More than one third of clinical practice guidelines on low back pain overlap in AGREE II appraisals. Research wasted?

Gianola, Silvia; Bargeri, Silvia; Cinquini, Michela; Iannicelli, Valerio; Meroni, Roberto; Castellini, Greta

doi:10.1186/s12874-022-01621-w

Table 5 AGREE II overall assessment of CPGs assessed by at least three appraisals

From: More than one third of clinical practice guidelines on low back pain overlap in AGREE II appraisals. Research wasted?

APPRAISAL AUTHOR	OA1	VARIABILITY OA1	VARIABILITY OA1	OA2	AGREEMENT OA2	QUALITY RATING	AGREEMENT QUALITY RATING
		(0-100 scale)	(1-7 scale)
		Median (Q1-Q3)	Median (Q1-Q3)
NICE 2016 [63]
Castellini 2020 [27]	95,83	88 (83-92.4)	6 (5.5-7)	Yes	Heterogeneity of reporting		Perfect agreement
Corp 2021 [28]	83			Yes
Doniselli 2018 [29]	83			Yes (3 raters); Maybe (1 rater)^a
Krenn 2020 [33]	7					High
Lin 2020 [34]	89					High
Meroni 2019 [17]	88
Ng 2021 [35]	6^ab			Yes (1 rater); Yes with modifications (1 rater)^a
Rathbone 2020 [37]	5,5			Yes^a		High
Stander 2020 [38]
ACP 2017 [47]
Castellini 2020 [27]	75	77 (68.3-82)	5 (5-5.5)	Yes	Heterogeneity of reporting		No agreement
Doniselli 2018 [29]	79			Yes (2 raters); Maybe (1 rater)^a
Krenn 2020 [33]	5					Moderate
Lin 2020 [34]	83					Low
Meroni 2019 [17]	66
Ng 2021 [35]	5,5^ab			Yes with modifications^a
Rathbone 2020 [37]	5			Yes with modifications^a		Average
Stander 2020 [38]
APS 2009 [65]
Acevedo 2016 [25]	6	na	5.6 (5.1-6.0)	Yes	No agreement		Perfect agreement
Anderson 2021 [26]	5,9					Satisfactory
Ng 2021 [35]	5^ab			Yes with modifications^a
Wong 2016 [39]						High
Hoydonckx 2020 [32]	5,33
APTA 2012 [56]
Doniselli 2018 [29]	67	55 (44-67)	4.8	Yes (2 raters); No (2 raters)^a	Heterogeneity of reporting		Perfect agreement
Franz 2015 [31]
Lin 2020 [34]	44					Low
Meroni 2019 [17]	55
Ng 2021 [35]	5^ab			Yes with modifications^a
Rathbone 2020 [37]	4,5			Yes with modifications^a		Low
Wong 2016 [39]						Low
Nordin 2018 [36]
KCE 2017 [43]
Castellini 2020 [27]	83,33	83.3 (61-100)	5 (4.5-6)	Yes	No agreement		No agreement
Corp 2021 [28]	100			Yes		High
Krenn 2020 [33]	4,5					Moderate
Lin 2020 [34]	61					High
Ng 2021 [35]	5^ab			Yes with modifications^a
Rathbone 2020 [37]	6			Yes^a		High
CCGPP 2016 [55]
Castellini 2020 [27]	29,17	44 (29.2-47)	na	No	Heterogeneity of reporting		Perfect agreement
Lin 2020 [34]	44					High
Meroni 2019 [17]	47
Ng 2021 [35]	4,5^ab			Yes with modifications^a
Rathbone 2020 [37]	5,5			Yes (1 rater); Yes with modifications (1 rater)^a		High
ASIPP 2013 [49]
Acevedo 2016 [25]	5		5.6 (5-5.6)	No	Heterogeneity of reporting		No agreement
Anderson 2021 [27]	5,6					Not satisfactory
Hoydinckx 2020 [33]	5,66			Yes (1 rater); Yes with modifications (1 rater); No (1 rater)
Nordin 2018 [36]	75^a			Yes^a		High
CAAM 2016 [42]
Castellini 2020 [27]	45,8	na	na	No	No agreement		na
Ng 2021 [35]	4^ab			Yes with modifications^a
Rathbone 2020 [37]	2,5			Yes with modifications^a		Low
CCGI 2018 [60]
Castellini 2020 [27]	87,5	na	na	Yes	Heterogeneity of reporting		Perfect agreement
Krenn 2020 [33]	6					High
Rathbone 2020 [37]	6			Yes (1 rater); Yes with modifications (1 rater)^a		High
Cheng 2012 [59]
Lin 2020 [34]	17	na	na		Perfect agreement	Low	Perfect agreement
Ng 2021 [35]	4^ab			Yes with modifications^a
Rathbone 2020 [37]	4			Yes with modifications^a		Low
DAI 2017 [58]
