Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: a systematic quality appraisal using the AGREE II instrument

Purpose To evaluate the quality of published clinical practice guidelines (CPGs) regarding the nutritional risk screening and assessment of cancer patients and to identify high-quality CPGs for clinical healthcare professionals. Methods Guidelines for the nutritional risk screening and assessment of...

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Veröffentlicht in:Supportive care in cancer 2021-06, Vol.29 (6), p.2885-2893
Hauptverfasser: Zhou, Hong-Juan, Deng, Li-Jin, Wang, Tao, Chen, Jin-Xiu, Jiang, Su-Zhen, Yang, Liu, Liu, Fang, Weng, Mei-Hua, Hu, Jing-Wen, Tan, Jing-Yu
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container_end_page 2893
container_issue 6
container_start_page 2885
container_title Supportive care in cancer
container_volume 29
creator Zhou, Hong-Juan
Deng, Li-Jin
Wang, Tao
Chen, Jin-Xiu
Jiang, Su-Zhen
Yang, Liu
Liu, Fang
Weng, Mei-Hua
Hu, Jing-Wen
Tan, Jing-Yu
description Purpose To evaluate the quality of published clinical practice guidelines (CPGs) regarding the nutritional risk screening and assessment of cancer patients and to identify high-quality CPGs for clinical healthcare professionals. Methods Guidelines for the nutritional risk screening and assessment of cancer patients were comprehensively searched in eight electronic databases, including The Lancet, PubMed, Cochrane Library, Excerpta Medica dataBASE (EMBASE), Web of Science, China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), and Wan Fang Data, through August 2020. Six relevant guideline databases, including the National Comprehensive Cancer Network (NCCN), the National Guideline Clearinghouse (NGC), the Guideline International Network (GIN), the New Zealand Guidelines Group (NZGG), the China Guideline Clearinghouse (CGC), and Medlive, and relevant nutrition society websites, were also searched through August 2020. The methodological quality of the included CPGs was appraised independently by three assessors using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II) tool. Results Seven CPGs were located, and the domain with the highest percentage was “clarity of presentation” (85.44%), while the domain with the lowest percentage was “applicability” (40.26%). From the AGREE II results, two guidelines were rated as “strongly recommended,” three were assessed as “recommended with modifications,” and two were deemed as “not recommended.” Conclusion Considering that the two “strongly recommended” guidelines were developed within the American and European contexts, translation, validation, and cultural adaptation are recommended prior to implementing these guidelines in other countries or healthcare contexts to improve their effectiveness and sensitivity for local cancer patients. Trial registration PROSPERO registration of the study protocol: CRD42020177390 (July 5, 2020)
doi_str_mv 10.1007/s00520-021-06094-z
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Methods Guidelines for the nutritional risk screening and assessment of cancer patients were comprehensively searched in eight electronic databases, including The Lancet, PubMed, Cochrane Library, Excerpta Medica dataBASE (EMBASE), Web of Science, China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), and Wan Fang Data, through August 2020. Six relevant guideline databases, including the National Comprehensive Cancer Network (NCCN), the National Guideline Clearinghouse (NGC), the Guideline International Network (GIN), the New Zealand Guidelines Group (NZGG), the China Guideline Clearinghouse (CGC), and Medlive, and relevant nutrition society websites, were also searched through August 2020. The methodological quality of the included CPGs was appraised independently by three assessors using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II) tool. Results Seven CPGs were located, and the domain with the highest percentage was “clarity of presentation” (85.44%), while the domain with the lowest percentage was “applicability” (40.26%). From the AGREE II results, two guidelines were rated as “strongly recommended,” three were assessed as “recommended with modifications,” and two were deemed as “not recommended.” Conclusion Considering that the two “strongly recommended” guidelines were developed within the American and European contexts, translation, validation, and cultural adaptation are recommended prior to implementing these guidelines in other countries or healthcare contexts to improve their effectiveness and sensitivity for local cancer patients. 