PMID- 38122972
OWN - NLM
STAT- MEDLINE
DCOM- 20240219
LR  - 20240219
IS  - 1615-5947 (Electronic)
IS  - 0890-5096 (Linking)
VI  - 100
DP  - 2024 Mar
TI  - A Systematic Review of the Quality of Clinical Practice Guidelines for Chronic 
      Limb-Threatening Ischemia.
PG  - 81-90
LID - S0890-5096(23)00854-3 [pii]
LID - 10.1016/j.avsg.2023.10.025 [doi]
AB  - BACKGROUND: To assess the quality of clinical practice guidelines (CPGs) for 
      chronic limb-threatening ischemia (CLTI) using the Appraisal of Guidelines for 
      Research and Evaluation II instrument. METHODS: A systematic review of Medline, 
      Embase, and online CPG databases was carried out. Four CPGs on CLTI were 
      identified: Global Vascular Guidelines (GVG), European Society of Cardiology 
      (ESC), American College of Cardiology, and National Institute for Health and Care 
      Excellence guidelines on lower limb peripheral arterial disease. Two independent 
      appraisers analyzed the 4 CPGs using the Appraisal of Guidelines for Research and 
      Evaluation II instrument. CPGs were ranked across 6 domains with 23 items that 
      ranged from 1 (strongly disagree) to 7 (strongly agree). A scaled domain score 
      was calculated as a percentage of the maximum possible score achievable. A domain 
      score of >/=50% and an overall average domain score of >/=80% reflected a CPG of 
      adequate quality recommended for use. RESULTS: GVG had the highest overall score 
      (82.9%), as an average of all domains, and ESC had the lowest score (50.2%). GVG 
      and National Institute for Health and Care Excellence guidelines had all domains 
      scoring >50%, while American College of Cardiology had 5 and ESC had 3. Two 
      domains, rigor of development and applicability, scored the lowest among the 
      CPGs. There was a lack of detail in describing systematic methods used in the 
      literature review, how guidelines were formulated with minimal bias, and the 
      planned procedure for updating the guidelines. Implications of guideline 
      application and monitoring of outcomes after implementations were not explicitly 
      discussed. CONCLUSIONS: The GVG guideline published in 2019 discussing CLTI is 
      assessed to be of high quality and recommended for use. This review helps to 
      improve clinical decision-making and quality of future CPGs for CLTI.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Lee, Adele Hwee Hong
AU  - Lee AHH
AD  - Department of Vascular Surgery, Austin Health, Melbourne, Australia. Electronic 
      address: adelehweehonglee.lee@austin.org.au.
FAU - Wright, Adele Philippa
AU  - Wright AP
AD  - Faculty of Medicine, The University of Melbourne, Melbourne, Australia.
FAU - Westcott, Mark J
AU  - Westcott MJ
AD  - Department of Vascular Surgery, St Vincent's Hospital, Melbourne, Australia.
FAU - Shan, Leonard L
AU  - Shan LL
AD  - Department of Vascular Surgery, St Vincent's Hospital, Melbourne, Australia.
FAU - Choong, Peter F
AU  - Choong PF
AD  - Department of Surgery, The University of Melbourne, Melbourne, Australia.
FAU - Davies, Alun H
AU  - Davies AH
AD  - Department of Surgery and Cancer, Imperial College London, Charing Cross 
      Hospital, London, UK.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20231218
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Humans
MH  - Chronic Limb-Threatening Ischemia
MH  - Treatment Outcome
MH  - *Peripheral Arterial Disease/diagnosis/therapy
MH  - *Cardiology
MH  - Databases, Factual
EDAT- 2023/12/21 00:41
MHDA- 2024/02/19 06:43
CRDT- 2023/12/20 19:29
PHST- 2023/09/02 00:00 [received]
PHST- 2023/10/14 00:00 [revised]
PHST- 2023/10/21 00:00 [accepted]
PHST- 2024/02/19 06:43 [medline]
PHST- 2023/12/21 00:41 [pubmed]
PHST- 2023/12/20 19:29 [entrez]
AID - S0890-5096(23)00854-3 [pii]
AID - 10.1016/j.avsg.2023.10.025 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 2024 Mar;100:81-90. doi: 10.1016/j.avsg.2023.10.025. Epub 2023 Dec 
      18.