A Critical Appraisal of National and International Clinical Practice Guidelines Reporting Nutritional Recommendations for Age-Related Macular Degeneration: Are Recommendations Evidence-Based?
| العنوان: | A Critical Appraisal of National and International Clinical Practice Guidelines Reporting Nutritional Recommendations for Age-Related Macular Degeneration: Are Recommendations Evidence-Based? |
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| المؤلفون: | Laura E Downie, John G Lawrenson, Jennifer R Evans |
| المصدر: | Nutrients Volume 11 Issue 4 Nutrients, Vol 11, Iss 4, p 823 (2019) |
| بيانات النشر: | MDPI AG, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Evidence-based practice, Editorial independence, media_common.quotation_subject, systematic reviews, nutritional supplements, lcsh:TX341-641, Article, Rigour, Nutrition Policy, Macular Degeneration, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Quality (business), 030212 general & internal medicine, age-related macular degeneration, media_common, Evidence-Based Medicine, Nutrition and Dietetics, Scope (project management), business.industry, Guideline, AGREE II, Critical appraisal, nutrition, Systematic review, Family medicine, Dietary Supplements, Practice Guidelines as Topic, 030221 ophthalmology & optometry, RE, Nutrition Therapy, diet, business, lcsh:Nutrition. Foods and food supply, clinical practice guidelines, Food Science |
| الوصف: | Eye care professionals should have access to high quality clinical practice guidelines that ideally are underpinned by evidence from robust systematic reviews of relevant research. The aim of this study was to identify clinical guidelines with recommendations pertaining to dietary modification and/or nutritional supplementation for age-related macular degeneration (AMD), and to evaluate the overall quality of the guidelines using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. We also mapped recommendations to existing systematic review evidence. A comprehensive search was undertaken using bibliographic databases and other electronic resources for eligible guidelines. Quality appraisal was undertaken to generate scores for each of the six AGREE II domains, and mapping of extracted nutritional recommendations was performed for systematic reviews published up to March 2017. We identified 13 national and international guidelines, developed or updated between 2004 and 2019. These varied substantially in quality. The lowest scoring AGREE II domains were for &lsquo Rigour of Development&rsquo &lsquo Applicability&rsquo (which measures implementation strategies to improve uptake of recommendations), and &lsquo Editorial Independence&rsquo Only four guidelines used evidence from systematic reviews to support their nutritional recommendations. In conclusion, there is significant scope for improving current Clinical Practice Guidelines for AMD, and guideline developers should use evidence from existing high quality systematic reviews to inform clinical recommendations. |
| وصف الملف: | application/pdf |
| تدمد: | 2072-6643 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bc3d9dacbb4c1d4dd8dcb8fa865f48fcTest https://doi.org/10.3390/nu11040823Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....bc3d9dacbb4c1d4dd8dcb8fa865f48fc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20726643 |
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