Guidelines and evidence based medicine. The importance of stakeholder involvement.

Francesco Massoni, Pasquale Ricci, Serafino Ricci

DOI: https://doi.org/10.7175/rhc.v5i3.893

Abstract

With the depenalization of professional conduct of the physician in case of adherence to the guidelines proposed by L. 189/2012 the discussion on the quality of the available guidelines in the literature has led the authors to a review with particular regard to stakeholder involvement in the elaboration process. Evident critical points arise in the accessible studies that have used as an assessment tool a scientifically validated questionnaire (Appraisal of Guidelines for Research and Evaluation – AGREE). As a result the solution of the legislature, although useful to contain the phenomenon of defensive medicine, may be useless and ineffective in criminal cases where fundamental and absolute rights, as the right to life and health of patients, are involved.

Keywords

Guidelines, Stakeholders; Professional responsibility

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References

  • Brouwers MC, Kho ME, Browman GP, et al.; AGREE Next Steps Consortium. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ 2010; 182: E839-42; http://dx.doi.org/10.1503/cmaj.090449
  • Lytras T, Bonovas S, Chronis C, et al. Occupational Asthma guidelines: a systematic quality appraisal using the AGREE II instrument. Occup Environ Med 2014; 71: 81-6; http://dx.doi.org/10.1136/oemed-2013-101656
  • Guidelines for the diagnosis of occupational asthma. Subcommittee on ‘Occupational Allergy’ of the European Academy of Allergology and Clinical Immunology. Clin Exp Allergy 1992; 22: 103-8; http://dx.doi.org/10.1111/j.1365-2222.1992.tb00121.x
  • Moscato G, Godnic-Cvar J, Maestrelli P, et al. Statement on self-monitoring of peak expiratory flow in the investigation of occupational asthma. Subcommittee on Occupational Allergy of the European Academy of Allergology and Clinical Immunology. Allergy 1995; 50: 711-7; http://dx.doi.org/10.1111/j.1398-9995.1995.tb01211.x
  • Sanclemente G, Acosta JL, Tamayo ME, et al. Clinical practice guidelines for treatment of acne vulgaris: a critical appraisal using the AGREE II instrument. Arch Dermatol Res 2014; 306: 269-77; http://dx.doi.org/10.1007/s00403-013-1394-x
  • Garcia-Gutierrez JF, Bravo-toledo R. Guias de practica clinica en internet. Aten Primaria 2001; 28: 74-9; http://dx.doi.org/10.1016/S0212-6567(01)78899-3
  • GUIPCAR Group. Clinical Practice Guideline for the Management of Rheumatoid Arthritis in Spain. Spanish Society of Rheumatology. Madrid, 2001: 301
  • Guyatt GH, Oxman AD, Kunz R, et al. What is “quality of evidence” and why is it important to clinicians? BMJ 2008; 336: 995-8; http://dx.doi.org/10.1136/bmj.39490.551019.BE
  • Sabharwal S, Patel V, Nijjer SS, et al. Guidelines in cardiac clinical practice: evaluation of their methodological quality using the AGREE II instrument. J R Soc Med 2013; 106: 315-22; http://dx.doi.org/10.1177/0141076813486261
  • Simone B, De Feo E, Nicolotti N, et al. Methodological quality of English-language genetic guidelines on hereditary breast-cancer screening and management: an evaluation using the AGREE instrument. BMC Med 2012; 10: 143; http://dx.doi.org/10.1186/1741-7015-10-143
  • University of Michigan Health System: Guidelines for clinical care. Adult preventive health care: cancer screening. Available at http://www.med.umich.edu/1info/fhp/practiceguides/adult.cancer/cancergline.pdf
  • Polus S, Lerberg P, Vogel J, et al. Appraisal of WHO guidelines in maternal health using the AGREE II assessment tool. PLoS One 2012; 7: e38891; http://dx.doi.org/10.1371/journal.pone.0038891
  • World Health Organization. WHO recommendations for the prevention of postpartum haemorrhage. Geneva: World Health Organization, 2007
  • World Health Organization WHO recommendations for prevention and treatment of pre-eclampsia and eclampsia. Geneva: World Health Organization, 2011
  • Don-Wauchope AC, Sievenpiper JL, Hill SA, et al. Applicability of the AGREE II instrument in evaluating the development process and quality of current National Academy of Clinical Biochemistry guidelines. Clin Chem 2012; 58: 1426-37; http://dx.doi.org/10.1373/clinchem.2012.185850
  • Bennett MJ, ed. National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines: Follow-up testing for metabolic diseases identified by expanded newborn screening using tandem mass spectrometry. Washington (DC): AACC Press, 2009
  • van den Berg T, Engelhardt EG, Haanstra TM, et al. Methodology of clinical nutrition guidelines for adult cancer patients: how good are they according to AGREE criteria? JPEN J Parenter Enteral Nutr 2012; 36: 316-22; http://dx.doi.org/10.1177/0148607111414027
  • Bozzetti F, Arends J, Lundholm K, et al. ESPEN guidelines on parenteral nutrition: non-surgical oncology. Clin Nutr 2009; 28: 445-54; http://dx.doi.org/10.1016/j.clnu.2009.04.011
  • Braga M, Ljungqvist O, Soeters P, et al. ESPEN guidelines on parenteral nutrition: surgery. Clin Nutr 2009; 28: 378-86; http://dx.doi.org/10.1016/j.clnu.2009.04.002
