Cited by 758Clinical practice guidelines implementationDelphi Technique in ResearchMeta-analysis and systematic reviews

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AGREE II: Advancing guideline development, reporting, and evaluation in health care

Brouwers, Melissa C., Kho, Michelle E., Browman, George P., Burgers, Jako S., Cluzeau, Francoise, Feder, Gene, Fervers, Béatrice, Graham, Ian D., Grimshaw, Jeremy, Hanna, Steven E., Littlejohns, Peter, Makarski, Julie, Zitzelsberger, Louise·2010·Preventive Medicine

DOI 10.1016/j.ypmed.2010.08.005

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The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & Initiative, F. T. S. (2007) · PLoS Medicine · doi:10.1371/journal.pmed.0040296 · Cited by 23,020
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.
Elm, E. V., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007) · BMJ · doi:10.1136/bmj.39335.541782.ad · Cited by 10,766
Health Measurement Scales: A Practical Guide to Their Development and Use
Streiner, D. L., Norman, G. R., & Cairney, J. (1989) · Cited by 9,595
The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials
Moher, D., Schulz, K. F., & Altman, D. G. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04337-3 · Cited by 5,373
The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials
Moher, D. (2001) · JAMA · doi:10.1001/jama.285.15.1987 · Cited by 2,545
Health Measurement Scales--A Practical Guide to Their Development and Use
Waclawski, E. (2010) · Occupational Medicine · doi:10.1093/occmed/kqp179 · Cited by 1,870
Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project
(2003) · Quality and Safety in Health Care · doi:10.1136/qhc.12.1.18 · Cited by 1,446
Are Guidelines Following Guidelines?
Shaneyfelt, T. M., Mayo‐Smith, M. F., & Rothwangl, J. (1999) · JAMA · doi:10.1001/jama.281.20.1900 · Cited by 853
Development of the AGREE II, part 1: performance, usefulness and areas for improvement
Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G. S., Fervers, B., Graham, I. D., Hanna, S., & Makarski, J. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.091714 · Cited by 520
Self-citation
Development of the AGREE II, part 2: assessment of validity of items and tools to support application
Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G. S., Fervers, B., Graham, I. D., Hanna, S., & Makarski, J. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.091716 · Cited by 495
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ICSH guidance for INR and D‐dimer testing using point of care testing in primary care
Fitzmaurice, D. A., Geersing, G., Armoiry, X., Machin, S. J., Kitchen, S., & Mackie, I. J. (2023) · International Journal of Laboratory Hematology · doi:10.1111/ijlh.14051 · Cited by 12
Severity Grading Systems for Intraoperative Adverse Events. A Systematic Review of the Literature and Citation Analysis
Sayegh, A. S., Eppler, M., Sholklapper, T. N., Goldenberg, M. G., Perez, L. C., Riva, A. L., Medina, L. G., Sotelo, R. J., Desai, M. M., Gill, I. S., et al. (2023) · Annals of Surgery · doi:10.1097/sla.0000000000005883 · Cited by 12
Prevention of infective endocarditis in developing countries - justifiable caution?
Parrish, A., & Maharaj, B. (2012) · South African Medical Journal · doi:10.7196/samj.5688 · Cited by 12
Guidelines on the intraoperative transfusion of red blood cells: a protocol for systematic review
Baker, L. K., Park, L. J., Gilbert, R. W. D., Martel, A. B., Ahn, H., Davies, A., McIsaac, D. I., Saidenberg, E., Tinmouth, A. T., Fergusson, D. A., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029684 · Cited by 12
“Guideline quality assessment: AGrEE II The Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument will be used to assess the quality of included guidelines.(54) The AGREE II instrument is a validated questionnaire aimed at assessing the methodological quality of clinical practice guidelines and h…”
Method
A Consensus About the Importance of Ceramide Containing Skincare for Normal and Sensitive Skin Conditions in Neonates and Infants
Schachner, L. A., Andriessen, A., Benjamin, L., Bree, A. F., Lechman, P., Pinera-Llano, A., & Kircik, L. (2020) · Journal of Drugs in Dermatology · doi:10.36849/jdd.2020.5252 · Cited by 12
Consensus Guidelines for Facilities Performing Outpatient Procedures
Levy, B. S., Ness, D. L., & Weinberger, S. E. (2019) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000003058 · Cited by 12
Editor's Choice – European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections
Lejay, A., Saleem, B. R., Barwick, T. D., Beck, A. W., Berard, X., Eilenberg, W. H., Gavali, H., Hasse, B., Heinola, I., Lyons, O., et al. (2026) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2026.05.035 · Cited by 11
Summary of the best evidence for the prevention of intraoperative unplanned hypothermia in patients undergoing laparoscopic surgery
Wang, M., Jiang, Y., Han, W., Jiang, L., & Mao, C. (2021) · Gland Surgery · doi:10.21037/gs-21-578 · Cited by 11
A critical appraisal of clinical practice guidelines on insomnia using the RIGHT statement and AGREE II instrument
Zhu, H., Li, M., Pan, B., Yang, Q., Cao, X. Q., Wang, Q., Chen, Y., Ding, G., Tian, J., & Ge, L. (2022) · Sleep Medicine · doi:10.1016/j.sleep.2022.08.023 · Cited by 11
Consensus statements: when and how?
