Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence
Clinical practice guidelines (CPGs) are tools developed to support evidence-based decision making in healthcare. However, despite the availability of CPGs for the surgical management of female stress urinary incontinence (FSUI), their methodological quality has not been evaluated. The aim of this st...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/ijcp/3803266 |
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| author | Mario Vásquez-Peralta Alison Simancas-Racines Juan Marcos Parise-Vasco Camila Montesinos-Guevara Daniel Simancas-Racines |
| author_facet | Mario Vásquez-Peralta Alison Simancas-Racines Juan Marcos Parise-Vasco Camila Montesinos-Guevara Daniel Simancas-Racines |
| author_sort | Mario Vásquez-Peralta |
| collection | DOAJ |
| description | Clinical practice guidelines (CPGs) are tools developed to support evidence-based decision making in healthcare. However, despite the availability of CPGs for the surgical management of female stress urinary incontinence (FSUI), their methodological quality has not been evaluated. The aim of this study was to assess the methodological quality of published guidelines for the surgical management of FSUI using the AGREE II tool. A systematic search of CPGs published between 2017 and 2023 was performed in databases including MEDLINE/PubMed, LILACS, Scopus, and Trip Medical Database. Data extraction and guideline selection were performed independently by two reviewers, as was the assessment using the AGREE II instrument. Of 1459 initial records, six guidelines met the eligibility criteria. The scores for each domain evaluated were as follows: scope and purpose (45.83%; SD: 22.69), stakeholder participation (30.56%; SD: 29.03), development (48.56%; SD: 30.42), presentation clarity (58.80%; SD: 22.25), applicability (24.04%; SD: 26.36), and editorial independence (44.87%; SD: 32.88). One of the six included CPGs was rated as high quality and recommended for clinical practice. Three CPGs with modifications were recommended because there were still areas that needed improvement to enhance their quality, and two CPGs were not recommended for clinical practice because the six domains evaluated scored below 60%. According to these findings, it is essential that new CPGs developed for the surgical management of FSUI adhere to greater methodological rigor to ensure that recommendations are based on the best available evidence. Furthermore, guidelines should take into account patient values and clinical expertise to improve and facilitate effective healthcare decision making. |
| format | Article |
| id | doaj-art-3eafe19949db4e8d9f22336cc1477228 |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-3eafe19949db4e8d9f22336cc14772282025-01-18T00:00:03ZengWileyInternational Journal of Clinical Practice1742-12412025-01-01202510.1155/ijcp/3803266Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary IncontinenceMario Vásquez-Peralta0Alison Simancas-Racines1Juan Marcos Parise-Vasco2Camila Montesinos-Guevara3Daniel Simancas-Racines4Specialization in Gynecology and ObstetricsFaculty of Agricultural Sciences and Natural ResourcesPublic Health and Epidemiology Research Centre (CISPEC)Public Health and Epidemiology Research Centre (CISPEC)Public Health and Epidemiology Research Centre (CISPEC)Clinical practice guidelines (CPGs) are tools developed to support evidence-based decision making in healthcare. However, despite the availability of CPGs for the surgical management of female stress urinary incontinence (FSUI), their methodological quality has not been evaluated. The aim of this study was to assess the methodological quality of published guidelines for the surgical management of FSUI using the AGREE II tool. A systematic search of CPGs published between 2017 and 2023 was performed in databases including MEDLINE/PubMed, LILACS, Scopus, and Trip Medical Database. Data extraction and guideline selection were performed independently by two reviewers, as was the assessment using the AGREE II instrument. Of 1459 initial records, six guidelines met the eligibility criteria. The scores for each domain evaluated were as follows: scope and purpose (45.83%; SD: 22.69), stakeholder participation (30.56%; SD: 29.03), development (48.56%; SD: 30.42), presentation clarity (58.80%; SD: 22.25), applicability (24.04%; SD: 26.36), and editorial independence (44.87%; SD: 32.88). One of the six included CPGs was rated as high quality and recommended for clinical practice. Three CPGs with modifications were recommended because there were still areas that needed improvement to enhance their quality, and two CPGs were not recommended for clinical practice because the six domains evaluated scored below 60%. According to these findings, it is essential that new CPGs developed for the surgical management of FSUI adhere to greater methodological rigor to ensure that recommendations are based on the best available evidence. Furthermore, guidelines should take into account patient values and clinical expertise to improve and facilitate effective healthcare decision making.http://dx.doi.org/10.1155/ijcp/3803266 |
| spellingShingle | Mario Vásquez-Peralta Alison Simancas-Racines Juan Marcos Parise-Vasco Camila Montesinos-Guevara Daniel Simancas-Racines Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence International Journal of Clinical Practice |
| title | Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence |
| title_full | Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence |
| title_fullStr | Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence |
| title_full_unstemmed | Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence |
| title_short | Quality Assessment of Clinical Practice Guidelines for the Management and Surgical Treatment of Female Stress Urinary Incontinence |
| title_sort | quality assessment of clinical practice guidelines for the management and surgical treatment of female stress urinary incontinence |
| url | http://dx.doi.org/10.1155/ijcp/3803266 |
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