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Health and Science Policy and Evidence-Based Medicine

Appraising Guidelines

Adapted from the Appraisal of Guidelines for Research & Evaluation (AGREE) Instrument for Evaluating Guidelines.

As the draft document is being planned and developed, the following criteria should be considered:

Scope and Purpose

  • The overall objective(s) of the guideline is (are) specifically described
  • The clinical questions covered by the guideline are specifically described
  • The patients to whom the guideline is meant to apply are specifically described

Stakeholder Involvement

  • The guideline development group includes individuals from relevant professional groups
  • The patient’s views and preferences have been considered
  • The target users of the guideline are clearly defined

Rigor of Development

  • Systematic methods were used to search for evidence
  • The criteria for selecting the evidence are clearly defined
  • The methods used for forming the recommendations are clearly described
  • The health benefits and risks have been considered in forming recommendations
  • There is an explicit link between recommendations and supporting evidence
  • Prior to publication, experts reviewed the guideline

Clarity and Presentation

  • The recommendations are specific and unambiguous
  • Management options are clearly presented
  • Key recommendations are easily identifiable

Applicability

  • The potential barriers in applying the recommendations, including cost implications, have been discussed

Editorial Independence

  • The guideline is editorially independent from any funding body
  • Conflicts of interest of guideline development members have been recorded