Incorporating postmenopausal women's perspectives into osteoporosis clinical guidelines: a systematic review
To assess the inclusion of individuals’ perspectives in the development of osteoporosis Clinical Practice Guidelines (CPGs) for primary fracture prevention in postmenopausal women. We performed a comprehensive systematic search across guideline databases and (CPGs) developing organizations websites....
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Veröffentlicht in: | Journal of clinical epidemiology 2024-09, Vol.173, p.111468, Article 111468 |
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creator | Medina-Aedo, Melixa Günther, Matías Arauz, Ibell Domancic, Stefan Diaz-Menai, Samanta Gregorio, Sofia León-García, Montserrat Santero, Marilina Pardo-Hernadez, Hector Alonso-Coello, Pablo |
description | To assess the inclusion of individuals’ perspectives in the development of osteoporosis Clinical Practice Guidelines (CPGs) for primary fracture prevention in postmenopausal women.
We performed a comprehensive systematic search across guideline databases and (CPGs) developing organizations websites. Using the AGREE II tool, we assessed the quality of the guidelines, with particular emphasis on the inclusion of patients, or representatives in the development process. We also examined if women's perspectives were considered at the recommendations level and explored the potential association between the inclusion of patients' values and preferences with the quality of the CPGs.
We retrieved a total of 491 eligible CPGs, of which 33 were finally included. The majority of the CPGs were developed by scientific societies (63.6%), primarily from Europe (39.4%) and North America (30.3%). One in every four (24.2%) guidelines explicitly included individuals' perspectives in their development, and one in ten (12.1%) included research evidence about this aspect to support their recommendations. The domains with the lowest mean scores in the quality assessment were applicability (42.4%), rigor of development (44.7%), and stakeholder involvement (45.7%), and 61% were recommended for use according to our assessment. Guidelines of higher quality were more likely to include women's perspective in their development (mean difference 39.31, P = .003).
The incorporation of women's perspectives into the process of developing guidelines for primary fracture prevention in osteoporosis remains inadequate. Our findings serve as a call for guideline developers to improve this situation, and for users, and policymakers to be aware of these limitations, when using or implementing guidelines in this field. |
doi_str_mv | 10.1016/j.jclinepi.2024.111468 |
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We performed a comprehensive systematic search across guideline databases and (CPGs) developing organizations websites. Using the AGREE II tool, we assessed the quality of the guidelines, with particular emphasis on the inclusion of patients, or representatives in the development process. We also examined if women's perspectives were considered at the recommendations level and explored the potential association between the inclusion of patients' values and preferences with the quality of the CPGs.
We retrieved a total of 491 eligible CPGs, of which 33 were finally included. The majority of the CPGs were developed by scientific societies (63.6%), primarily from Europe (39.4%) and North America (30.3%). One in every four (24.2%) guidelines explicitly included individuals' perspectives in their development, and one in ten (12.1%) included research evidence about this aspect to support their recommendations. The domains with the lowest mean scores in the quality assessment were applicability (42.4%), rigor of development (44.7%), and stakeholder involvement (45.7%), and 61% were recommended for use according to our assessment. Guidelines of higher quality were more likely to include women's perspective in their development (mean difference 39.31, P = .003).
The incorporation of women's perspectives into the process of developing guidelines for primary fracture prevention in osteoporosis remains inadequate. Our findings serve as a call for guideline developers to improve this situation, and for users, and policymakers to be aware of these limitations, when using or implementing guidelines in this field.</description><identifier>ISSN: 0895-4356</identifier><identifier>ISSN: 1878-5921</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/j.jclinepi.2024.111468</identifier><identifier>PMID: 39029540</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Clinical medicine ; Clinical practice guidelines ; Decision making ; Guideline as a topic ; Guidelines ; Health care ; Osteoporosis ; Patient participation ; Patient preference ; Patients ; Post-menopause ; Practice guidelines as topic ; Prevention ; Primary prevention ; Quality assessment ; Quality control ; Systematic review ; Women</subject><ispartof>Journal of clinical epidemiology, 2024-09, Vol.173, p.111468, Article 111468</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><rights>2024. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c273t-9e15b5ab141bcdf34208ff69130672c6c3d7b4cf7d50311b97246eea265df76e3</cites><orcidid>0000-0001-5371-0979 ; 0000-0002-9922-464X ; 0000-0002-8001-8504 ; 0000-0003-3714-0309</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3107443012?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72341</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39029540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Medina-Aedo, Melixa</creatorcontrib><creatorcontrib>Günther, Matías</creatorcontrib><creatorcontrib>Arauz, Ibell</creatorcontrib><creatorcontrib>Domancic, Stefan</creatorcontrib><creatorcontrib>Diaz-Menai, Samanta</creatorcontrib><creatorcontrib>Gregorio, Sofia</creatorcontrib><creatorcontrib>León-García, Montserrat</creatorcontrib><creatorcontrib>Santero, Marilina</creatorcontrib><creatorcontrib>Pardo-Hernadez, Hector</creatorcontrib><creatorcontrib>Alonso-Coello, Pablo</creatorcontrib><title>Incorporating postmenopausal women's perspectives into osteoporosis clinical guidelines: a systematic review</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>To assess the inclusion of individuals’ perspectives in the development of osteoporosis Clinical Practice Guidelines (CPGs) for primary fracture prevention in postmenopausal women.
