Do guidelines offer implementation advice to target users? A systematic review of guideline applicability.
Bottom Line: Applicability scored lower than all other domains, and did not markedly improve compared with guidelines published in 2007 or earlier.Country (UK) and type of developer (disease-specific foundation, non-profit healthcare system) appeared to be associated with applicability when assessed with AGREE II (not original AGREE).To improve healthcare delivery and associated outcomes, further research is needed to establish the type of implementation tools needed and desired by healthcare providers and consumers, and methods for developing high-quality tools.
Affiliation: University Health Network, Toronto, Ontario, Canada.Show MeSH
Related in: MedlinePlus
Mentions: The search resulted in 245 articles; 53 were retrieved and 20 were eligible for review (figure 1). Studies were published from 2010 to 2014 and reviewed 254 guidelines (range 5–24) published from 1992 to 2013 on numerous topics (table 1).18–37 Guidelines were appraised with the original AGREE instrument in 9 studies and AGREE II in 11 studies. Of the guidelines included in eligible studies, 137 were published in 2008 or later.
Affiliation: University Health Network, Toronto, Ontario, Canada.