Murray, I. R., Makaram, N. S., LaPrade, R. F., & Haddad, F. S. (2023) · The Bone & Joint Journal · doi:10.1302/0301-620x.105b4.bjj-2023-0048 · Cited by 11
Guidelines on general surgical emergencies in pregnancy
Kenington, C., Pellino, G., Iqbal, M. R., Ahmed, N., Halahakoon, V. C., Zaborowski, A. M., Rajebhosale, R., Gabriel, J., Coroyannakis, C., Cauldwell, M., et al. (2024) · British journal of surgery · doi:10.1093/bjs/znae051 · Cited by 11
Appraisal of Australian and New Zealand paediatric sepsis guidelines
Sasse, R., Borland, M. L., George, S., Jani, S., Tan, E., Neutze, J. M., Phillips, N. T., Kochar, A., Craig, S. S., Lithgow, A., et al. (2024) · Emergency Medicine Australasia · doi:10.1111/1742-6723.14381 · Cited by 12
Are systematic review and guideline development tools useful? A Guidelines International Network survey of user preferences
Munn, Z., Brandt, L., Kuijpers, T., Whittington, C. J., Wiles, L., & Karge, T. (2020) · International Journal of Evidence-Based Healthcare · doi:10.1097/xeb.0000000000000226 · Cited by 10
“Items in the survey, particularly question 10, were informed by resources such as the GIN-McMaster Checklist(8) and AGREE II tool.(9) The list of tools was generated through G-I-N Tech working group members’ knowledge, although participants could enter additional tools.”
Clinical Practice Guidelines and Experts’ Consensuses for Treatment of Coronavirus Disease 2019 (COVID-19) Patients with Chinese Herbal Medicine: A Systematic Review
Li, Y.-X., Li, J., Zhang, Y., Tian, Y.-P., Zhang, Y.-G., Jin, R., Guo, Y., & Clarke, M. J. (2020) · Chinese Journal of Integrative Medicine · doi:10.1007/s11655-020-3431-x · Cited by 11
Meal choice for residential aged care is not yet defined: A scoping review of policies, standards, reports and guidelines
Wheeler, M., Abbey, K. L., & Capra, S. M. (2021) · Nutrition & Dietetics · doi:10.1111/1747-0080.12700 · Cited by 11
Survey of preferred guideline attributes: what helps to make guidelines more useful for emergency health practitioners?
Aboulsoud, S. H., Huckson, S., Wyer, P. C., & Lang, E. (2012) · International Journal of Emergency Medicine · doi:10.1186/1865-1380-5-42 · Cited by 11
Use of clinical guidelines: perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan
Graham, H., Tokhi, M., Edward, A., Salehi, A. S., Turkmani, S., Duke, T., & Bartlett, L. (2015) · Eastern Mediterranean Health Journal · doi:10.26719/2015.21.2.100 · Cited by 11
Adaptation of evidence‐based guideline recommendations to address urinary incontinence in nursing home residents according to the ADAPTE ‐process
Hoedl, M., Schoberer, D., Halfens, R. J. G., & Lohrmann, C. (2018) · Journal of Clinical Nursing · doi:10.1111/jocn.14501 · Cited by 11
Comments on the new groin hernia guidelines: What has changed? What has remained unanswered?
Kulaçoğlu, H. (2018) · Turkish Journal of Surgery · doi:10.5152/turkjsurg.2018.4146 · Cited by 11
Antibiotic use in patients with abdominal injuries: guideline by the Korean Society of Acute Care Surgery
Jang, J. Y., Kang, W. S., Keum, M. A., Sul, Y. H., Lee, D.-S., Cho, H. J., Lee, G. J., Lee, J. G., & Hong, S. (2018) · Annals of Surgical Treatment and Research · doi:10.4174/astr.2019.96.1.1 · Cited by 11
“Finally, four guidelines [1,3-5] were selected and assessed by the AGREE II instrument [2].”
Physical activity recommendations for patients with type 2 diabetes: a cross-sectional survey
Hou, L., Ge, L., Li, Y., Chen, Y., Li, H., He, J., Cao, C., Li, R., Tian, J., Chen, Y., et al. (2020) · Acta Diabetologica · doi:10.1007/s00592-020-01480-1 · Cited by 14
“The standardized score for the individual domain, which ranged from 0 to 100%, was calculated using the following formula: (actual score − minimal possible score)/(maximal possible score − minimal possible score) *100% [19].”
