Clinical Practice Guidelines on Nutrition Management in Head and Neck Cancer: A Systematic Quality Appraisal Using the AGREE II Instrument

Kush Panara, Beatrice Go, Mitali Shah, Tanmay Majmudar, Louis Xavier Barrette, Alvaro G. Moreira, Karthik Rajasekaran

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Several guidelines have been produced for the management of nutrition in patients with head and neck cancer. However, no systematic evaluation of the quality of these guidelines has been performed to date. Methods A comprehensive search was conducted until August 2020. The quality of guidelines was assessed by four independent reviewers using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II). Results Nine guidelines were assessed for critical evaluation. Only two guidelines were classified as .,high quality."The .,Scope and Purpose"domain achieved the highest mean score (75.5% ± 17.0%), and lowest was .,Applicability"(37.6% ± 23.0%). Conclusion These findings highlight the variability in the methodologic quality of guidelines for the management of nutrition in head and neck cancer. These results may help to improve the reporting of future guidelines and guide the selection for use in clinical practice.

Original languageEnglish (US)
JournalJournal of Laryngology and Otology
DOIs
StateAccepted/In press - 2022

Keywords

  • Consensus
  • Guidelines
  • Head and Neck Neoplasms
  • Malnutrition
  • Nutritional Support

ASJC Scopus subject areas

  • Otorhinolaryngology

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