Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality
Actinic keratosis (AK) is a common precancerous skin lesion and many AK management guidelines exist, but there has been limited investigation into the quality of these documents. The objective of this study was to assess the strengths and weaknesses of guidelines that address AK management. A system...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Dermatology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/456071 |
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| author | Joslyn S. Kirby Thomas Scharnitz Elizabeth V. Seiverling Hadjh Ahrns Sara Ferguson |
| author_facet | Joslyn S. Kirby Thomas Scharnitz Elizabeth V. Seiverling Hadjh Ahrns Sara Ferguson |
| author_sort | Joslyn S. Kirby |
| collection | DOAJ |
| description | Actinic keratosis (AK) is a common precancerous skin lesion and many AK management guidelines exist, but there has been limited investigation into the quality of these documents. The objective of this study was to assess the strengths and weaknesses of guidelines that address AK management. A systematic search for guidelines with recommendations for AK was performed. The Appraisal of Guidelines for Research and Evaluation (AGREE II) was used to appraise the quality of guidelines. Multiple raters independently reviewed each of the guidelines and applied the AGREE II tool and scores were calculated. Overall, 2,307 citations were identified and 7 fulfilled the study criteria. The Cancer Council of Australia/Australian Cancer Network guideline had the highest mean scores and was the only guideline to include a systematic review, include an evidence rating for recommendations, and report conflicts of interest and funding sources. High-quality, effective guidelines are evidence-based with recommendations that are concise and organized, so practical application is facilitated. Features such as concise tables, pictorial diagrams, and explicit links to evidence are helpful. However, the rigor and validity of some guidelines were weak. So, it is important for providers to be aware of the features that contribute to a high-quality, practical document. |
| format | Article |
| id | doaj-art-464c1a15d9a94daab665c642d0487c66 |
| institution | Kabale University |
| issn | 1687-6105 1687-6113 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Dermatology Research and Practice |
| spelling | doaj-art-464c1a15d9a94daab665c642d0487c662025-02-03T05:49:44ZengWileyDermatology Research and Practice1687-61051687-61132015-01-01201510.1155/2015/456071456071Actinic Keratosis Clinical Practice Guidelines: An Appraisal of QualityJoslyn S. Kirby0Thomas Scharnitz1Elizabeth V. Seiverling2Hadjh Ahrns3Sara Ferguson4Department of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USAPenn State College of Medicine, Hershey, PA 17033, USADepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USADepartment of Family and Community Medicine, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USADepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USAActinic keratosis (AK) is a common precancerous skin lesion and many AK management guidelines exist, but there has been limited investigation into the quality of these documents. The objective of this study was to assess the strengths and weaknesses of guidelines that address AK management. A systematic search for guidelines with recommendations for AK was performed. The Appraisal of Guidelines for Research and Evaluation (AGREE II) was used to appraise the quality of guidelines. Multiple raters independently reviewed each of the guidelines and applied the AGREE II tool and scores were calculated. Overall, 2,307 citations were identified and 7 fulfilled the study criteria. The Cancer Council of Australia/Australian Cancer Network guideline had the highest mean scores and was the only guideline to include a systematic review, include an evidence rating for recommendations, and report conflicts of interest and funding sources. High-quality, effective guidelines are evidence-based with recommendations that are concise and organized, so practical application is facilitated. Features such as concise tables, pictorial diagrams, and explicit links to evidence are helpful. However, the rigor and validity of some guidelines were weak. So, it is important for providers to be aware of the features that contribute to a high-quality, practical document.http://dx.doi.org/10.1155/2015/456071 |
| spellingShingle | Joslyn S. Kirby Thomas Scharnitz Elizabeth V. Seiverling Hadjh Ahrns Sara Ferguson Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality Dermatology Research and Practice |
| title | Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality |
| title_full | Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality |
| title_fullStr | Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality |
| title_full_unstemmed | Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality |
| title_short | Actinic Keratosis Clinical Practice Guidelines: An Appraisal of Quality |
| title_sort | actinic keratosis clinical practice guidelines an appraisal of quality |
| url | http://dx.doi.org/10.1155/2015/456071 |
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