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

Hong-Juan Zhou, Li-Jin Deng, Tao Wang, Jin-Xiu Chen, Su-Zhen Jiang, Liu Yang, Fang Liu, Mei-Hua Weng, Jing-Wen Hu, Jing-Yu Tan

Research output: Contribution to journalReview articlepeer-review

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.


Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalSupportive Care in Cancer
DOIs
Publication statusPublished - 27 Feb 2021

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