Clinical practice guidelines in Peru: evaluation of its quality using the AGREE II instrument

Authors

  • Carlos Canelo-Aybar Unidad de Análisis y Generación de Evidencias en Salud Pública (UNAGESP). Instituto Nacional de Salud. Lima, Perú. Universidad Peruana de Ciencias Aplicadas. Facultad de Ciencias de la Salud. Lima, Perú. Médico internista, magíster en Epidemiología Clínica
  • Graciela Balbin Unidad de Análisis y Generación de Evidencias en Salud Pública (UNAGESP). Instituto Nacional de Salud. Lima, Perú. Hospital de Emergencias José Casimiro Ulloa. Departamento de Medicina. Lima, Perú. médico internista, magíster en Salud Pública
  • Ángela Perez-Gomez Instituto de Evaluación Tecnológica en Salud. Subdirección de Producción de Guías de Práctica Clínica. Bogotá, Colombia. médico, magíster en Epidemiología Clínica
  • Iván D. Florez McMaster University. Department of Clinical Epidemiology and Biostatistics. Hamilton, Canadá Universidad de Antioquia. Departamento de Pediatría y Puericultura. Medellín, Colombia. médico pediatra, magíster en Epidemiología Clínica.

DOI:

https://doi.org/10.17843/rpmesp.2016.334.2559

Keywords:

Practice guidelines, Peru, Quality of health care

Abstract

To evaluate the methodological quality of clinical practice guidelines (CPGs) put into practice by the Peruvian Ministry of Health (MINSA), 17 CPGs from the ministry, published between 2009 and 2014, were independently evaluated by three methodologic experts using the AGREE II instrument. The score of AGREE II domains was low and very low in all CPGs: scope and purpose (medium, 44%), clarity of presentation (medium, 47%), participation of decision-makers (medium, 8%), methodological rigor (medium, 5%), applicability (medium, 5%), and editorial independence (medium, 8%). In conclusion, the methodological quality of CPGs implemented by the MINSA is low. Consequently, its use could not be recommended. The implementation of the methodology for the development of CPGs described in the recentlypublished CPG methodological preparation manual in Peru is a pressing need.

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Published

2016-12-13

Issue

Section

Brief Report

How to Cite

1.
Canelo-Aybar C, Balbin G, Perez-Gomez Ángela, Florez ID. Clinical practice guidelines in Peru: evaluation of its quality using the AGREE II instrument. Rev Peru Med Exp Salud Publica [Internet]. 2016 Dec. 13 [cited 2024 May 18];33(4):732-8. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2559