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.
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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
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The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials
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Health Measurement Scales--A Practical Guide to Their Development and Use
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Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project
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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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Methodological and reporting quality of pediatric clinical practice guidelines: a systematic review
Zhang, S., Wu, L., Wang, Y., Zhou, Q. X., Luo, X., Mathew, J. L., Wang, Q., Song, Y., & Chen, Y. (2021) · Annals of Translational Medicine · doi:10.21037/atm-21-2686 · Cited by 7
Guías de práctica clínica: una introducción a su elaboración e implementación
Tomás Pantoja, C., & Soto, M. (2014) · Revista médica de Chile · doi:10.4067/s0034-98872014000100015 · Cited by 7
Learner Diaries: Possibilities and Pitfalls.
Howell‐Richardson, C., & Parkinson, B. (1988) · Cited by 7
Clinical practice guideline on spinal stabilisation of adult trauma patients: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine
Yli‐Hankala, A., Chew, M. S., Olkkola, K. T., Rehn, M., Sverrisson, K., & Møller, M. H. (2021) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.13933 · Cited by 6
Evidence-Based Practice
Roe-Prior, P. (2022) · Journal for Nurses in Professional Development · doi:10.1097/nnd.0000000000000907 · Cited by 6
Diagnostic and therapeutic recommendations on Helicobacter pylori infection. Recommendations of the Working Group of the Polish Society of Gastroenterology
Jaroń, K., Pietrzak, A. M., Daniluk, J., Adrych, K., Gąsiorowska, A., Skrzydło-Radomańska, B., Małecka-Wojciesko, E., Zwolinska-Wcislo, M. M., Waluga, M., Reguła, J., et al. (2023) · Gastroenterology Review · doi:10.5114/pg.2023.131998 · Cited by 8
The Actionability of Physical Activity Guidelines for Multiple Sclerosis Care: A Systematic Review and AACTT Framework Analysis
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Clinical education alone is sufficient to increase resistance training exercise prescription
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Patient engagement in a Canadian consensus forum for heart donation after circulatory determination of death
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Appraisal of the current guidelines for the management of diverticular disease using the Appraisal of Guidelines Research and Evaluation II (AGREE II) instrument
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The availability and quality of breastfeeding guidelines for women with spinal cord injury: a narrative review
Rosetti, L., Elliott, S., Lee, A. H. X., McCracken, L., Hocaloski, S., Hodge, K., Zobina, I., Rapidi, C., Manthos, P., Galata, A., et al. (2022) · Spinal Cord · doi:10.1038/s41393-022-00805-x · Cited by 6
Quality Appraisal of Nutritional Guidelines to Prevent, Diagnose, and Treat Malnutrition in All Its Forms during Pregnancy
Muñoz‐Manrique, C., Ancira‐Moreno, M., Burrola‐Méndez, S., Omaña‐Guzmán, I., Hoyos-Loya, E., Hernández‐Cordero, S., Trejo-Domínguez, A., Mazariegos, M., Smith, N., Alonso-Carmona, S., et al. (2022) · Nutrients · doi:10.3390/nu14214579 · Cited by 6
“Likert rating scale (from 1 = “strongly disagree” to 7 = “strongly agree), as defined in the AGREE II user’s manual [16].”
Influential
Traditional Chinese medicine for frozen shoulder: An evidence‐based guideline
Qin, X., Sun, K., Ao, Y., Liu, J., Wang, M., Deng, Q., Zhong, W., Liu, J. L., Sun, S., Liu, X., et al. (2023) · Journal of Evidence-Based Medicine · doi:10.1111/jebm.12530 · Cited by 6
Saudi Critical Care Society clinical practice guidelines on the prevention of venous thromboembolism in adults with trauma: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine
Sigurdsson, M. I., Chew, M. S., Olkkola, K. T., Rehn, M., Kalliomäki, M., & Møller, M. H. (2023) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.14292 · Cited by 6
Axial spondyloarthritis guidelines – aiming for maximum impact
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Management for children and adolescents with overweight and obesity: a recommendations mapping
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Rigour of development does not AGREE with recommendations in practice guidelines on the use of ice for acute ankle sprains
de Velde, S. V., Heselmans, A., Donceel, P., Vandekerckhove, P. G., Ramaekers, D., & Aertgeerts, B. (2011) · BMJ Quality & Safety · doi:10.1136/bmjqs.2010.045435 · Cited by 6
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Chatterjee, A., Bhattacharyya, O. K., & Persaud, N. (2013) · Canadian Medical Association Journal · doi:10.1503/cmaj.121830 · Cited by 6
Methodological assessment of Mexican Clinical Practice Guidelines: GRADE framework adherence and critical appraisal
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Airway recommendations for perioperative patients during the COVID-19 pandemic: a scoping review
Grudzinski, A. L., Sun, B., Zhang, M., Crnic, A., Djokhdem, A. H., Hanna, M., Montroy, J. R., Duggan, L. V., Hamilton, G. M., Fergusson, D. A., et al. (2022) · Canadian Journal of Anesthesia/Journal canadien d anesthésie · doi:10.1007/s12630-022-02199-z · Cited by 6
Clinical practice guidelines for the antenatal management of dichorionic diamniotic twin pregnancies: a systematic review
O’Connor, C. D., O’Connor, E., Leitão, S., Barrett, S., & O’Donoghue, K. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05652-z · Cited by 6
“Clinical practice guidelines are defined as “systematically developed statements to assist practitioner and patient decisions about appropriate healthcare for specific clinical circumstances” [21, 22].”