Meroni 2019 [17]	80	na	na		Perfect agreement	Excellent	No agreement
Ng 2021 [35]	4^ab			Yes with modifications^a
Rathbone 2020 [37]	3			Yes with modifications^a		Low
DHA 2017 [45]
Doniselli 2018 [30]	92	na	na	Yes (3 raters); Maybe (1 rater)^a	Heterogeneity of reporting		No agreement
Lin 2020 [34]	67					High
Rathbone 2020 [37]	4,5			Yes with modifications^a		Average
ICSI 2012 [54]
Doniselli 2018 [30]	79	na	na	Yes (2 raters); Maybe (2 raters)^a	Heterogeneity of reporting		na
Lin 2020 [34]	56					Low
Ng 2021 [35]	4,5^ab			Yes with modifications^a
ICSI 2018 [44]
Castellini 2020 [27]	62,5			Yes, with modifications	No agreement		Perfect agreement
Krenn 2020 [33]	5,5	na	na			Moderate
Rathbone 2020 [37]	5,5			Yes^a		Average
KNGF 2013 [46]
Franz 2015 [31]		na	na		Perfect agreement		na
Meroni 2019 [17]	43
Ng 2021 [35]	3^ab			No^a
Rathbone 2020 [37]	3			No^a		Average
NASS 2013 [50]
Anderson 2021 [27]	5,5	na	na		na	Satisfactory quality	No agreement
Lin 2020 [34]	39					Low
Rathbone 2020 [37]	4			Yes with modifications^a		Low
NASS 2014 [51]
Lin 2020 [34]	39	na	na		na	Low	No agreement
Rathbone 2020 [37]	4			Yes with modifications^a		Low
Wong 2016 [39]						High
NICE 2009 [64]
Acevedo 2016 [25]	6,5	na	na	Yes	No agreement		na
Ng 2021 2021 [35]	4,5^ab			Yes with modifications^a
Wong 2016 [39]						High
OMG 2012 [61]
Ng 2021 2021 [35]	4,5^ab	na	na	Yes with modifications^a	Perfect agreement		Perfect agreement
Rathbone 2020 [37]	4			Yes with modifications^a		Low
Wong 2016 [39]						Low
PSP 2017 [52]
Castellini 2020 [27]	4,17	na	na	No	No agreement		No agreement
Corp 2021 [28]	33			No		Low
Rathbone 2020 [37]	4			Yes with modifications^a		Average
SIGN 2013 [62]
Ernstzen 2017 [30]	6,5	na	na		na		Perfect agreement
Meroni 2019 [17]	81					Excellent
Wong 2016 [39]						High
TOP 2017 [53]
Castellini 2020 [27]	58,33	na	na	No	No agreement		No agreement
Meroni 2019 [17]	89					Excellent
Rathbone 2020 [37]	3,5			Yes with modifications^a		Low
VA/DoD 2017 [48]
Castellini 2020 [27]	70,83	na	na	Yes, with modifications	Perfect agreement		Perfect agreement
Kreen 2020 [33]	5,5					Moderate
Meroni 2019 [17]	67
Rathbone 2020 [37]	4			Yes with modifications^a		Average

OA1, overall assessment 1; OA2, overall assessment 2. Empty cells indicate judgements not reported
^adata sent
^bmean judgement between raters. Na, not assessed due to missing data
ACP American College of Physicians, APS American Pain Society, APTA American Physical Therapy Association, ASIPP American Society of Interventional Pain Physicians, CAAM China Association of Acupuncture-Moxibustion, CCGI Canadian Chiropractic Guideline Initiative, CCGPP Council on Chiropractic Guidelines and Practice Parameters, DAI Deutsches Ärzteblatt International, DHA Danish Health Authority, ICSI Institute for Clinical Systems Improvement, KCE Belgian Health Care Knowledge Centre, KNGF Koninklijk Nederlands Genootschap voor Fysiotherapie, na not assessed, NASS North American Spine Society, NICE National Institute for Health and Care Excellence, OMG Ottawa Methods Group, PSP Polish Society of Physiotherapy, SIGN Scottish Intercollegiate Guidelines Network, TOP Toward Optimized Practice Low Back Pain Working Group, VADoD Veterans Affairs/Department of Defense Collaboration Office

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ISSN: 1471-2288

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