  • Burda BU, Norris SL, Holmer HK, et al. Quality varies across clinical practice guidelines for mammography screening in women aged 40-49 years as assessed by AGREE and AMSTAR instruments. J Clin Epidemiol 2011; 64: 968-76; http://dx.doi.org/10.1016/j.jclinepi.2010.12.005
  • Michigan Quality Improvement Consortium. Adult preventive services (ages 18-49). Southfield, MI: Michigan Quality Improvement Consortium, 2008
  • Lee CH, Dershaw DD, Kopans D, et al. Breast cancer screening with imaging: recommendations from the Society of Breast Imaging and the ACR on the use of mammography, breast MRI, breast ultrasound, and other technologies for the detection of clinically occult breast cancer. J Am Coll Radiol 2010; 7: 18-27
  • Lo Vecchio A, Giannattasio A, Duggan C, et al. Evaluation of the quality of guidelines for acute gastroenteritis in children with the AGREE instrument. J Pediatr Gastroenterol Nutr 2011; 52: 183-9; http://dx.doi.org/10.1097/MPG.0b013e3181e233ac
  • Sandhu BK. European Society of Pediatric Gastroenterology, Hepatology and NutritionWorking Group on Acute Diarrhoea. Practical guidelines for the management of gastroenteritis in children. J Pediatr Gastroenterol Nutr 2001; 33: S36-9; http://dx.doi.org/10.1097/00005176-200110002-00007
  • Manchikanti L, Singh V, Helm S 2nd, et al. A critical appraisal of 2007 American College of Occupational and Environmental Medicine (ACOEM) Practice Guidelines for Interventional Pain Management: an independent review utilizing AGREE, AMA, IOM, and other criteria. Pain Physician 2008; 11: 291-310
  • American College of Occupational and Environmental Medicine (ACOEM) Low Back Disorders. In Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery of Workers, Second Edition. Beverly Farms: OEM Press, 2007
  • American College of Occupational and Environmental Medicine (ACOEM) Chronic Pain. In Occupational Medicine Practice Guidelines: Evaluation and Management of Common Health Problems and Functional Recovery of Workers, Second Edition. Beverly Farms: OEM Press, 2008
  • Hulshof C, Hoenen J. Evidence-based practice guidelines in OHS: are they agree-able? Ind Health 2007; 45: 26-31; http://dx.doi.org/10.2486/indhealth.45.26
  • Cluzeau F, Wedzicha JA, Kelson M, et al.; ATS/ERS Ad Hoc Committee on Integrating and Coordinating Efforts in COPD Guideline Development. Stakeholder involvement: how to do it right: article 9 in Integrating and coordinating efforts in COPD guideline development. An official ATS/ERS workshop report. Proc Am Thorac Soc 2012; 9: 269-73; http://dx.doi.org/10.1513/pats.201208-062ST
  • Shah SGS, Robinson I. User involvement in healthcare technology development and assessment – structured literature review. Int J Health Care Qual Assurance 2006;19: 500-15; http://dx.doi.org/10.1108/09526860610687619
  • Achterkamp M, Vos JFJ. A framework for making sense of sustainable innovation through stakeholder involvement. Int J Environ Technol Mngmnt 2006; 6: 525-38
  • King N. Involvement in innovation: the role of identity. In: Shavinina LV (Ed.). The international handbook of innovation part VIII. Amsterdam: Elsevier, 2003
  • Rogers EM. Diffusion of innovations (5th ed.). New York: Free Press, 2003
  • Van De Ven AH, Scott Poole M. Alternative approaches for studying organizational change. Organisn Stud 2010; 26: 1377-404
  • Dettenkofera M, Ammonb A, Astagneauc P, et al. Infection control – a European research perspective for the next decade. J Hosp Infect 2011; 77: 7-10; http://dx.doi.org/10.1016/j.jhin.2010.07.025
  • Kyratsis Y, Ahmad R, Holmes A. Technology adoption and implementation in organisations: comparative case studies of 12 English NHS Trusts. BMJ Open 2012; 2: e000872; http://dx.doi.org/10.1136/bmjopen-2012-000872
  • Ahmad R, Kyratsis Y, Holmes A. When the user is not the chooser: learning from stakeholder involvement in technology adoption decisions in infection control. J Hosp Infect 2012; 81: 163-8; http://dx.doi.org/10.1016/j.jhin.2012.04.014
  • National Institute for Health and Clinical Excellence and Health Protection Agency Prevention and control of healthcare-associated infections quality improvement guide. London: NICE/HPA, 2011
  • Pittet D, Panesar SS, Wilson K, et al. Involving the patient to ask about hospital hand hygiene: a National Patient Safety Agency feasibility study. J Hosp Infect 2011; 77: 299-303; http://dx.doi.org/10.1016/j.jhin.2010.10.013
  • Dougherty RH. Consumer-directed healthcare: the next trend? Behavioral Healthcare Tomorrow 2003; 12: 21-7
  • Department of Health & Farrell C. Patient and Public Involvement in Health: The Evidence for Policy Implementation. A Summary of the Results of the Health in Partnership Research Programme. London: Department of Health, 2004
  • Patterson S, Weaver T, Agath K, et al. “They can’t solve the problem without us”: a qualitative study of stakeholder perspectives on user involvement in drug treatment services in England. Health Soc Care Community 2009; 17: 54-62; http://dx.doi.org/10.1111/j.1365-2524.2008.00797.x
  • Crawford MJ, Aldridge T, Bhui K, et al. User involvement in the planning and delivery of mental health services: a cross-sectional survey of service users and providers. Acta Psychiatrica Scandinavica 2003; 107: 410-4; http://dx.doi.org/10.1034/j.1600-0447.2003.00049.x

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