BackgroundMethod
Normas de orientação clínica dos pacientes hipocoagulados em medicina dentária
Mata, A., UID/FIS/04559/2013, L.-F., Mendonça, C., Caramês, J., UID/FIS/04559/2013, L.-F., Aquino, J., Felino, A., Guerra, F., Salvado, F., Carneiro, A. V., et al. (2018) · Revista Portuguesa de Estomatologia Medicina Dentária e Cirurgia Maxilofacial · doi:10.24873/j.rpemd.2018.11.241 · Cited by 6
Management of type 2 diabetes using non‐insulin glucose‐lowering therapies: a critical appraisal of clinical practice guidelines with the AGREE II instrument
Lam, W. M. J., Khalifah, R. A. A., Flórez, I. D., Cruz‐Lopes, L., Sekercioglu, M. F., Couban, R., Fu, R., Cherney, D. Z. I., & Sekercioglu, N. (2020) · Diabetic Medicine · doi:10.1111/dme.14231 · Cited by 8
Guidelines for hypertension management in primary care: is local adaptation possible?
Leite-Santos, N. C., de Melo, D. O., Silva, R. A. M., Gabriel, F. C., Fornasari, G. S., Dórea, E. L., Molino, C. D. G. R. C., & Ribeiro, E. (2020) · Journal of Hypertension · doi:10.1097/hjh.0000000000002516 · Cited by 6
Les recommandations pour la pratique clinique
Fervers, B., Carretier, J., & Bataillard, A. (2010) · Journal de Chirurgie Viscérale · doi:10.1016/j.jchirv.2010.10.013 · Cited by 6
Self-citation
Características y calidad de las guías de práctica clínica en el Seguro Social de Salud del Perú
Timaná-Ruíz, R., Alva‐Díaz, C., Suárez, V., Pimentel, P., & Dongo, V. (2018) · Medicina de Familia SEMERGEN · doi:10.1016/j.semerg.2018.06.002 · Cited by 6
“De estas 311 GPC, que cumplían con el criterio de selección de no tener una antigüedad mayor de 5 años, se seleccionó la muestra aleatoria de acuerdo a la proporción de guías de Lima y Callao frente a otras regiones, que fue de 2 a 1 aproximadamente, siendo 21 GPC de Lima y 10 de provincias.”
BackgroundInfluential
Summary of the best evidence for the prevention and management of myasthenic crisis after thymectomy
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A Comprehensive Evidence Summary for Pain Assessment and Management After Hemorrhoidal Surgery to Inform Clinical Practice Guidelines
Zou, S., Li, X., Yang, Y., Zeng, Y., Yang, Y., Gan, Q., Su, J., & Lu, C. (2025) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s547004 · Cited by 5
“Evidence 22–25 summarize Traditional Chinese Medicine (TCM) therapy after hemorrhoidal surgery, which demonstrate heterogeneous evidence quality.”
