The quality of diagnostic guidelines for children in primary care: A meta‐epidemiological study

Author:

Thomas Elizabeth T1ORCID,Thomas Sarah T2ORCID,Perera Rafael3ORCID,Gill Peter J345ORCID,Moloney Susan678ORCID,Heneghan Carl1ORCID

Affiliation:

1. Centre for Evidence‐Based Medicine, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford United Kingdom

2. Department of Neurology Gold Coast University Hospital Gold Coast Queensland Australia

3. Nuffield Department of Primary Care Health Sciences University of Oxford Oxford United Kingdom

4. Department of Paediatrics, Faculty of Medicine University of Toronto Toronto Ontario Canada

5. Hospital for Sick Children Toronto Ontario Canada

6. Department of Paediatrics Gold Coast University Hospital Gold Coast Queensland Australia

7. School of Medicine Griffith University Gold Coast Queensland Australia

8. Faculty of Health Sciences and Medicine Bond University Gold Coast Queensland Australia

Abstract

AimTo determine the quality of paediatric guidelines relevant to diagnosis of three of the most common conditions in primary care: fever, gastroenteritis and constipation.MethodsWe undertook a meta‐epidemiological study of paediatric guidelines for fever, gastroenteritis and gastroenteritis. We systematically searched MEDLINE, Embase, Trip Database, Guidelines International Network, the National Guideline Clearinghouse and WHO from February 2011 to September 2022 for guidelines from high‐income settings containing diagnostic recommendations. We assessed the quality of guideline reporting for included guidelines using the AGREE II tool.ResultsWe included 16 guidelines: fever (n = 7); constipation (n = 4) and gastroenteritis (n = 5). The overall quality across the three conditions was graded moderate (median AGREE II score 4.5/7, range 2.5–6.5) with constipation guidelines rated the highest (median 6/7), and fever rated the lowest (median 3.8/7). Major methodological weaknesses included consideration of guideline applicability. Half of the guidelines did not report involving parent representatives, and 56% did not adequately declare or address their competing interests.ConclusionsSubstantial variations exist in the quality of paediatric guidelines related to the diagnosis of primary care presentations. Better quality guidance is needed for general practitioners to improve diagnosis for children in primary care.

Publisher

Wiley

Subject

Pediatrics, Perinatology and Child Health

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3