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Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument.

Publication ,  Journal Article
Birken, SA; Ellis, SD; Walker, JS; DiMartino, LD; Check, DK; Gerstel, AA; Mayer, DK
Published in: Implement Sci
May 3, 2015

BACKGROUND: Survivorship care plans (SCPs) are written treatment summaries and follow-up care plans that are intended to facilitate communication and coordination of care among survivors, cancer care providers, and primary care providers. A growing number of guidelines for the use of SCPs exist, yet SCP use in the United States remains limited. Limited use of SCPs may be due to poor quality of these guidelines. The purpose of the study was to evaluate the quality of guidelines for SCP use, tools that are intended to promote evidence-based medicine. METHODS: We conducted a comprehensive search of the literature using MEDLINE/PubMed, EMBASE (Excerpta Medica Database), and CINAHL (Cumulative Index to Nursing and Allied Health Literature) published through April 2014, in addition to grey literature sources and bibliographic and expert reviews. Guideline quality was assessed using the AGREE II instrument (Appraisal of Guidelines for Research and Evaluation, 2nd edition), a tool developed by an international group of scientists to advance the quality of clinical practice guidelines. To promote consistency with extant studies using the AGREE II instrument and to clearly and unambiguously identify potentially useful guidelines for SCP use, we also summarized AGREE II scores by strongly recommending, recommending, or not recommending the guidelines that we evaluated. RESULTS: Of 128 documents screened, we included 16 guidelines for evaluation. We did not strongly recommend any of the 16 guidelines that we evaluated; we recommended 5 and we did not recommend 11. Overall, guidelines scored highest on clarity of presentation (i.e., guideline language, structure, and format): Guidelines were generally unambiguous in their recommendations that SCPs should be used. Guidelines scored lowest on applicability (i.e., barriers and facilitators to implementation, implementation strategies, and resource implications of applying the guideline): Few guidelines discussed facilitators and barriers to guideline application; advice and tools for implementing guidelines were vague; and none explicitly discussed resource implications of implementing the guidelines. CONCLUSIONS: Guidelines often advocated survivorship care plan use without justification or suggestions for implementation. Improved guideline quality may promote survivorship care plan use.

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Published In

Implement Sci

DOI

EISSN

1748-5908

Publication Date

May 3, 2015

Volume

10

Start / End Page

63

Location

England

Related Subject Headings

  • Survivors
  • Quality of Health Care
  • Practice Guidelines as Topic
  • Patient Care Planning
  • Neoplasms
  • Humans
  • Health Policy & Services
  • Continuity of Patient Care
  • 52 Psychology
  • 32 Biomedical and clinical sciences
 

Citation

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ICMJE
MLA
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Birken, S. A., Ellis, S. D., Walker, J. S., DiMartino, L. D., Check, D. K., Gerstel, A. A., & Mayer, D. K. (2015). Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument. Implement Sci, 10, 63. https://doi.org/10.1186/s13012-015-0254-9
Birken, Sarah A., Shellie D. Ellis, Jennifer S. Walker, Lisa D. DiMartino, Devon K. Check, Adrian A. Gerstel, and Deborah K. Mayer. “Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument.Implement Sci 10 (May 3, 2015): 63. https://doi.org/10.1186/s13012-015-0254-9.
Birken SA, Ellis SD, Walker JS, DiMartino LD, Check DK, Gerstel AA, et al. Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument. Implement Sci. 2015 May 3;10:63.
Birken, Sarah A., et al. “Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument.Implement Sci, vol. 10, May 2015, p. 63. Pubmed, doi:10.1186/s13012-015-0254-9.
Birken SA, Ellis SD, Walker JS, DiMartino LD, Check DK, Gerstel AA, Mayer DK. Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument. Implement Sci. 2015 May 3;10:63.
Journal cover image

Published In

Implement Sci

DOI

EISSN

1748-5908

Publication Date

May 3, 2015

Volume

10

Start / End Page

63

Location

England

Related Subject Headings

  • Survivors
  • Quality of Health Care
  • Practice Guidelines as Topic
  • Patient Care Planning
  • Neoplasms
  • Humans
  • Health Policy & Services
  • Continuity of Patient Care
  • 52 Psychology
  • 32 Biomedical and clinical sciences