Imperial College London
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DrTristanLane

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3311 7317tristan.lane Website

 
 
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Location

 

Remote or 4N12ANorth WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Tan:2022:10.1136/bmjopen-2021-056750,
author = {Tan, K and Salim, S and Machin, M and Geroult, A and Onida, S and Lane, T and Davies, A},
doi = {10.1136/bmjopen-2021-056750},
journal = {BMJ Open},
pages = {1--9},
title = {Abdominal aortic aneurysm clinical practice guidelines: a methodological assessment using the AGREE II instrument},
url = {http://dx.doi.org/10.1136/bmjopen-2021-056750},
volume = {12},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: Abdominal aortic aneurysm (AAA) clinical practice guidelines (CPGs) provide evidence-based information on patient management; however, methodological differences exist in the development of CPGs. This study examines the methodological quality of AAA CPGs using a validated assessment tool. Design: Medline, EMBASE and online CPG databases were searched from 1946 to 31st October 2021. Full-text, English language, evidence-based AAA CPGs were included. Consensus-based CPGs, summaries of CPGs or CPGs which were only available upon purchase were excluded. Five reviewers assessed their quality using the Appraisal of Guidelines for Research and Evaluation II instrument. An overall guideline assessment scaled score of ≥80% was considered as the threshold to recommend CPG use in clinical practice.Results: Seven CPGs were identified. Scores showed good inter-reviewer reliability (ICC 0.943, 95% CI 0.915-0.964). On average, CPGs performed adequately with mean scaled scores of over 50% in all domains. However, between CPGs, significant methodological heterogeneity was observed in all domains. Four CPGs scored ≥80% (European Society of Cardiology, the Society of Vascular Surgery, the European Society of Vascular Surgery, and the National Institute of Health and Care Excellence), supporting their use in clinical practice.Conclusions: Four CPGs were considered of adequate methodological quality to recommend their use in clinical practice; nonetheless, these still showed areas for improvement, potentially through performing economic analysis and trial application of recommendations. A structured approach employing validated CPG creation tools should be used to improve rigour of AAA CPGs. Future work should also evaluate recommendation accuracy using validated appraisal tools.
AU  - Tan,K
AU  - Salim,S
AU  - Machin,M
AU  - Geroult,A
AU  - Onida,S
AU  - Lane,T
AU  - Davies,A
DO  - 10.1136/bmjopen-2021-056750
EP  - 9
PY  - 2022///
SN  - 2044-6055
SP  - 1
TI  - Abdominal aortic aneurysm clinical practice guidelines: a methodological assessment using the AGREE II instrument
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2021-056750
UR  - https://bmjopen.bmj.com/content/12/1/e056750
UR  - http://hdl.handle.net/10044/1/93768
VL  - 12
ER  -
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