Influential
Clinical practice guidelines for the prevention and management of postoperative nausea and vomiting (2025 edition)
Hu, J. T., Wang, Z., Ma, B., Wang, T., Wang, E., & Yu, W. (2025) · Journal of Anesthesia and Translational Medicine · doi:10.1016/j.jatmed.2025.12.002 · Cited by 13
Evidence-Informed Recommendations for Community-Based Organizations Developing Physical Activity Information Targeting Families of Children and Youth With Disabilities
Bassett-Gunter, R. L., Tomasone, J. R., Latimer‐Cheung, A. E., Arbour‐Nicitopoulos, K. P., Disimino, K., Larocca, V., Tristani, L., Ginis, K. A. M., Leo, J., Vanderloo, L. M., et al. (2023) · Adapted Physical Activity Quarterly · doi:10.1123/apaq.2022-0130 · Cited by 6
A review of clinical practice guidelines on the management of preeclampsia and nursing inspiration
Sun, R., Xiu, Z., Li, J., Zhang, T., & Lu, H. S. (2024) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2024.10.010 · Cited by 5
Identifying and integrating consumer-prioritised topics and outcomes in clinical practice guidelines on managing kidney stones
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Even High-Quality CPGs Seldom Include Implementation Strategies
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Quality appraisal of clinical practice guidelines on physical restraints in ICU: a systematic review
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Protocol for the development of a clinical practice guideline for discharge planning of stroke patients
Wang, C., Yu, T., Luo, X., Zhou, C., You, C., Duan, L., Liu, S., Chen, Y., Jiang, Y., & Zhu, H. (2022) · Annals of Translational Medicine · doi:10.21037/atm-22-3151 · Cited by 5
A systematic critical appraisal of clinical practice guidelines of antithrombotic agents in gastrointestinal endoscopy using the AGREE II tool
Dayto, D. C., Blonski, W. C., Reljic, T., Klocksieben, F. A., Gill, J. A., Gomez‐Esquivel, R. D., Patel, B., Taunk, P., Sephien, A., Thélin, C. S., et al. (2024) · Journal of Gastroenterology and Hepatology · doi:10.1111/jgh.16485 · Cited by 5
GRADE pearls and pitfalls—Part 2: Clinical practice guidelines
Granholm, A., Duhailib, Z. A., Alhazzani, W. A., Oczkowski, S. J. W., Belley‐Côté, E. P., & Møller, M. H. (2024) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.14384 · Cited by 5
Adequacy of recommendations for adverse event management in national and international treatment guidelines for rifampicin-susceptible tuberculosis: a systematic review
Burman, W. J., Ellis, J. P., Hale, G., & Hill, K. (2025) · EClinicalMedicine · doi:10.1016/j.eclinm.2025.103148 · Cited by 5
“To assess ease of use, we used the criteria of the Appraisal of Guidelines, Research and Evaluation, (AGREE) II instrument 24,25 though we did not assign scores to the AGREE II items related to ease of use ( “ Speci ﬁ c and unambiguous recommendations ” , “ Key recommendations easily identi ﬁ able…”
Optimal delivery of follow-up care following pulmonary lobectomy for lung cancer
Lee, S.-C., Chen, Y., Huang, T.-W., & Chang, H. (2016) · Lung Cancer Targets and Therapy · doi:10.2147/lctt.s85112 · Cited by 5
A systematic review of the use of local analgesia in medically compromised children and adolescents
Dougall, A., Hayes, M., & Daly, B. (2017) · European Archives of Paediatric Dentistry · doi:10.1007/s40368-017-0304-x · Cited by 5
“Bhole et al. (2012) reviewed 23 case series involving 2978 patients including children and adolescents referred for allergy testing following unexplained reaction to LA.”
Background
Are paediatric clinical practice guidelines trustworthy?
Sun, Y., Ji, C. F., Shi, S., Ge, L., Bu, Y., Xi, J., & Tian, J. (2019) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.14567 · Cited by 5
The burden of conflicting guidelines
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“The AGREE II tool lists 23 items into six domains [7].”
Review article: Developing the Australian and New Zealand Guideline for Mild to Moderate Head Injuries in Children: An adoption/adaption approach
Tavender, E. J., Ballard, D. W., Wilson, A., Borland, M. L., Oakley, E. A., Cotterell, E., Wilson, C. L., Ring, J., Dalziel, S. R., & Babl, F. E. (2021) · Emergency Medicine Australasia · doi:10.1111/1742-6723.13716 · Cited by 5
Diagnosis and Treatment of Femoral Head Osteonecrosis: A Protocol for Development of Evidence-Based Clinical Practice Guidelines
Cheng, E. Y., Cui, Q., Goodman, S. B., Ando, W., Baek, S., Bakker, C., Drescher, W., Hernigou, P., Jones, L. C., Kim, H. K. W., et al. (2021) · Surgical Technology Online · doi:10.52198/21.sti.38.os1437 · Cited by 6
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Evaluation of the current guidelines for the management of haemorrhoidal disease using the Appraisal of Guidelines Research and Evaluation II instrument
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Versorgungs-Report. Leitlinien – Evidenz für die Praxis
Günster, C., Klauber, J., Klemperer, D., Nothacker, M. J., Robra, B.-P., Schmuker, C., Andres, E., & KG, M. M. W. V. M. &. C. (2023) · Medizinisch Wissenschaftliche Verlagsgesellschaft eBooks · doi:10.32745/9783954668007 · Cited by 8
Use of the ADAPTE Method to Develop a Guideline for the Improvement of Depression Care in Primary Care
Nogueras, E. V., Hurtado, M. M., Flordelís, E., García‐Herrera, J. M., & Morales‐Asencio, J. M. (2017) · Psychiatric Services · doi:10.1176/appi.ps.201700163 · Cited by 5
National Guideline Clearinghouse Is No More: Keep Calm and Search On
Gerberich, A. J., Spencer, S. H., & Ipema, H. J. (2018) · Annals of Pharmacotherapy · doi:10.1177/1060028018815852 · Cited by 5
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Alam, M., Harikumar, V. B., Ibrahim, S. A., Kang, B. Y., Maher, I. A., Cartee, T. V., Sobanko, J. F., Kibbi, N., Owen, J. L., Reynolds, K. A., et al. (2020) · Archives of Dermatological Research · doi:10.1007/s00403-020-02167-x · Cited by 5
“The AGREE II [1, 2] and RIGHT [3] paradigms provide instruction for reporting guidelines development; GRADE [4] and other systems have been refined for assessing the level of evidence and qualifying the strength of recommendations.”
