Appraisal of clinical practice guidelines for the evaluation and management of neck masses in children

Max Shin, Aman Prasad, Gabriel R. Arguelles, Jonathan J. Wakim, Kevin Chorath, Alvaro Moreira, Karthik Rajasekaran

Research output: Contribution to journalReview articlepeer-review

Abstract

Aim: The purpose of this systematic review was to use the Appraisal of Guidelines for Research and Evaluation tool to assess the methodological quality of clinical practice guidelines (CPGs) for the workup and management of paediatric neck masses. Methods: MEDLINE, Embase, Cochrane and grey literature were searched to identify CPG incorporating paediatric neck masses. Four authors with previous training of the Appraisal of Guidelines for Research and Evaluation tool evaluated the included studies. Results: Nine studies met inclusion criteria. The highest scoring domains were ‘Scope and Purpose’ (74.0 ± 4.5) and ‘Clarity of Presentation’ (72.9 ± 6.3). The lowest scoring domains were ‘Rigour and Development’ (18.8 ± 7.5) and ‘Applicability’ (23.7 ± 6.1). One study was ‘High’ quality, three received scores of ‘Average’ and five were found to be ‘Low’ quality. Conclusion: The majority of paediatric neck mass CPGs were low to average quality. The domains in need of greatest improvement were ‘Rigour and Development’ and ‘Applicability’, suggesting significant concerns in current CPGs focused on paediatric neck masses.

Original languageEnglish (US)
Pages (from-to)803-809
Number of pages7
JournalJournal of Paediatrics and Child Health
Volume57
Issue number6
DOIs
StatePublished - Jun 2021

Keywords

  • AGREE II
  • clinical practice guideline
  • paediatric cervical lymphadenopathy
  • paediatric neck mass

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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