Systematic review of shared decision-making in guidelines about colorectal cancer screening

被引：2

作者：

Maes-Carballo, Marta ^{[1
,2
,3
]}

Garcia-Garcia, Manuel ^{[1
]}

Gomez-Fandino, Yolanda ^{[1
]}

Roberto Estrada-Lopez, Carlos ^{[1
]}

Iglesias-Alvarez, Andres ^{[4
]}

Bueno-Cavanillas, Aurora ^{[3
,5
,6
]}

Saeed Khan, Khalid ^{[3
,5
]}

机构：

[1] Complexo Hosp Ourense, Dept Gen Surg, Breast Canc Unit, Calle Ramon Puga Noguerol 54, Orense 32005, Spain

[2] Hosp Publ Verin, Dept Gen Surg, Orense, Spain

[3] Univ Granada, Dept Prevent Med & Publ Hlth, Granada, Spain

[4] Univ Santiago de Compostela, Dept Gen Surg, Santiago De Compostela, Spain

[5] Inst Invest Biosanitaria IBS, Granada, Spain

[6] CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain

来源：

EUROPEAN JOURNAL OF CANCER CARE | 2022年 / 31卷 / 06期

关键词：

'clinical practice guidelines'; 'colorectal cancer screening'; 'consensus'; 'quality of guidelines'; 'shared decision-making'; SOCIETY TASK-FORCE; GASTROINTESTINAL ENDOSCOPY ESGE; CLINICAL-PRACTICE GUIDELINES; EDITION QUALITY-ASSURANCE; EUROPEAN GUIDELINES; CONSENSUS STATEMENT; AVERAGE-RISK; COLONOSCOPY SURVEILLANCE; CANADIAN ASSOCIATION; NATIONAL GUIDELINES;

D O I：

10.1111/ecc.13738

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Introduction We aimed to systematically evaluate quality of shared decision-making (SDM) in colorectal cancer (CRC) screening clinical practice guidelines (CPGs) and consensus statements (CSs). Methods Search for CRC screening guidances was from 2010 to November 2021 in EMBASE, Web of Science, MEDLINE, Scopus and CDSR, and the World Wide Web. Three independent reviewers and an arbitrator rated the quality of each guidance using a SDM quality assessment tool (maximum score: 31). Reviewer agreement was 0.88. Results SDM appeared in 41/83 (49.4%) CPGs and 9/19 (47.4%) CSs. None met all the quality criteria, and 51.0% (52/102) failed to meet any quality items. Overall compliance was low (mean 1.63, IQR 0-2). Quality was better in guidances published after 2015 (mean 1, IQR 0-3 vs. mean 0.5, IQR 0-1.5; p = 0.048) and when the term SDM was specifically reported (mean 4.5, IQR 2.5-4.5 vs. mean 0.5, IQR 0-1.5; p < 0.001). CPGs underpinned by systematic reviews showed better SDM quality than consensus (mean 1, IQR 0-3 vs. mean 0, IQR 0-2, p = 0.040). Conclusion SDM quality was suboptimal and mentioned in less than half of the guidances, and recommendations were scarce. Guideline developers should incorporate evidence-based SDM recommendations in guidances to underpin the translation of evidence into practice.

引用

页数：22

共 123 条

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