Τίτλος:
Appraisal of clinical practice guidelines on the management of obstetric perineal lacerations and care using the AGREE II instrument [Formula presented] [Formula presented]
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Pelvic floor trauma during childbirth is highly prevalent and is associated with long term risks of incontinence and pelvic organ prolapse. Societies and organizations have published clinical guidelines in order to standardise and improve the management of perineal care. The aim of this study was to systematically evaluate the quality of clinical guidelines on obstetric perineal trauma and care using the AGREE II instrument. We searched Medline, PubMed, Web of Science and ScienceDirect databases from inception until the 15th of December 2018 using the terms “guideline” OR “guidelines”, OR “guidance”, OR “recommendation" AND “obstetric anal sphincter injury”, OR “perineal laceration” OR “perineal tear” OR “perineal trauma” OR “vaginal tear”. Twelve guidelines were included, in English and Spanish.The assessment of the guidelines was performed using AGREE II by 5 appraisers.Ten guidelines scored more than 50 %, and 3 of them scored higher than 70 %. Two guidelines scored <50 % and were considered as low quality. Level of evidence and grade of recommendations were used by 7 guidelines of the 12 guidelines. Although some guidelines received high scores, there is space for improvement of the standards of guidelines. © 2020
Συγγραφείς:
Nygaard, C.C.
Tsiapakidou, S.
Pape, J.
Falconi, G.
Betschart, C.
Pergialiotis, V.
Doumouchtsis, S.K.
On behalf of CHORUS An International Collaboration for Harmonising Outcomes Research
Standards in Urogynaecology
Women's Health
Περιοδικό:
European Journal of Obstetrics and Gynecology and Reproductive Biology
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
AGREE II instrument; clinical assessment tool; devices; female; human; laceration; perineal care; perineum injury; practice guideline; priority journal; Review; stakeholder engagement; systematic review; adverse event; anal canal; episiotomy; injury; laceration; obstetric delivery; pelvis floor; perineum; practice guideline; pregnancy; procedures, Anal Canal; Delivery, Obstetric; Episiotomy; Female; Humans; Lacerations; Pelvic Floor; Perineum; Practice Guidelines as Topic; Pregnancy
DOI:
10.1016/j.ejogrb.2020.01.049