Method
Development of a guideline for the treatment of generalized anxiety disorder with the ADAPTE method
Hurtado, M. M., Nogueras, E. V., Cantero, N., Gálvez, L., García‐Herrera, J. M., & Morales‐Asencio, J. M. (2020) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzaa053 · Cited by 12
Biologics recommendations for patients with psoriasis: a critical appraisal of clinical practice guidelines for psoriasis
Xie, X., Wang, Y., Yao, S., Xia, Y., Luo, H., Li, L., & Lu, C. (2021) · Journal of Dermatological Treatment · doi:10.1080/09546634.2021.1914306 · Cited by 11
“The guidelines were then classified as either ‘recommended’ (mean score 60%), ‘recommended with modifications’ (mean score 30–60%), or ‘not recommended’ (mean score 30%) based on the mean score of the six domains (12).”
Systematic review of guidelines for management of intermediate hepatocellular carcinoma using the Appraisal of Guidelines Research and Evaluation II instrument
Holvoet, T., Raevens, S., Vandewynckel, Y., Biesen, W. V., Geboes, K. P., & Vlierberghe, H. V. (2015) · Digestive and Liver Disease · doi:10.1016/j.dld.2015.07.005 · Cited by 11
Patient and public perspectives shaping scientific and medical research: panels for data, discussions, and decisions
Oliver, S. R., Uhm, S., Liabo, Stewart, & Rees (2012) · Patient Intelligence · doi:10.2147/pi.s17835 · Cited by 11
Development of guidelines for improving oral health in individuals with Parkinson’s disease
Gosnell, R., Lazear, J., Hemphill, J. C., & Dotson, D. (2019) · Gerodontology · doi:10.1111/ger.12401 · Cited by 11
It’s time to treat exercise in pregnancy as therapy
Davies, G., & Artal, R. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-100360 · Cited by 11
Appraising clinical applicability of studies: mapping and synthesis of current frameworks, and proposal of the FrACAS framework and VICORT checklist
Nguyên, Q. D., Moodie, E. E. M., Desmarais, P., Goulden, R., Forget, M., Peters, E., Saeed, S., Keezer, M. R., & Wolfson, C. M. (2021) · BMC Medical Research Methodology · doi:10.1186/s12874-021-01445-0 · Cited by 12
A Systematised Literature Review of Real-World Treatment Patterns and Outcomes in Unresectable Advanced or Metastatic Biliary Tract Cancer
Peirce, V. J., Paskow, M. J., Qin, L., Dadzie, R., Rapoport, M., Prince, S., & Johal, S. (2023) · Targeted Oncology · doi:10.1007/s11523-023-01000-5 · Cited by 10
Systematic review and appraisal of quality, definitions and treatment recommendations of clinical guidelines for glaucoma suspects
Wu, Z., Karunaratne, S., Ang, G. S., Martin, K. R. G., & Downie, L. E. (2023) · Clinical and Experimental Ophthalmology · doi:10.1111/ceo.14339 · Cited by 10
Considering planetary health in health guidelines and health technology assessments: a scoping review protocol
Piggott, T., Raja, M., Michels, C. T. J., Herrmann, A., Scahill, K., Darzi, A., Jewell, L. M., Saif‐Ur‐Rahman, K., Napierala, H., Heuer, R., et al. (2024) · Systematic Reviews · doi:10.1186/s13643-024-02577-2 · Cited by 13
“…and the quality of the studies will be assessed for primary research papers, health guidelines/ HTAs using the Risk of Bias In Non-randomized Studies of Exposures/Interventions (ROBINS I/E) tool and Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument respectively [33–35].”
Method
The American Society for Microbiology collaboration with the CDC Laboratory Medicine Best Practices initiative for evidence-based laboratory medicine
Weissfeld, A. S., Baselski, V. S., Cornish, N. E., Kraft, C. S., LaRocco, M., McNult, P., Nachamkin, I., Parrott, J. S., Richter, S. S., Rubinstein, M. L., et al. (2024) · Clinical Microbiology Reviews · doi:10.1128/cmr.00065-18 · Cited by 11
Summary of the Best Evidence for Non‐Pharmacological Management of Sleep Disturbances in Intensive Care Unit Patients
Zhang, M., Yang, F., Wang, C., Xiu, M., & Zhang, W. (2025) · Journal of Clinical Nursing · doi:10.1111/jocn.17622 · Cited by 10
Systematic review of guidelines for managing physical health during treatment for substance use disorders: Implications for the alcohol and other drug workforce
Osborne, B. A., Larance, B., Ivers, R. G., Deane, F. P., Robinson, L. D., & Kelly, P. J. (2022) · Drug and Alcohol Review · doi:10.1111/dar.13504 · Cited by 9
“4 | Quality assessment The Appraisal of Guidelines for Research and Evaluation II (AGREE-II) tool [46] was used to assess the quality of included guidelines.”
