Table 1

Critical appraisal tools for clinical practice guideline evaluation
Author, year, country Journal Title Purpose Items Quality domains
Brouwers et al. [5], 2010, Canada/ Europe Journal of Clinical Epidemiology AGREE II: Advancing guideline development, reporting and evaluation in health care To assess the process of guideline development 23 6 (scope and purpose; stakeholder involvement; rigor of development; clarity of presentation; applicability; editorial independence)
Cluzeau et al. [6], 1999, UK International Journal for Quality in Health Care Development and application of a generic methodology to assess the quality of clinical guidelines To assess the quality of clinical guidelines 37 3 (rigor of development; clarity of presentation; implementation issues)
Grilli et al. [7], 2000, Italy The Lancet Practice guidelines developed by specialty societies: the need for a critical appraisal To review the quality of guidelines 3 None specified
Hayward et al. [8], 1993, Canada/USA Annals of Internal Medicine More informative abstracts of articles describing clinical practice guidelines To assess the applicability, importance, and validity of guidelines 9 None specified
Helou et al. [9], 1998, Germany Zeitschrift für Ärztliche Fortbildung und Qualitätssicherung Methodological quality of clinical practice guidelines in Germany: results of a systemic assessment of guidelines presented on the Internet To assess the methodological quality of clinical practice guidelines 41 3 (rigor of development; content and format; applicability)
Institute of Medicine [10], 1992, USA - Guidelines for clinical practice: from development to use To examine the soundness of guidelines and to encourage their systematic development 46 7 (validity; clarity; multidisciplinary process; clinical flexibility; reliability and reproducibility; clinical adaptability; scheduled review)
Liddl et al. [11], 1996, Australia - Method for evaluating research guideline evidence To assess the validity of existing guidelines or to summarize the validity of guidelines during their development 14 3 (descriptive information about the guideline; evaluation criteria for the guideline; overall assessment of the guideline)
Marshall [12], 2000, Canada The Canadian Journal of Gastroenterology A critical approach to clinical practice guidelines To evaluate the quality, relevance and effectiveness of clinical practice guidelines 9 None specified
Mendelson [13], 1995, USA Radiologic Clinics of North America The development and meaning of appropriateness guidelines To establish appropriateness criteria for guidelines 8 None specified
Scottish Intercollegiate Guidelines Network [14], 2008, Scotland - SIGN 50: A guideline developer’s handbook To assess the process of guideline development 23 6 (see Brouwers et al.)
Selker [15], 1993, USA The American Journal of Cardiology Criteria for adoption in practice of medical practice guidelines To establish criteria for adoption of practice guidelines for clinical practice 8 None specified
Shaneyfelt et al. [16], 1999, USA Journal of the American Medical Association Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature To review the methodological quality of clinical practice guidelines in the peer-reviewed medical literature 25 3 (guideline development and format; evidence identification and summary; formulation of recommendations)
Shiffman et al. [17], 2003, USA Annals of Internal Medicine Standardized reporting of clinical practice guidelines: a proposal from the Conference on Guideline Standardization To establish a standard for guideline reporting 18 None specified
Ward, Grieco [18], 1996, Australia Medical Journal of Australia Why we need guidelines for guidelines: a study of the quality of clinical practice guidelines in Australia To assess the quality of clinical practice guidelines in Australia 18 8 (validity; reproducibility; applicability; clinical flexibility; clarity; multidisciplinary process; documentation; scheduled review)

Langer

Langer BMC Health Services Research 2012 12:253   doi:10.1186/1472-6963-12-253

Open Data