensive and straightforward CPG was the one for chronic pancreatitis
Summary
Clinical practice guidelines (CPG) are a useful tool for evidence-based healthcare provision. The main goal of CPGs is to provide to practicing physicians the tools for quality evidence-based health care [1]. In general, physician adherence to CPGs is low [2]. In Russian Federation, the majority of official guideline documents have been developed in the past two decades. Health care professionals in Russia mostly use these guidelines to make insurance and hospital financing decisions [3, 4, 5], not to inform clinical decisions. There are multiple organisations in Russia that publish clinical practice guidelines (CPGs). The demand for CPGs and appreciation of their role in healthcare provision has been steadily growing. Quality and methodology of development of CPGs have not been systematically addressed
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