Method
A systematic review of paediatric neurogenic lower urinary tract dysfunction guidelines using the Appraisal of Guidelines and Research Evaluation (AGREE) II instrument
Yadav, P., Alsabban, A., Reyes, T. D. L., Varghese, A., Ming, J. M., Milford, K., Yang, S. S.-D., Silangcruz, J. M., Santos, J. D., Bägli, D., et al. (2022) · British Journal of Urology · doi:10.1111/bju.15902 · Cited by 10
The Communication AssessmenT Checklist in Health (CATCH): A Tool for Assessing the Quality of Printed Educational Materials for Clinicians
Genova, J., Nahón-Serfaty, I., Dansokho, S. C., Gagnon, M., Renaud, J., & Giguere, A. M. C. (2014) · Journal of Continuing Education in the Health Professions · doi:10.1002/chp.21257 · Cited by 10
Evaluación de calidad de las guías de práctica clínica de los 80 problemas de salud del régimen de garantías explícitas en salud
Rodríguez, M. F., Pineda, I., & Rozas, M. F. (2016) · Revista médica de Chile · doi:10.4067/s0034-98872016000700006 · Cited by 10
Report of guidelines for diagnosis and treatment of common internal diseases in Chinese medicine: Headache
Ren, Y., Li, H., Wang, Y., & Chen, Y. (2020) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12378 · Cited by 10
An appraisal of published clinical guidelines in anesthesiology practice using the AGREE II instrument
Mai, H. T., Croxford, D., Kendall, M. C., & Oliveira, G. D. (2021) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-021-01973-9 · Cited by 10
Clinical practice guideline recommendations for pediatric solid organ injury care: A Systematic Review
Yanchar, N. L., Tardif, P., Freire, G. C., Berube, M., Stelfox, H. T., Beaudin, M., Stang, A. S., Beno, S. M., Weiss, M. J., Labrosse, M., et al. (2023) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0000000000004015 · Cited by 10
Clinical practice guidelines of medical societies in Switzerland: analysis of the current state
Bachmann, L. M., Ulytė, A., & Dressel, H. (2019) · Swiss Medical Weekly · doi:10.4414/smw.2019.20134 · Cited by 10
Systematic review and appraisal of clinical practice guidelines on pelvic organ prolapse using the AGREE II tool
Tsiapakidou, S., Nygaard, C. C., Falconi, G., Pape, J., Betschart, C., Doumouchtsis, S. K., & CHORUS: An International Collaboration for Harmonising Outcomes, R. A. S. I. U. A. W. H. (.-C. O. (2021) · Neurourology and Urodynamics · doi:10.1002/nau.24709 · Cited by 9
Assessments and interventions on body functions, structures and activity to prepare adults with acute spinal cord injury or disease for participation: a scoping review
Irrgang, S., Himmelhaus, S., Allek, K., Debecker, I., Gemperli, A., Kynast, K., von Reumont, A., & Scheel‐Sailer, A. (2024) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2024.1272682 · Cited by 9
Nonpharmacological Interventions for the Fatigue–Pain–Sleep Disturbance Symptom Cluster in Lung Cancer Patients: Best Evidence Summary
Zhang, L., Luo, Y., Mao, D., Zhu, B., Yang, Z., Miao, J., & Zhang, L. (2024) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2024.151727 · Cited by 9
Consideration of sex and gender: an analysis of Australian clinical guidelines
Kirkman, M., Honda, T., McDonald, S. J., Green, S., Walker-Bone, K. E., Winship, I., & Fisher, J. (2025) · The Medical Journal of Australia · doi:10.5694/mja2.52602 · Cited by 9
International best-practice models for perinatal and infant mental health care – a scoping review
Reinsperger, I., Paul, J. L., & Zechmeister‐Koss, I. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1536145 · Cited by 9
Methods Used to Generate Consensus Statements for Clinical Practice Guidelines
Thompson, J. C., Pinter, Z. W., Honig, R., Tomov, M. N., Currier, B. L., Elder, B. D., Freedman, B. A., Bydon, M., & Sebastian, A. S. (2021) · Clinical Spine Surgery A Spine Publication · doi:10.1097/bsd.0000000000001267 · Cited by 9
Pediatric Endoscopy Quality Improvement Network Quality Standards and Indicators for Pediatric Endoscopy Facilities
Lightdale, J. R., Walsh, C. M., Narula, P., Utterson, E. C., Tavares, M., Rosh, J. R., Riley, M. R., Oliva, S., Mamula, P., Mack, D. R., et al. (2021) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000003263 · Cited by 9
Prevention of pre‐eclampsia with aspirin: A systematic review of guidelines and evaluation of the quality of recommendation evidence
Ninan, K., Ali, R., Morfaw, F., & McDonald, S. D. (2022) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.14471 · Cited by 12
Critical appraisal of clinical guidelines for prevention and management of doxorubicin-induced cardiotoxicity
Moustafa, I., Viljoen, M., Perumal-Pillay, V. A., & Oosthuizen, F. (2022) · Journal of Oncology Pharmacy Practice · doi:10.1177/10781552221147660 · Cited by 9
“The AGREE II instrument, a wellestablished tool, was used to evaluate the methodology of guidelines.(13) Nonetheless, some recommendations may be missed as some difficulties in identifying some recommendations was experienced as these were involved with other texts and some were not involved in the body of guidelines.”