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Methods Guidelines for the nutritional risk screening and assessment of cancer patients were comprehensively searched in eight electronic databases, including The Lancet, PubMed, Cochrane Library, Excerpta Medica dataBASE (EMBASE), Web of Science, China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), and Wan Fang Data, through August 2020. Six relevant guideline databases, including the National Comprehensive Cancer Network (NCCN), the National Guideline Clearinghouse (NGC), the Guideline International Network (GIN), the New Zealand Guidelines Group (NZGG), the China Guideline Clearinghouse (CGC), and Medlive, and relevant nutrition society websites, were also searched through August 2020. The methodological quality of the included CPGs was appraised independently by three assessors using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II) tool. Results Seven CPGs were located, and the domain with the highest percentage was “clarity of presentation” (85.44%), while the domain with the lowest percentage was “applicability” (40.26%). From the AGREE II results, two guidelines were rated as “strongly recommended,” three were assessed as “recommended with modifications,” and two were deemed as “not recommended.” Conclusion Considering that the two “strongly recommended” guidelines were developed within the American and European contexts, translation, validation, and cultural adaptation are recommended prior to implementing these guidelines in other countries or healthcare contexts to improve their effectiveness and sensitivity for local cancer patients. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhou, Hong-Juan</au><au>Deng, Li-Jin</au><au>Wang, Tao</au><au>Chen, Jin-Xiu</au><au>Jiang, Su-Zhen</au><au>Yang, Liu</au><au>Liu, Fang</au><au>Weng, Mei-Hua</au><au>Hu, Jing-Wen</au><au>Tan, Jing-Yu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: a systematic quality appraisal using the AGREE II instrument</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>29</volume><issue>6</issue><spage>2885</spage><epage>2893</epage><pages>2885-2893</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose To evaluate the quality of published clinical practice guidelines (CPGs) regarding the nutritional risk screening and assessment of cancer patients and to identify high-quality CPGs for clinical healthcare professionals. Methods Guidelines for the nutritional risk screening and assessment of cancer patients were comprehensively searched in eight electronic databases, including The Lancet, PubMed, Cochrane Library, Excerpta Medica dataBASE (EMBASE), Web of Science, China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), and Wan Fang Data, through August 2020. Six relevant guideline databases, including the National Comprehensive Cancer Network (NCCN), the National Guideline Clearinghouse (NGC), the Guideline International Network (GIN), the New Zealand Guidelines Group (NZGG), the China Guideline Clearinghouse (CGC), and Medlive, and relevant nutrition society websites, were also searched through August 2020. The methodological quality of the included CPGs was appraised independently by three assessors using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II) tool. Results Seven CPGs were located, and the domain with the highest percentage was “clarity of presentation” (85.44%), while the domain with the lowest percentage was “applicability” (40.26%). From the AGREE II results, two guidelines were rated as “strongly recommended,” three were assessed as “recommended with modifications,” and two were deemed as “not recommended.” Conclusion Considering that the two “strongly recommended” guidelines were developed within the American and European contexts, translation, validation, and cultural adaptation are recommended prior to implementing these guidelines in other countries or healthcare contexts to improve their effectiveness and sensitivity for local cancer patients. Trial registration PROSPERO registration of the study protocol: CRD42020177390 (July 5, 2020)</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33638747</pmid><doi>10.1007/s00520-021-06094-z</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8573-2072</orcidid></addata></record>
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subjects Cancer
Cancer patients
Clinical medicine
Clinical practice guidelines
Diagnosis
Evidence-based medicine
Health care reform
Health risk assessment
Humans
Liquors
Malnutrition
Mass Screening
Medical care
Medical screening
Medicine
Medicine & Public Health
Neoplasms - diet therapy
Nursing
Nursing Research
Nutrition
Nutrition Assessment
Oncology
Oncology, Experimental
Pain Medicine
Product/Service Evaluations
Quality management
Rehabilitation Medicine
Review Article
title Clinical practice guidelines for the nutritional risk screening and assessment of cancer patients: a systematic quality appraisal using the AGREE II instrument
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