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A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative.
Insights Imaging 2017; 8(5):491-497II

Abstract

OBJECTIVES

Our aim was to evaluate the quality of published guidelines on musculoskeletal ultrasound (MSK-US) for adults.

METHODS

Between June and July 2016, we conducted an online search for MSK-US guidelines, which were evaluated by four independent readers blinded to each other using the AGREE II tool. A fifth independent reviewer calculated scores per each domain and agreement between reviewers' scores using the intraclass correlation coefficient (ICC).

RESULTS

Five guidelines were included in this appraisal. They were published between 2001 and 2014. Our appraisal showed intermediate results, with four out of five guidelines scoring "average" as overall quality. Domain 1 (scope and purpose) achieved the highest result (total score = 71.1% ± 18.7%). Domain 6 (editorial independence) had the lowest score (total score = 26.3% ± 19.3%). Interobserver agreement was very good for all the evaluated guidelines (ICC ranged between 0.932 and 0.956).

CONCLUSIONS

Overall, quality of MSK-US guidelines ranges from low to average when evaluated using the AGREE II tool. The editorial independence domain was the most critical, thus deserving more attention when developing future guidelines.

MAIN MESSAGES

• Four of five guidelines on MSK-US had an average quality level. • Scope/purpose had the highest score (71.1% ± 18.7%). • Editorial independence had the lowest score (26.3% ± 19.3%). • Interobserver agreement was very good (ranges: 0.932-0.956).

Authors+Show Affiliations

Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono 7, 20122, Milan, Italy.Department of Health Sciences, University of Genova, Genoa, Italy.University of Genova and AOU IRCCS San Martino IST, Genoa, Italy.Ospedale Evangelico Internazionale, Piazzale Gianasso 5, 16100, Genoa, Italy.Unità Operativa di Radiologia Diagnostica ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.Servizio di Radiologia, IRCCS Policlinico San Donato, Piazza Malan 1, 20097, San Donato Milanese, Italy. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Pascal 36, 20133, Milan, Italy.Unità Operativa di Radiologia Diagnostica ed Interventistica, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy. io@lucasconfienza.it. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Pascal 36, 20133, Milan, Italy. io@lucasconfienza.it.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28755330

Citation

Messina, Carmelo, et al. "A Critical Appraisal of the Quality of Adult Musculoskeletal Ultrasound Guidelines Using the AGREE II Tool: an EuroAIM Initiative." Insights Into Imaging, vol. 8, no. 5, 2017, pp. 491-497.
Messina C, Bignotti B, Tagliafico A, et al. A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative. Insights Imaging. 2017;8(5):491-497.
Messina, C., Bignotti, B., Tagliafico, A., Orlandi, D., Corazza, A., Sardanelli, F., & Sconfienza, L. M. (2017). A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative. Insights Into Imaging, 8(5), pp. 491-497. doi:10.1007/s13244-017-0563-4.
Messina C, et al. A Critical Appraisal of the Quality of Adult Musculoskeletal Ultrasound Guidelines Using the AGREE II Tool: an EuroAIM Initiative. Insights Imaging. 2017;8(5):491-497. PubMed PMID: 28755330.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative. AU - Messina,Carmelo, AU - Bignotti,Bianca, AU - Tagliafico,Alberto, AU - Orlandi,Davide, AU - Corazza,Angelo, AU - Sardanelli,Francesco, AU - Sconfienza,Luca Maria, Y1 - 2017/07/28/ PY - 2017/04/02/received PY - 2017/06/21/accepted PY - 2017/06/09/revised PY - 2017/7/30/pubmed PY - 2017/7/30/medline PY - 2017/7/30/entrez KW - AGREE KW - Evidence-based medicine KW - Guidelines KW - Musculoskeletal KW - Ultrasonography SP - 491 EP - 497 JF - Insights into imaging JO - Insights Imaging VL - 8 IS - 5 N2 - OBJECTIVES: Our aim was to evaluate the quality of published guidelines on musculoskeletal ultrasound (MSK-US) for adults. METHODS: Between June and July 2016, we conducted an online search for MSK-US guidelines, which were evaluated by four independent readers blinded to each other using the AGREE II tool. A fifth independent reviewer calculated scores per each domain and agreement between reviewers' scores using the intraclass correlation coefficient (ICC). RESULTS: Five guidelines were included in this appraisal. They were published between 2001 and 2014. Our appraisal showed intermediate results, with four out of five guidelines scoring "average" as overall quality. Domain 1 (scope and purpose) achieved the highest result (total score = 71.1% ± 18.7%). Domain 6 (editorial independence) had the lowest score (total score = 26.3% ± 19.3%). Interobserver agreement was very good for all the evaluated guidelines (ICC ranged between 0.932 and 0.956). CONCLUSIONS: Overall, quality of MSK-US guidelines ranges from low to average when evaluated using the AGREE II tool. The editorial independence domain was the most critical, thus deserving more attention when developing future guidelines. MAIN MESSAGES: • Four of five guidelines on MSK-US had an average quality level. • Scope/purpose had the highest score (71.1% ± 18.7%). • Editorial independence had the lowest score (26.3% ± 19.3%). • Interobserver agreement was very good (ranges: 0.932-0.956). SN - 1869-4101 UR - https://www.unboundmedicine.com/medline/citation/28755330/A_critical_appraisal_of_the_quality_of_adult_musculoskeletal_ultrasound_guidelines_using_the_AGREE_II_tool:_an_EuroAIM_initiative_ L2 - https://dx.doi.org/10.1007/s13244-017-0563-4 DB - PRIME DP - Unbound Medicine ER -