Mongolian Journal of Health Sciences, 2008, 1(5)

A critical evaluation of the guideline of diagnosis and treatment for common diseases and disorders using Appraisal of Guidelines Research and Evaluation criteria

( Судалгааны өгүүлэл )

Delgermaa V 1*, Lkhagvasuren Ts 2

 

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Абстракт

Coronary heart disease is the largest cause of death in both developed and developing countries. Clinical practice guidelines have been elaborated to summarize evidence related to the management of coronary heart diseases and to facilitate an uptake of evidence-based knowledge by clinicians. The purpose of this study was to assess the quality of the guidelines using the internationally accepted criteria. The current existing guideline was independently evaluated by four appraisers using 23 items of the Appraisal of Guidelines Research and Evaluation Instrument. The current existing guideline was developed in 2005 and has 16 chapters, including a guideline for diagnosis and treatment of CVD (cardiovascular diseases) and rheumatism as the first chapter. Definition, causes, classification, clinical symptoms, risk factors, medical examination, clinical and biochemical laboratory tests, differential diagnosis, diagnostic and treatment procedures, and condition and time of treatment for ischaemic heart diseases and myocardial infarction were written in the II and IV subchapters respectively. There was not a large difference between appraisers’ scores. As a result of the appraisal of the “Guideline for Diagnosis and Treatment of Common Diseases and Disorders,” the standardized domain score ranged from 43.75% to 52.8%. In conclusion, it is possible to continue the implementation of the current existing guideline after making necessary changes and improvements according to the internationally accepted Appraisal of Guidelines Research and Evaluation criteria.

 

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