دورية أكاديمية

A Critical Appraisal of National and International Clinical Practice Guidelines Reporting Nutritional Recommendations for Age-Related Macular Degeneration: Are Recommendations Evidence-Based?

التفاصيل البيبلوغرافية
العنوان: A Critical Appraisal of National and International Clinical Practice Guidelines Reporting Nutritional Recommendations for Age-Related Macular Degeneration: Are Recommendations Evidence-Based?
المؤلفون: John G. Lawrenson, Jennifer R. Evans, Laura E. Downie
المصدر: Nutrients, Vol 11, Iss 4, p 823 (2019)
بيانات النشر: MDPI AG, 2019.
سنة النشر: 2019
المجموعة: LCC:Nutrition. Foods and food supply
مصطلحات موضوعية: clinical practice guidelines, systematic reviews, age-related macular degeneration, nutritional supplements, diet, nutrition, AGREE II, Nutrition. Foods and food supply, TX341-641
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 ‘Rigour of Development’, ‘Applicability’ (which measures implementation strategies to improve uptake of recommendations), and ‘Editorial Independence’. 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.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2072-6643
11040823
10004947
العلاقة: https://www.mdpi.com/2072-6643/11/4/823Test; https://doaj.org/toc/2072-6643Test
DOI: 10.3390/nu11040823
الوصول الحر: https://doaj.org/article/fe6c8e10004947778e667fbf3c0f4c5aTest
رقم الانضمام: edsdoj.fe6c8e10004947778e667fbf3c0f4c5a
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20726643
11040823
10004947
DOI:10.3390/nu11040823