Title

Clinical practice guidelines on prostate cancer: a critical appraisal.

Authors

Mohit Gupta
John McCauley
Amy Farkas
Ahmet Gudeloglu
Molly M Neuberger
Yen-Yi Ho
Lawrence Yeung
Johannes Vieweg, Nova Southeastern UniversityFollow
Philipp Dahm

ISBN or ISSN

0022-5347

Publication Title

The Journal of urology

Volume

193

Issue

4

Publication Date / Copyright Date

4-1-2015

First Page

1153

Last Page

1158

Publisher

Elsevier Inc.

DOI Number

10.1016/j.juro.2014.10.105

Abstract

PURPOSE: Clinical practice guidelines are increasingly being used by leading organizations to promote high quality evidence-based patient care. However, the methodological quality of clinical practice guidelines developed by different organizations varies considerably. We assessed published clinical practice guidelines on the treatment of localized prostate cancer to evaluate the rigor, applicability and transparency of their recommendations.

MATERIALS AND METHODS: We searched for English based clinical practice guidelines on treatment of localized prostate cancer from leading organizations in the 15-year period from 1999 to 2014. Clinical practice guidelines limited to early detection, screening, staging and/or diagnosis of prostate cancer were excluded from analysis. Four independent reviewers used the validated AGREE II instrument to assess the quality of clinical practice guidelines in 6 domains, including 1) scope and purpose, 2) stakeholder involvement, 3) rigor of development, 4) clarity of presentation, 5) applicability and 6) editorial independence.

RESULTS: A total of 13 clinical practice guidelines met inclusion criteria. Overall the highest median scores were in the AGREE II domains of clarity of presentation, editorial independence, and scope and purpose. The lowest median score was for applicability (28.1%). Although the median score of editorial independence was high (85.4%), variability was also substantial (IQR 12.5-100). NICE and AUA clinical practice guidelines consistently scored well in most domains.

CONCLUSIONS: Clinical practice guidelines from different organizations on treatment of localized prostate cancer are of variable quality and fall short of current standards in certain areas, especially in applicability and stakeholder involvement. Improvements in these key domains can enhance the impact and implementation of clinical practice guidelines.

Disciplines

Medicine and Health Sciences

Keywords

Humans, Male, Practice Guidelines as Topic, Prostatic Neoplasms

NSUWorks Citation

Gupta, Mohit; McCauley, John; Farkas, Amy; Gudeloglu, Ahmet; Neuberger, Molly M; Ho, Yen-Yi; Yeung, Lawrence; Vieweg, Johannes; and Dahm, Philipp, "Clinical practice guidelines on prostate cancer: a critical appraisal." (2015). NSU-MD Faculty Articles. 68.
https://nsuworks.nova.edu/hpd_md_facarticles/68