Critical Appraisal to Intraabdominal/Complicated Intraabdominal Guidelines to Develop Indonesian Specific Clinical Practice Guidelines

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Abstract

Introduction. There were many clinical practice guidelines (CPGs) intraabdominal infection/complicated intraabdominal infections (cIAIs) have been developed since 1992 and were periodically updated recently. But to date, the implementation in Indonesia encountering problems. One is Indonesian characteristics which is differed to the population of where the CPGs developed. To adapt a CPGs, the quality of CPGs should be first critically appraised. The best will be used furthers as the subject to be adapted, with modification regarding Indonesian characteristics.

Method. A literature search carried out on guidelines databases to find out CPGs on cIAIs (1992–2017). The assessment preceded using AGREE II tools (MyAGREE platform) focused on 23 assessments in 6 domains (scope and purpose, stakeholder involvement, rigour of development, clarity of presentation, applicability, and editorial independence). Such an assessment placed a guideline in rating of 1 to 7. Updated guidelines were assessed using Checklist for the Reporting of Updated Guidelines (CheckUp). Appraised CPGs were discussed.

Results. There were 33 CPGs in full text downloaded and subjected to selection criteria. Duplicates and those irrelevant were excluded. In the assessment there were 18 CPGs included and 13 guidelines places the strong recommended category, two can be recommended and other 2 were not recommended. All updated CPGs met the criteria of the best quality updates.

Conclusion. Two cIAIs–CPGs were met the criteria of the quality guidelines to be adopted. These guidelines were developed in accordance with appropriateness in development a CPGs and were updated.

Original languageEnglish
JournalThe New Ropanasuri : Journal of Surgery
Publication statusPublished - 2017

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