Quality and Content Concordance of International Clinical Guidelines on Hypertensive Disorders of Pregnancy Using the AGREE II Instrument: An Updated Systematic Review

被引:0
|
作者
Bazzano, Alessandra N. N. [1 ]
Keenan, Alexandra [2 ]
Woltz, Sara [1 ]
Subramanian, Advaith [3 ]
Akpogheneta, Onome [1 ,4 ]
Coronado Daza, Jorge [5 ]
Bazzano, Lydia A. L. [2 ]
机构
[1] Tulane Univ, Dept Social Behav & Populat Sci, Sch Publ Hlth & Trop Med, New Orleans, LA 70112 USA
[2] Tulane Univ, Dept Epidemiol, Sch Publ Hlth & Trop Med, 1440 Canal St, New Orleans, LA 70112 USA
[3] Tulane Univ, Murphy Inst, Sch Liberal Arts, New Orleans, LA 70118 USA
[4] London Sch Hyg & Trop Med, Infect Dis Program, London WC1E 7HT, England
[5] Univ Cartagena, Dept Med, Cartagena 130014, Colombia
关键词
hypertension; women's health; pregnancy-induced hypertension; vascular diseases; MATERNAL PREECLAMPSIA; RISK; MANAGEMENT; DIAGNOSIS; INFANT; ASSOCIATION; PREVENTION; EPILEPSY; STROKE; TRENDS;
D O I
10.3390/jcdd10070295
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Utilization of high-quality clinical practice guidelines has the potential to positively impact health outcomes. This study aimed to assess the quality and content concordance of national and international recommendations on hypertensive disorders of pregnancy (HDPs). Searches were conducted of the MEDLINE database and reference lists generated from national and international agencies. Covidence software was used for the management of the systematic review process, the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool was used to assess guidelines for quality, and three reviewers independently screened records. The research team identified and screened a total of 399 records of which 10 were deemed high quality. Guidelines were assessed and compared regarding the treatment, prevention, and categorization of disorders. The quality of guidelines varied across different domains, with significant variation in domain scores even within individual guidelines. Not all recommendations showed a high level of methodologic rigor, and the highest-rated guidelines were from the American Heart Association, the World Health Organization, and South Africa national guidelines. Classification of hypertension differed among the guidelines, particularly in defining chronic hypertension, severe hypertension, and preeclampsia. Prevention modalities varied across guidelines, with recommendations for aspirin, calcium supplementation, and against the use of certain approaches. Treatment modalities highlighted the importance of delivery as the definitive way to terminate hypertensive disorders of pregnancy, with other management strategies provided for symptom control. The variability in guidelines and consensus statements across different contexts may reflect regional differences in healthcare practices, available resources, and research evidence. There is potential to harmonize guidelines for HDP globally while considering the unique needs of individual countries. Where guidelines may be synthesized and condensed into an accessible format, doing so could improve their use in clinical decision-making.
引用
收藏
页数:13
相关论文
共 50 条
  • [21] Quality assessment of clinical practice guidelines for neonatal sepsis using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument: A systematic review of neonatal guidelines
    Amer, Yasser S.
    Shaiba, Lana A.
    Hadid, Adnan
    Anabrees, Jasim
    Almehery, Abdulrahman
    AAssiri, Manal
    Alnemri, Abdulrahman
    Al Darwish, Amira R.
    Baqawi, Badi
    Aboshaiqah, Ahmad
    Hneiny, Layal
    Almaghrabi, Rana H.
    El-Malky, Ahmed M.
    Al-Dajani, Nawaf M.
    FRONTIERS IN PEDIATRICS, 2022, 10
  • [22] Clinical guidelines in pediatric headache: evaluation of quality using the AGREE II instrument
    Parisi, Pasquale
    Vanacore, Nicola
    Belcastro, Vincenzo
    Carotenuto, Marco
    Del Giudice, Ennio
    Mariani, Rosanna
    Papetti, Laura
    Pavone, Piero
    Savasta, Salvatore
    Striano, Pasquale
    Toldo, Irene
    Tozzi, Elisabetta
    Verrotti, Alberto
    Raucci, Umberto
    JOURNAL OF HEADACHE AND PAIN, 2014, 15
  • [23] The quality of guidelines for diabetic foot ulcers: A critical appraisal using the AGREE II instrument
    Zhang, Peiying
    Lu, Qian
    Li, Huijuan
    Wang, Wei
    Li, Gaoqiang
    Si, Longmei
    Ding, Yanming
    PLOS ONE, 2019, 14 (09):
  • [24] A critical appraisal of chronic kidney disease mineral and bone disorders clinical practice guidelines using the AGREE II instrument
    Sekercioglu, Nigar
    Al-Khalifah, Reem
    Ewusie, Joycelyne Efua
    Elias, Rosilene M.
    Thabane, Lehana
    Busse, Jason W.
    Akhtar-Danesh, Noori
    Iorio, Alfonso
    Isayama, Tetsuya
    Martinez, Juan Pablo Diaz
    Florez, Ivan D.
    Guyatt, Gordon H.
    INTERNATIONAL UROLOGY AND NEPHROLOGY, 2017, 49 (02) : 273 - 284
  • [25] Clinical Practice Guidelines for Bladder Cancer: A Systematic Review and Meta-Analysis Using the AGREE II Instrument
    Maisch, Philipp
    Retz, Margitta
    Gschwend, Juergen E.
    Koll, Florestan
    Schmid, Sebastian C.
    UROLOGIA INTERNATIONALIS, 2021, 105 (1-2) : 31 - 40
  • [26] Appraisal of clinical practice guidelines and consensus statements on obstetric anaesthesia: a systematic review using the AGREE II instrument
    Huang, Lu
    Hu, Na
    Jiang, Ling
    Xiong, Xinglong
    Shi, Jing
    Chen, Dongxu
    BMJ OPEN, 2024, 14 (05):
  • [27] Identification and treatment of iron-deficiency anemia in pregnancy and postpartum: A systematic review and quality appraisal of guidelines using AGREE II
    Mintsopoulos, Victoria
    Tannenbaum, Evan
    Malinowski, A. Kinga
    Shehata, Nadine
    Walker, Melissa
    INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2024, 164 (02) : 460 - 475
  • [28] Quality of guidelines for hyperthyroidism: systematic quality assessment using the AGREE II tool
    Wang, Yuanshan
    Zhang, Jun
    Cheng, Xiaoliang
    Duan, Xiaoling
    Liang, Ying
    Sun, Dali
    POSTGRADUATE MEDICINE, 2025, 137 (02) : 139 - 147
  • [29] Prediction and prevention of preterm birth: Quality assessment and systematic review of clinical practice guidelines using the AGREE II framework
    Ramachandran, Aparna
    Clottey, Klorkor D.
    Gordon, Adrienne
    Hyett, Jon A.
    INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2024, 166 (03) : 932 - 942
  • [30] Quality appraisal of clinical guidelines for recurrent urinary tract infections using AGREE II: a systematic review
    Pat, Jorik J.
    Witte, Lambertus P. W.
    Steffens, Martijn G.
    Vernooij, Robin W. M.
    Marcelissen, Tom A. T.
    Fuentes, Paulina
    Garcia-Perdomo, Herney A.
    Pardo-Hernandez, Hector
    Blanker, Marco H.
    INTERNATIONAL UROGYNECOLOGY JOURNAL, 2022, 33 (05) : 1059 - 1070