We performed a comprehensive systematic search across guideline databases and (CPGs) developing organizations websites. Using the AGREE II tool, we assessed the quality of the guidelines, with particular emphasis on the inclusion of patients, or representatives in the development process. We also examined if women's perspectives were considered at the recommendations level and explored the potential association between the inclusion of patients' values and preferences with the quality of the CPGs.
We retrieved a total of 491 eligible CPGs, of which 33 were finally included. The majority of the CPGs were developed by scientific societies (63.6%), primarily from Europe (39.4%) and North America (30.3%). One in every four (24.2%) guidelines explicitly included individuals' perspectives in their development, and one in ten (12.1%) included research evidence about this aspect to support their recommendations. The domains with the lowest mean scores in the quality assessment were applicability (42.4%), rigor of development (44.7%), and stakeholder involvement (45.7%), and 61% were recommended for use according to our assessment. Guidelines of higher quality were more likely to include women's perspective in their development (mean difference 39.31, P = .003).
The incorporation of women's perspectives into the process of developing guidelines for primary fracture prevention in osteoporosis remains inadequate. Our findings serve as a call for guideline developers to improve this situation, and for users, and policymakers to be aware of these limitations, when using or implementing guidelines in this field.</description><subject>Clinical medicine</subject><subject>Clinical practice guidelines</subject><subject>Decision making</subject><subject>Guideline as a topic</subject><subject>Guidelines</subject><subject>Health care</subject><subject>Osteoporosis</subject><subject>Patient participation</subject><subject>Patient preference</subject><subject>Patients</subject><subject>Post-menopause</subject><subject>Practice guidelines as topic</subject><subject>Prevention</subject><subject>Primary prevention</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Systematic 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Matías</au><au>Arauz, Ibell</au><au>Domancic, Stefan</au><au>Diaz-Menai, Samanta</au><au>Gregorio, Sofia</au><au>León-García, Montserrat</au><au>Santero, Marilina</au><au>Pardo-Hernadez, Hector</au><au>Alonso-Coello, Pablo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incorporating postmenopausal women's perspectives into osteoporosis clinical guidelines: a systematic review</atitle><jtitle>Journal of clinical epidemiology</jtitle><addtitle>J Clin Epidemiol</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>173</volume><spage>111468</spage><pages>111468-</pages><artnum>111468</artnum><issn>0895-4356</issn><issn>1878-5921</issn><eissn>1878-5921</eissn><abstract>To assess the inclusion of individuals’ perspectives in the development of osteoporosis Clinical Practice Guidelines (CPGs) for primary fracture prevention in postmenopausal women.
We performed a comprehensive systematic search across guideline databases and (CPGs) developing organizations websites. Using the AGREE II tool, we assessed the quality of the guidelines, with particular emphasis on the inclusion of patients, or representatives in the development process. We also examined if women's perspectives were considered at the recommendations level and explored the potential association between the inclusion of patients' values and preferences with the quality of the CPGs.
We retrieved a total of 491 eligible CPGs, of which 33 were finally included. The majority of the CPGs were developed by scientific societies (63.6%), primarily from Europe (39.4%) and North America (30.3%). One in every four (24.2%) guidelines explicitly included individuals' perspectives in their development, and one in ten (12.1%) included research evidence about this aspect to support their recommendations. The domains with the lowest mean scores in the quality assessment were applicability (42.4%), rigor of development (44.7%), and stakeholder involvement (45.7%), and 61% were recommended for use according to our assessment. Guidelines of higher quality were more likely to include women's perspective in their development (mean difference 39.31, P = .003).
The incorporation of women's perspectives into the process of developing guidelines for primary fracture prevention in osteoporosis remains inadequate. Our findings serve as a call for guideline developers to improve this situation, and for users, and policymakers to be aware of these limitations, when using or implementing guidelines in this field.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39029540</pmid><doi>10.1016/j.jclinepi.2024.111468</doi><orcidid>https://orcid.org/0000-0001-5371-0979</orcidid><orcidid>https://orcid.org/0000-0002-9922-464X</orcidid><orcidid>https://orcid.org/0000-0002-8001-8504</orcidid><orcidid>https://orcid.org/0000-0003-3714-0309</orcidid></addata></record> |
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subjects | Clinical medicine Clinical practice guidelines Decision making Guideline as a topic Guidelines Health care Osteoporosis Patient participation Patient preference Patients Post-menopause Practice guidelines as topic Prevention Primary prevention Quality assessment Quality control Systematic review Women |
title | Incorporating postmenopausal women's perspectives into osteoporosis clinical guidelines: a systematic review |
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