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Reporting completeness and methodological quality of guidelines for nutritional care of critically ill patients: a meta-research utilising Reporting Items for practice Guidelines in HealTh care (RIGHT) and Appraisal of Guidelines for Research and Evaluation II (AGREE II)

Published online by Cambridge University Press:  30 January 2025

Kelly Pozzer Zucatti Open the ORCID record for Kelly Pozzer Zucatti [Opens in a new window] ,
Aline Cattani Open the ORCID record for Aline Cattani [Opens in a new window]  and
Flávia Moraes Silva Open the ORCID record for Flávia Moraes Silva [Opens in a new window]
Kelly Pozzer Zucatti
Affiliation:
Department of Nutrition, Postgraduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil
Aline Cattani
Affiliation:
Nutrition and Dietetics Service, Pompéia Health Ecosystem, Caxias do Sul, Brazil
Flávia Moraes Silva*
Affiliation:
Department of Nutrition, Postgraduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil
*
Corresponding author: Dr Flávia Moraes Silva; Email: [email protected]
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Abstract

Studies have demonstrated that the quality and transparency of reporting clinical practice guidelines (CPG) in health care are low. This meta-research aimed to evaluate the adherence of nutrition CPG for critically ill adults to the Reporting Items for practice Guidelines in HealTh care (RIGHT) checklist and its association with the methodological quality assessed by the Appraisal of Guidelines for Research and Evaluation II (AGREE II), along with other potential publication-related factors. A systematic search for CPG until December 2024 was conducted. RIGHT and AGREE II were applied. Eleven CPG were identified, none demonstrated adherence greater than 60 % to the RIGHT checklist and the mean RIGHT score was 33·5 ± 15·5 %. There was a strong correlation between the RIGHT score and AGREE II (r 0·886). A development CPG team including methodologist and/or statistician was associated with a higher RIGHT score (48·9 ± 4·5 v. 27·2 ± 11·0), and it was higher in CPG recommended or recommended with modifications by AGREE II in comparison to those not recommended (50·1 ± 4·6 v. 37·7 ± 8·1 v. 17·0 ± 6·8), and in those with acceptable and moderate compared with those with low methodological quality (50·1 ± 4·6 v. 32·2 ± 14·5 v. 19·3 ± 6·2). It was also related to the language of publication, being higher in those published in English. The reporting completeness in CPG for critically ill adults was low, with a strong correlation with the methodological quality. High values of reporting completeness scores were observed between CPG recommended by AGREE II (with moderate or acceptable quality) and in those including a methodologist/statistician in the development team.

Keywords

Critical careClinical practice guidelinesNutrition therapyReporting guidelinesMethodological quality
Type
Research Article
Information
British Journal of Nutrition , First View , pp. 1 - 14
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society

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