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The quality of clinical practice guidelines in traditional medicine in Korea: appraisal using the AGREE II instrument.
Implement Sci 2015; 10:104IS

Abstract

BACKGROUND

This study aimed to evaluate the quality of the current clinical practice guidelines (CPGs) in traditional medicine (TM) in South Korea using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument to further enhance the CPG development.

METHODS

A search was performed for guidelines in Korea from inception until March 2014 in the major Korean guideline websites [the Korean Medical Guideline Information Centre (KoMGI), the Korean Guideline Clearing House (KGC)], PubMed and seven Korean electronic databases; the Association of Korean Oriental Medicine (AKOM) was also consulted. Five independent assessors rated the quality of each CPG using the AGREE II instrument and calculated the mean score of each AGREE item. The overall agreement amongst reviewers was evaluated using the intra-class correlation coefficient (ICC).

RESULTS

Initially, 17 CPGs were examined for TM in Korea, and only 8 CPGs satisfied the inclusion criteria. The mean scores for each AGREE II domain were as follows: (1) scope and purpose, 60.0 % (CIs, 45.05-74.94 %); (2) stakeholder involvement, 56.11 % (41.28-70.94 %); (3) rigour of development, 42.7 % (23.48-61.92 %); (4) clarity and presentation, 62.50 % (50.89-74.10 %); (5) applicability, 20.31 % (13.96-26.66 %); and (6) editorial independence, 44.58 % (10.78-78.38 %). All of the CPGs were rated as "recommended with provisos or modifications". The ICC values for CPG appraisal using the AGREE II ranged from 0.230 to 0.993.

CONCLUSIONS

To improve clinical practice and health outcomes, well-developed CPGs are needed. The quality of CPGs for TM in Korea has remained suboptimal according to the AGREE II instrument evaluation. Therefore, guideline developers in Korea should make more of an effort to ensure high-quality CPGs.

Authors+Show Affiliations

Medical Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, South Korea. superoung@gmail.com.Medical Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, South Korea. choijiae0723@gmail.com.Medical Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, South Korea. motoong@kiom.re.kr.Medical Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, South Korea. zhixi04@kiom.re.kr.Liver and Immunology Research Center, Daejeon Oriental Hospital of Daejeon University, Daejeon, South Korea. sanisapa@hanmail.net.Medical Research Division, Korea Institute of Oriental Medicine, Daejeon, 305-811, South Korea. drmslee@gmail.com.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26216349

Citation

Choi, Tae-Young, et al. "The Quality of Clinical Practice Guidelines in Traditional Medicine in Korea: Appraisal Using the AGREE II Instrument." Implementation Science : IS, vol. 10, 2015, p. 104.
Choi TY, Choi J, Lee JA, et al. The quality of clinical practice guidelines in traditional medicine in Korea: appraisal using the AGREE II instrument. Implement Sci. 2015;10:104.
Choi, T. Y., Choi, J., Lee, J. A., Jun, J. H., Park, B., & Lee, M. S. (2015). The quality of clinical practice guidelines in traditional medicine in Korea: appraisal using the AGREE II instrument. Implementation Science : IS, 10, p. 104. doi:10.1186/s13012-015-0294-1.
Choi TY, et al. The Quality of Clinical Practice Guidelines in Traditional Medicine in Korea: Appraisal Using the AGREE II Instrument. Implement Sci. 2015 Jul 28;10:104. PubMed PMID: 26216349.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The quality of clinical practice guidelines in traditional medicine in Korea: appraisal using the AGREE II instrument. AU - Choi,Tae-Young, AU - Choi,Jiae, AU - Lee,Ju Ah, AU - Jun,Ji Hee, AU - Park,Bongki, AU - Lee,Myeong Soo, Y1 - 2015/07/28/ PY - 2014/10/16/received PY - 2015/07/15/accepted PY - 2015/7/29/entrez PY - 2015/7/29/pubmed PY - 2016/4/19/medline SP - 104 EP - 104 JF - Implementation science : IS JO - Implement Sci VL - 10 N2 - BACKGROUND: This study aimed to evaluate the quality of the current clinical practice guidelines (CPGs) in traditional medicine (TM) in South Korea using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument to further enhance the CPG development. METHODS: A search was performed for guidelines in Korea from inception until March 2014 in the major Korean guideline websites [the Korean Medical Guideline Information Centre (KoMGI), the Korean Guideline Clearing House (KGC)], PubMed and seven Korean electronic databases; the Association of Korean Oriental Medicine (AKOM) was also consulted. Five independent assessors rated the quality of each CPG using the AGREE II instrument and calculated the mean score of each AGREE item. The overall agreement amongst reviewers was evaluated using the intra-class correlation coefficient (ICC). RESULTS: Initially, 17 CPGs were examined for TM in Korea, and only 8 CPGs satisfied the inclusion criteria. The mean scores for each AGREE II domain were as follows: (1) scope and purpose, 60.0 % (CIs, 45.05-74.94 %); (2) stakeholder involvement, 56.11 % (41.28-70.94 %); (3) rigour of development, 42.7 % (23.48-61.92 %); (4) clarity and presentation, 62.50 % (50.89-74.10 %); (5) applicability, 20.31 % (13.96-26.66 %); and (6) editorial independence, 44.58 % (10.78-78.38 %). All of the CPGs were rated as "recommended with provisos or modifications". The ICC values for CPG appraisal using the AGREE II ranged from 0.230 to 0.993. CONCLUSIONS: To improve clinical practice and health outcomes, well-developed CPGs are needed. The quality of CPGs for TM in Korea has remained suboptimal according to the AGREE II instrument evaluation. Therefore, guideline developers in Korea should make more of an effort to ensure high-quality CPGs. SN - 1748-5908 UR - https://www.unboundmedicine.com/medline/citation/26216349/The_quality_of_clinical_practice_guidelines_in_traditional_medicine_in_Korea:_appraisal_using_the_AGREE_II_instrument_ L2 - https://implementationscience.biomedcentral.com/articles/10.1186/s13012-015-0294-1 DB - PRIME DP - Unbound Medicine ER -