Method
Guía de práctica clínica para la infección de vías urinarias complicada
Cortés, J. A., Arenas, N. C., Blanco, J. D. C., Valderrama-Ríos, M. C., Díaz‐Brochero, C., Donoso, W. D., Bernal, A. F. P., Esparza, G., Cuervo, S. I., Pabón, P. R., et al. (2023) · Infectio · doi:10.22354/24223794.1120 · Cited by 9
Nutrition Assessment, Interventions, and Monitoring for Patients with Celiac Disease: An Evidence Analysis Center Scoping Review
Cheng, F. W., & Handu, D. (2020) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2019.09.019 · Cited by 10
“This underscores the importance of careful consideration and using a tool, such as AGREE II (Appraisal of Guidelines Research and Evaluation II), 301 to evaluate the methodological quality of existing guidelines even when they seem to be appropriate and applicable to registered dietitian…”
Method
A Systematic Review and Quality Assessment of Breast Cancer Clinical Practice Guidelines Providing Complementary and Alternative Medicine Recommendations
Ng, J. Y., Sahak, H., & Lau, S. K. C. (2021) · Current Oncology Reports · doi:10.1007/s11912-021-01109-8 · Cited by 9
Guideline for the evaluation of prescription appropriateness
Bian, J., Li, Q., Li, J., Yang, N., Zhang, W. Y., Mei, D., Zhong, M., Miao, L., Lu, X., Jiang, L., et al. (2021) · Annals of Translational Medicine · doi:10.21037/atm-20-7502 · Cited by 8
Strategies to ensure continuity of nutritional care in patients with COVID-19 infection on discharge from hospital: A rapid review
Latif, J., Weekes, C. E., Julian, A., Frost, G. S., Murphy, J. L., Hernández, Y. A. T., & Hickson, M. (2021) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2021.11.020 · Cited by 9
“The Cochrane Collaboration's Risk of Bias tool [22]was used for randomised controlled trials (RCT), Joanna Briggs Institute (JBI) critical appraisal tools [23] for cohort and cross-sectional studies and the Appraisal of Guidelines for Research & Evaluation tool (AGREE II) [24] was used for clinical guidelines.”
Practical and Relevant Guidelines for the Management of Psoriasis: An Inference-Based Methodology
Papp, K. A., Gooderham, M., Lynde, C. W., Poulin, Y. P., Beecker, J. R., Dutz, J. P., Hong, C.-H., Gniadecki, R., Kirchhof, M. G., Maari, C., et al. (2021) · Dermatology and Therapy · doi:10.1007/s13555-021-00642-5 · Cited by 9
Systematic Review of Clinical Practice Guidelines for Insomnia Disorder
Seow, S. Y., Kwok, K. F. V., Tay, K. H., Chee, W. S. A., Rawtaer, I., Cheng, Y., Tan, Q. X., & Tan, S. M. (2022) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000670 · Cited by 10
Clinical practice guidelines for the management of community‐acquired pneumonia: A critical appraisal using the AGREE II instrument
Triana, A. J., Molinares, J. L., Rio‐Pertuz, G. D., Meza, J. L., Ariza-Bolívar, O. M., Robledo-Solano, A. B., & Acosta-Reyes, J. L. (2020) · International Journal of Clinical Practice · doi:10.1111/ijcp.13478 · Cited by 9
Amputation and prosthetics of the lower extremity: The 2020 Dutch evidence-based multidisciplinary guideline
Fard, B., Persoon, S., Jutte, P. C., Daemen, J.-W. H. C., Lamprou, D. A., ten Hoope, W., Prinsen, E. C., Houdijk, H., Olsman, J., Holling, T., et al. (2022) · Prosthetics and Orthotics International · doi:10.1097/pxr.0000000000000170 · Cited by 12
Evidence-Based Chinese Medicine Clinical Practice Guideline on Menopausal Syndrome in Hong Kong
Li, H., Yeung, T. C., Zhang, C., Meng, W., Miao, J., & Zhong, L. L. D. (2022) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2022.102213 · Cited by 8
Consumer involvement in the development and dissemination of chronic kidney disease guidelines: a summary of a meaningful and sustainable approach developed by Caring for Australians and New ZealandeRs with kidney Impairment guidelines
Scholes-Robertson, N. J., Guha, C., Gutman, T., Howell, M., Yip, A., Cashmore, B. A., Roberts, I., Lopez‐Vargas, P. A., Wong, G., MacGinley, R., et al. (2024) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2024.111330 · Cited by 9
