A quality assessment and systematic review of clinical practice guidelines on hormone replacement therapy for menopause using the AGREE II instrument

被引:0
作者
Roman, Maria-Patricia [1 ,2 ]
Ciortea, Razvan [1 ,2 ]
Doumouchtsis, Stergios K. [3 ,4 ,5 ,6 ,7 ]
Din, Roxana [1 ]
Malutan, Andrei Mihai [1 ,2 ]
Bucuri, Carmen Elena [1 ,8 ]
Caseriu, Elena-Alexandra [9 ]
Ormindean, Cristina Mihaela [1 ,2 ]
Nati, Ionel Daniel [1 ,2 ]
Suciu, Viorela-Elena [1 ]
Mihu, Dan [1 ,2 ]
机构
[1] Iuliu Hatieganu Univ Med & Pharm, Mother & Child Dept, 8 Victor Babes Str, Cluj Napoca 400012, Romania
[2] Cluj Cty Emergency Clin Hosp, Obstet & Gynaecol Clin Sect 2, 55-57 21 December 1989 Bld, Cluj Napoca 400124, Romania
[3] Epsom & St Helier Univ Hosp NHS Trust, Dept Obstet & Gynaecol, Dorking Rd, Epsom KT187EG, England
[4] St Georges Univ London, London SW17 0RE, England
[5] Natl & Kapodistrian Univ Athens, Med Sch, Lab Expt Surg & Surg Res NS Christeas, 75 Mikras Asias Str, Athens 11527, Greece
[6] Amer Univ Caribbean, Sch Med, 1 Univ Dr,Jordan Rd, Cupecoy, Sint Maarten
[7] Ross Univ, Sch Med, 10315 USA Today Way, Miramar, FL 33025 USA
[8] Mil Emergency Hosp Dr Constantin Papilian, 22 Gen Traian Mosoiu Str, Cluj Napoca 400132, Romania
[9] Colentina Clin Hosp, 19-21 Stefan Cel Mare Rd, Bucharest 020125, Romania
关键词
Menopause; Hormone replacement therapy; AGREE II; Quality appraisal; Clinical practice guideline; APPRAISAL; HEALTH; WOMEN; RECOMMENDATIONS; MANAGEMENT; DIAGNOSIS; SOCIETY;
D O I
10.1016/j.ejogrb.2024.10.046
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Clinical Practice Guidelines (CPGs) have an indispensable role in guiding the selection of treatments for menopause. Variations in guidelines can impact treatments and health outcomes. The aim of this study was to assess CPGs on hormone replacement therapy (HRT) for menopause, systematically reviewing their quality and compiling recommendations for HRT usage. Embase, Scopus, MedLine, Geneva Foundation for Medical Education and Research databases were searched to identify relevant publications. CPGs published in English language, focusing specifically on HRT for menopause were included in the analysis. Four reviewers assessed the quality of the included CPGs using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument and compiled congruent as well as contradictory recommendations. Nine guidelines met the inclusion criteria. The National Institute for Health and Care Excellence (NICE), the Endocrine Society and The Association of the Scientific Medical Societies guidelines were deemed to have the highest quality and are recommended without modifications. Out of 300+ extracted recommendations, merely 17 showed consistency, overlapping in at least two CPGs. The recommendations were categorized into three domains: treatment considerations, impact of HRT on non-reproductive organ systems, and the associations of HRT with cancer. The included CPGs exhibited the highest scores in the "Clarity of presentation" and "Scope and purpose" AGREE II domains. This study found variation in recommendations and quality of CPG on HRT for menopause. Notably, only a small fraction of recommendations showed consistency across guidelines, highlighting the variability in HRT management. Efforts to improve the quality of CPGs in this area are essential to optimize patient care and outcomes in menopausal women receiving HRT.
引用
收藏
页码:294 / 301
页数:8
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