A critical review of recent clinical practice guidelines on management of cryptorchidism
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In brief
In brief
Systematic quality assessment of five major clinical practice guidelines on cryptorchidism management published 2012-2017 using the AGREE II instrument. Five independent reviewers evaluated guidelines from AHRQ, AUA, BAPS/BAUS, CUA, and EAU/ESPU with solid interrater reliability, providing clinicians insight into guideline quality for undescended testis management.
Written by the GCMD Library team from the article.
Background/purpose
Limited efforts have been made in assessing the qualities of clinical practice guidelines (CPGs) on cryptorchidism (UDT). This appraisal aims to determine the quality of recent CPGs on the management of UDT.
Methods
After systematic literature search, all English-based CPGs providing recommendations for the management of UDT from 2012 to 2017 were reviewed. Using the AGREE II (Appraisal of Guidelines and Research Evaluation) instrument, eligible CPGs were independently appraised by 5 reviewers. Domain scores were calculated and summarized. Intraclass coefficient (ICC) was used to assess for interrater reliability.
Results
Five CPGs from Agency for Healthcare Research and Quality (AHRQ), American Urological Association (AUA), British Association of Pediatric Surgeons/British Association of Urologic Surgeons (BAPS/BAUS), Canadian Urological Association (CUA), and European Association of Urology/European Society for Pediatric Urology (EAU/ESPU) were assessed. There was a solid agreement (ICC: 0.749) among the 5 reviewers (p