10.25384/SAGE.C.6333887.V1
Rupasvi Dhurjati
Rupasvi
Dhurjati
Vidya Sagar
Vidya
Sagar
Raju Kanukula
Raju
Kanukula
Nusrath Rehana
Nusrath
Rehana
Padinhare P Mohanan
Padinhare P
Mohanan
Mark D. Huffman
Mark D.
Huffman
UNSW Sydney
Northwestern University
Washington University in St. Louis
Soumyadeep Bhaumik
Soumyadeep
Bhaumik
Abdul Salam
Abdul
Salam
Quality of the Indian clinical practice guidelines for the management of cardiovascular conditions
<div><p>To assess the quality of Indian clinical practice guidelines (CPG)s for the management of cardiovascular conditions, MEDLINE, Embase, Google Scholar and websites of relevant medical associations and government organisations were searched, from inception until August 2020, to identify Indian CPGs for the management of cardiovascular disease (CVD) conditions, produced in or between 2010 and 2019. Excluded were CPGs that were not specific to India, focused on alternative systems of medicine, of non-CVD conditions (even if they included a component of CVD), and those related to the electronic devices, cardiac biomarkers, or diagnostic procedures. Quality of the each included CPG was assessed using the AGREE II tool by four reviewers in duplicate, independently. Each AGREE II domain score and overall quality score was considered low (≤40%), moderate (40.1%-59.9%), and high (≥60%). Of the 23 CPGs included, six (26%) were reported to be adapted from other CPGs. Fourteen (61%) CPGs were produced by medical associations, six (26%) by individual authors and three (13%) by government agencies. Based on the AGREE II overall quality score, two (9%) CPGs were of high quality, four (17%) and seventeen (74%) CPGs were of moderate and low quality, respectively. Except for scope and purpose, and clarity of presentation all other domains were rated low. The quality of most Indian CPGs for managing CVD conditions assessed using the AGREE II tool was moderate-to-low. Combined efforts from different stakeholders are needed to develop, disseminate and implement high-quality CPGs while identifying and addressing barriers to their uptake to optimize patient care and improve outcomes.</p></div>
Medicine
SAGE Journals
2022
2022-12-07
2022-12-07
Collection
10.1177/20542704221127178
10.25384/SAGE.c.6333887
CC BY 4.0