Consensus recommendations on multiple sclerosis management in Australia and New Zealand: part 1
Shipley, J., Beharry, J., Yeh, W. Z., Seery, N., Foong, Y. C., Ayton, D., Siriratnam, P., Tan, T., Beadnall, H. N., Barton, J., et al. (2025) · The Medical Journal of Australia · doi:10.5694/mja2.52578 · Cited by 10
Guideline recommendations on the assessment and management of awake airway intubation: a systematic review
Chen, F., Tan, Z., He, Q., & Li, Q. (2025) · BMC Anesthesiology · doi:10.1186/s12871-025-02940-3 · Cited by 8
2025 Chinese guidelines for the diagnosis and treatment of systemic lupus erythematosus
Zhao, J., Zhang, S., Wang, Q., Tian, X., Chen, Y., Li, M., & Zeng, X. (2025) · Rheumatology and Immunology Research · doi:10.1515/rir-2025-0017 · Cited by 8
Resource stratified guidelines for cancer: Are they all the same? Interguideline concordance for systemic treatment recommendations
Wilson, B. E., Elliott, M. J., Pearson, S., Amir, E., & Barton, M. B. (2021) · International Journal of Cancer · doi:10.1002/ijc.33764 · Cited by 8
Quality assessment of Clinical Practice Guidelines (CPG) for the diagnosis and treatment of inflammatory bowel disease using the AGREE II instrument: a systematic review
Zambrano-Sánchez, R., Alvarez-Mena, P., Hidalgo, D., Liquitay, C. M. E., Franco, J. V. A., Vernooij, R. W. M., Simancas‐Racines, D., Viteri-García, A. A., & Guevara, C. M. M. (2022) · BMC Gastroenterology · doi:10.1186/s12876-022-02539-9 · Cited by 8
“The AGREE II tool can be applied in Clinical Practice Guidelines (CPG) for diagnosis and medical interventions as well as for the evaluation of guidelines on health promotion, public health, among others [20].”
Method
Assessing the methodological strengths and limitations of the Spanish Society of Medical Oncology (SEOM) guidelines: a critical appraisal using AGREE II and AGREE-REX tool
Santero, M., de Mas, J., Rifà, B., Clavero, I., Rexach, I., & Bonfill, X. (2023) · Clinical & Translational Oncology · doi:10.1007/s12094-023-03219-0 · Cited by 8
Guidelines for high‐flow nasal cannula oxygen therapy in neonates (2022)
Huang, Y., Zhao, J., Hua, X., Luo, K., Shi, Y., Lin, Z., Tang, J., Feng, Z., & Mu, D. (2023) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12546 · Cited by 8
Preventive services recommendations for adults in primary care settings: Agreement between Canada, France and the USA—A systematic review
Gelly, J., Mentré, F., Nougairède, M., & Duval, X. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.03.012 · Cited by 8
Prolonged Cough in Pediatric Population First Line Care, Belgian Guidelines
Leconte, S., Valentin, S., Dromelet, E., & Jonghe, M. D. (2017) · The Open Respiratory Medicine Journal · doi:10.2174/1874306401711010054 · Cited by 8
Standardising evidence strength grading for recommendations from multiple clinical practice guidelines: a South African case study
Grimmer, K. A., Louw, Q. A., Dizon, J. M. R., van Niekerk, S.-M., Ernstzen, D. V., & Wiysonge, C. S. (2018) · Implementation Science · doi:10.1186/s13012-018-0803-0 · Cited by 8
“For instance, it would detect differences in the rigour of development domain between an opinion-based protocol and a CPG based on systematic evidence searching [23].”
Influential
Care of the patient with invasive meningococcal disease by prehospital emergency medical service clinicians: a scoping review
Pearce, J., Peters, M. D. J., May, N., Marshall, H. S., Hein, C., & Grantham, H. J. M. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-033447 · Cited by 7
The Quality and Clinical Applicability of Recommendations in Ostomy Guidelines: A Systematic Review
Li, J., Zhang, Q., Wu, X., & Pang, D. (2022) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s378684 · Cited by 8
“Each item of this instrument is ranked on a seven-point scale (1 [strongly disagree] to 7 [strongly agree]).(7) The domain scores are computed by adding all of the individual item scores, then standardized to the maximum possible score.”