The Standards of Clinical Practice Guideline
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Clinical Guidelines in Sports Medicine: Am I Reading a Guideline or a Consensus Statement: What’s the Difference? Does it Matter?
Machotka, Z., Perraton, L. G., & Grimmer, K. A. (2015) · Internet Journal of Allied Health Sciences and Practice · doi:10.46743/1540-580x/2015.1518 · Cited by 5
Planning for implementation success: insights from conducting an implementation needs assessment
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Self-citation
Quality in aesthetic medicine and surgery. a systematic review of clinical practice guidelines
Maes‐Carballo, M., Estrada‐López, C. R., Martínez‐Martínez, C., Alberca-Remigio, C., Cámara-Martínez, C., Josa-Martínez, B. M., & Trigueros, R. (2024) · Colombia medica · doi:10.25100/cm.v55i2.6257 · Cited by 4
Recommendations for the Use of Disease‐Modifying Antirheumatic Drugs in Pregnancy and Reproductive Health for Patients With Rheumatic Disease: A Scoping Review
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A Systematic Review of Cellulitis Guidelines: The Role of Non‐Pharmacological Management in Preventing Recurrence
Jacka, J., Sierla, R., Kilbreath, S. L., & Dylke, E. S. (2025) · Australasian Journal of Dermatology · doi:10.1111/ajd.14546 · Cited by 4
“This involves calculating and summarising the scores for each domain into a standardised percentage of the maximum score that can be obtained for that domain [17].”
Influential
Italian guidelines for the management of adult individuals with primary hypothyroidism outside pregnancy
Guglielmi, R., Mian, C., Novizio, R., Paoletta, A., Persichetti, A., Samperi, I., Scoppola, A., Bagnasco, M., Menis, E. D., Rimini, M. L. D., et al. (2025) · Journal of Endocrinological Investigation · doi:10.1007/s40618-025-02652-y · Cited by 6
“Additionally, we ensured that the contents of the GL were reported in accordance with the AGREE II (Appraisal of Guidelines for REsearch & Evaluation II) checklist [ 36 ].”
Self-care for people affected by leprosy
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A Tool to Assess the Trustworthiness of Evidence-Based Point-of-Care Information for Health Care Professionals (CAPOCI): Design and Validation Study
Lenaerts, G., Bekkering, G. E., Goossens, M., Coninck, L. D., Delvaux, N., Cordyn, S., Adriaenssens, J., Aertgeerts, B., & Vankrunkelsven, P. (2021) · Journal of Medical Internet Research · doi:10.2196/27174 · Cited by 4
Evidence Summary for Prevention of Gastrointestinal Dysfunction After Laparoscopic Surgery
Yuan, Q., Dan, X., & Chen, L. (2022) · Indian Journal of Surgery · doi:10.1007/s12262-022-03429-w · Cited by 4
“Appraisal of Guidelines for Research and Evaluation II (AGREE II), consisting of a seven-point response scale, was used to evaluate the quality of the guidelines, which includes 6 independent domains with a total of 23 items [10].”
Method
Clinical guidelines recommending prosthetics and orthotics in Sweden: Agreement between national and regional guidelines
Tang, U. H., Jarl, G. M., Eriksson, M., Johannesson, A. G., & Rusaw, D. F. (2023) · Prosthetics and Orthotics International · doi:10.1097/pxr.0000000000000244 · Cited by 4
Copublication promotes dissemination hypertension guidelines: a retrospective cohort study
Zhu, L., Wu, Y., Zhang, Y., Yang, R., Yang, Z., Liu, L., Yao, Y., Fang, X., Xie, Q., Deng, H., et al. (2023) · Hypertension Research · doi:10.1038/s41440-023-01470-0 · Cited by 4
Clinical Practice Guideline Development in Pediatric Emergency Medicine Departments Across the United States: A Cross-sectional Study
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Impact of the Children's Oncology Group's supportive care clinical practice guideline endorsement program: An institutional survey
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Result
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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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