BackgroundMethodInfluential
Quality evaluation of endometriosis guidelines using AGREE II
Lei, Y., Du, X., Chen, D., Gao, Y., & Lian, H. (2022) · Medicine · doi:10.1097/md.0000000000031331 · Cited by 8
A critical appraisal of clinical practice guidelines on surgical treatments for spinal cord injury
Zheng, R., Fan, Y., Guan, B., Fu, R., Yao, L., Wang, W., Li, G., Zhou, Y., Chen, L., Feng, S., et al. (2023) · The Spine Journal · doi:10.1016/j.spinee.2023.06.385 · Cited by 8
Clinical Practice Guideline Recommendations in Pediatric Orthopaedic Injury: A Systematic Review
Moore, L., Drager, J., Freire, G. C., Yanchar, N. L., Miller, A. N., Abdeljelil, A. B., Berube, M., Tardif, P., Gnanvi, J., Stelfox, H. T., et al. (2023) · Journal of Pediatric Orthopaedics · doi:10.1097/bpo.0000000000002496 · Cited by 8
SIE, SIES, GITMO updated clinical recommendations for the management of chronic lymphocytic leukemia
Mauro, F. R., Bandini, G., Barosi, G., Billio, A., Brugiatelli, M., Cuneo, A., Lauria, F., Liso, V., Marchetti, M., Meloni, G., et al. (2011) · Leukemia Research · doi:10.1016/j.leukres.2011.08.013 · Cited by 8
‘Counselling and management for anticipated extremely preterm birth’: Informing CPS statements through national consultation
Moore, G. P., Daboval, T., Hepburn, C. M., & Lemyre, B. (2017) · Paediatrics & Child Health · doi:10.1093/pch/pxx030 · Cited by 8
Neonatal resuscitation guideline adherence: simulation study and framework for improvement
Binkhorst, M., van de Wiel, I., Draaisma, J. M. T., van Heijst, A. F. J., Antonius, T. A. J., & Hogeveen, M. (2020) · European Journal of Pediatrics · doi:10.1007/s00431-020-03693-6 · Cited by 8
Chinese Expert Consensus on the Nucleic Acid Detection of SARS-CoV-2
Liu, Z., Tong, Y., Wu, J., Du, L., Wei, C., Cui, W., Cao, Y., Chen, M., Cai, Z., Chen, W., et al. (2020) · Annals of Translational Medicine · doi:10.21037/atm-20-4060 · Cited by 8
From severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS) to coronavirus disease 2019 (COVID-19): a systematic review of the quality and responsiveness of clinical management guidelines in outbreak settings
Lipworth, S., Rigby, I., Cheng, V., Bannister, P. G., Harriss, E., Cook, K. A., Cai, E., Tattan, M., Epie, T., Manoharan, L., et al. (2021) · Wellcome Open Research · doi:10.12688/wellcomeopenres.16735.1 · Cited by 8
Evaluation of the reporting quality of clinical practice guidelines on lung cancer using the RIGHT checklist
Yang, Y., Lü, J., Ma, Y., Chen, X., Kang, J., Zhang, Q., Jia, X., Liu, K., Du, S., Kocher, F., et al. (2021) · Translational Lung Cancer Research · doi:10.21037/tlcr-21-405 · Cited by 8
To what extent do postpartum contraception policies or guidelines exist in Australia and New Zealand: A document analysis study
Cheney, K., Dorney, E., Black, K. I., Grzeskowiak, L. E., Romero, E. A. S., & McGeechan, K. (2021) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/ajo.13407 · Cited by 8
Expert consensus—promoting clinical excellence and ultimately benefitting patients
Chen, J., & Qin, L. (2023) · HepatoBiliary Surgery and Nutrition · doi:10.21037/hbsn-23-435 · Cited by 8
Clinical practice guidelines in pediatric anesthesia: What constitutes high‐quality guidance?
Olweny, C. N., & Arnold, P. D. (2019) · Pediatric Anesthesia · doi:10.1111/pan.13805 · Cited by 7
Erectile dysfunction management: a critical appraisal of clinical practice guidelines with the AGREE II instrument
Hazır, B., Haberal, H. B., Aşçı, A., Muneer, A., & Güdeloğlu, A. (2021) · International Journal of Impotence Research · doi:10.1038/s41443-021-00442-7 · Cited by 7
Argentine Guidelines for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis in Postmenopausal Women and Men Aged 50 Years and Older
Brance, M. L., Larroudé, M. S., Zamora, N. V., Bagur, A., Graf, C. E., Giacoia, E., Diehl, M., Somma, L. F., Schneeberger, E. E., Salerni, H. H., et al. (2023) · JCR Journal of Clinical Rheumatology · doi:10.1097/rhu.0000000000001951 · Cited by 6
Transparency of clinical practice guideline funding: a cross-sectional analysis of the German AWMF registry
Napierala, H., Schuster, A., Gehrke-Beck, S., & Heintze, C. (2023) · BMC Medical Ethics · doi:10.1186/s12910-023-00913-0 · Cited by 7
Identifying strategies that support equitable person-centred osteoarthritis care for diverse women: content analysis of guidelines
Abuwa, C., Abbaticchio, A., Theodorlis, M., Marshall, D. A., MacKay, C., Borkhoff, C. M., Hazlewood, G. S., Battistella, M., Lofters, A., Ahluwalia, V., et al. (2023) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-023-06877-x · Cited by 7
“Clinical guidelines are defined as systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances [22].”
Background
Tracheostomy care of non‐ventilated patients and COVID considerations: A scoping review of clinical practice guidelines and consensus statements
Mu, J., Wang, T., Ji, M., Yin, Q., & Wang, Z. (2024) · Journal of Clinical Nursing · doi:10.1111/jocn.17116 · Cited by 7
Appraisal of clinical practice guidelines and consensus statements on obstetric anaesthesia: a systematic review using the AGREE II instrument
Huang, L., Hu, N., Jiang, L., Xiong, X., Shi, J., & Chen, D. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-084759 · Cited by 7
A systematic mapping review of clinical guidelines for the management of fatigue in long-term physical health conditions
Mulligan, K., Harris, K., Rixon, L., & Burls, A. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2024.2353855 · Cited by 7
“A quality assessment of the identified guidelines, such as AGREE II [38], was not conducted.”
Élaboration d’indicateurs de qualité pour soutenir la gestion des maladies chroniques
Pomey, M., Beaulieu, M., Grande, C. D., Côté, B., Tremblay, É., Ghorbel, M., & Hua, P. (2015) · Santé Publique · doi:10.3917/spub.150.0067 · Cited by 7
Management of rectal cancer in Canada: an evidence-based comparison of clinical practice guidelines
Mir, Z. M., Yu, D. S., Merchant, S. J., Booth, C. M., & Patel, S. V. (2020) · Canadian Journal of Surgery · doi:10.1503/cjs.017518 · Cited by 7
Appraisal and development of evidence-based clinical decision support to enable perioperative pharmacogenomic application
Borden, B. A., Jhun, E. H., Danahey, K., Schierer, E., Apfelbaum, J. L., Anițescu, M., Knoebel, R. W., Shahul, S. S., Truong, T. M., Ratain, M. J., et al. (2021) · The Pharmacogenomics Journal · doi:10.1038/s41397-021-00248-2 · Cited by 7
Comparison of recommendations for surveillance of advanced colorectal polyps: A systematic review of guidelines
Parker, J., Gupta, S., Torkington, J., & Dolwani, S. (2023) · Journal of Gastroenterology and Hepatology · doi:10.1111/jgh.16157 · Cited by 7
A critical appraisal of urolithiasis clinical practice guidelines using the AGREE II instrument
Zou, B., Zhou, Y., He, Z., Zhou, X., Dong, S., Zheng, X., Xu, R., Duan, X., & Zeng, G. (2023) · Translational Andrology and Urology · doi:10.21037/tau-22-846 · Cited by 7
Development and Implementation of Guidelines in Neurosurgery
Fehlings, M. G., & Nater, A. (2014) · Neurosurgery Clinics of North America · doi:10.1016/j.nec.2014.11.005 · Cited by 7
Guías de práctica clínica basadas en la evidencia
Manterola, C., Otzen, T., García, N., & Mora, M. (2019) · Revista de Cirugía · doi:10.35687/s2452-45492019005416 · Cited by 7
Critical appraisal of clinical practice guidelines for the diagnosis and treatment of stress urinary incontinence using AGREE II instrument: a systematic review protocol
Yang, X., Zhang, A., Tan, Y., Zhang, Z., & Zhang, J. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-030299 · Cited by 7
“24 Appraisal of Guidelines for Research and Evaluation (AGREE) is a tool widely used to assess the transparency and the methodological rigour of guideline development.(25) In 2009, AGREE II was developed to improve measurement properties.”
Method

Authors: Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G., Fervers, B., Graham, I. D., Grimshaw, J., Hanna, S. E., Littlejohns, P., Makarski, J., & Zitzelsberger, L.
Affiliations: Cancer Care Ontario (CA)
McMaster University (CA)
BC Cancer Agency (CA)
Radboud University Medical Center (NL)
University of Bristol (GB)
Lyon 1 Université (FR)
Canadian Institutes of Health Research (CA)
Ottawa Hospital Research Institute (CA)
National Institute for Health and Care Excellence (GB)
Canadian Partnership Against Cancer (CA)
Corresponding author: Brouwers, Melissa C.
ORCID: Brouwers, Melissa C.
Kho, Michelle E.
Burgers, Jako S.
Feder, Gene
Fervers, Béatrice
Graham, Ian D.
Grimshaw, Jeremy
Hanna, Steven E.
Makarski, Julie
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2010-11
Volume: 51
Issue: 5
Pages: 421-424
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2010.08.005
OpenAlex: W2082209838
Cited by: 758
References: 14
Citations by year: 2026: 28 · 2025: 48 · 2024: 90 · 2023: 91 · 2022: 93 · 2021: 96 · 2020: 97 · 2019: 42 · 2018: 39 · 2017: 26 · 2016: 28 · 2015: 18 · 2014: 11 · 2013: 18 · 2012: 14
FWCI: 15.27
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Funders: Canadian Institutes of Health Research
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Social Sciences › Sociology and Political Science › Delphi Technique in Research
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
Keywords: AGREE II, guideline development, guideline evaluation, user manual, response scales
MeSH terms: Delivery of Health Care, Manuals as Topic, Program Development, Practice Guidelines as Topic

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AGREE II: Advancing guideline development, reporting, and evaluation in health care

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