AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children
Abstract Background Nephrotic syndrome is the most common kidney disease in children worldwide. Our aim was to critically appraise the quality of recent Clinical Practice Guidelines (CPGs) for idiopathic steroid-sensitive nephrotic syndrome (SSNS) in children in addition to summarize and compare the...
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doaj-a7d5242c28044f5485f9200bda093bf82021-05-11T14:47:32ZengBMCSystematic Reviews2046-40532021-05-0110111210.1186/s13643-021-01666-wAGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in childrenKhalid Abdulaziz Alhasan0Reem Al Khalifah1Majed Aloufi2Weiam Almaiman3Muddathir Hamad4Naif Abdulmajeed5Abdullah Al Salloum6Jameela A. Kari7Muneera AlJelaify8Rolan K. Bassrawi9Turki Al Hussain10Adi Alherbish11Abdulhadi Al Talhi12Mohamad-Hani Temsah13Sidharth Kumar Sethi14Rupesh Raina15Reny Joseph16Yasser Sami Amer17on behalf of the Saudi Society of Nephrology and TransplantationPediatric Nephrology Unit, Pediatrics Department, College of Medicine, King Saud UniversityPediatric Endocrinology Unit, Pediatrics Department, College of Medicine, King Saud UniversityDepartment of Pediatric Nephrology, Prince Sultan Military Medical CityCollege of Medicine, Alfaisal UniversityPediatric Neurology Unit, Pediatrics Department, King Khalid University Hospital, King Saud University Medical CityPrince Sultan Military Medical CityPediatric Nephrology Unit, Pediatrics Department, College of Medicine, King Saud UniversityPediatric Nephrology Division, Department of Pediatrics, Pediatric Nephrology Center of Excellence Faculty of Medicine, King Abdulaziz UniversityPharmacy Services Department, King Khalid University Hospital, King Saud University Medical CityGeneral Pediatrics Unit, Pediatrics Department, King Khalid University Hospital, King Saud University Medical CityCollege of Medicine, Alfaisal UniversityPediatrics Department, College of Medicine, King Saud UniversityDepartment of Pediatric Nephrology, Pediatrics Hospital, King Saud Medical CityPediatric Intensive Care Unit, Pediatric Department, College of Medicine, King Saud UniversityPediatric Nephrology, Medanta, The MedicityPediatric Nephrology, Akron Children’s HospitalWard 11B and Day Care, Pediatrics-Nursing, King Khalid University Hospital, King Saud University Medical CityPediatrics Department, King Khalid University HospitalAbstract Background Nephrotic syndrome is the most common kidney disease in children worldwide. Our aim was to critically appraise the quality of recent Clinical Practice Guidelines (CPGs) for idiopathic steroid-sensitive nephrotic syndrome (SSNS) in children in addition to summarize and compare their recommendations. Methods Systematic review of CPGs. We identified clinical questions and eligibility criteria and searched and screened for CPGs using bibliographic and CPG databases. Each included CPG was assessed by four independent appraisers using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE-II) instrument. We summarized the recommendations in a comparison practical table. Results Our search retrieved 282 citations, of which three CPGs were eligible and appraised: Kidney Disease: Improving Global Outcomes (KDIGO) 2012, Japan Society for Pediatric Nephrology (JSPN) 2014, and American Academy of Pediatrics (AAP) 2009. Among these, the overall assessment of two evidence-based CPGs scored > 70% (KDIGO and JSPN), which was consistent with their higher scores in the six domains of the AGREE II Instrument. In domain 3 (rigor of development), KDIGO, JSPN, and AAP scored 84%, 74%, and 41%, respectively. In domain 5 (applicability), they scored 22%, 16%, and 19%, respectively, and in domain 6 (editorial independence), they scored 94%, 65%, and 88%, respectively. Conclusions The methodological quality of the KDIGO CPG was superior, followed by JSPN and AAP CPGs with the relevant recommendations for use in practice. Systematic review registration The protocol was registered in the Center for Open Science (OSF) DOI: 10.17605/OSF.IO/6QTMD and in the International prospective register of systematic reviews PROSPERO 2020 CRD42020197511 .https://doi.org/10.1186/s13643-021-01666-wNephrotic syndromePediatricsClinical practice guidelinesSystematic reviewAGREE II InstrumentQuality assessment |
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language |
English |
format |
Article |
sources |
DOAJ |
author |
Khalid Abdulaziz Alhasan Reem Al Khalifah Majed Aloufi Weiam Almaiman Muddathir Hamad Naif Abdulmajeed Abdullah Al Salloum Jameela A. Kari Muneera AlJelaify Rolan K. Bassrawi Turki Al Hussain Adi Alherbish Abdulhadi Al Talhi Mohamad-Hani Temsah Sidharth Kumar Sethi Rupesh Raina Reny Joseph Yasser Sami Amer on behalf of the Saudi Society of Nephrology and Transplantation |
spellingShingle |
Khalid Abdulaziz Alhasan Reem Al Khalifah Majed Aloufi Weiam Almaiman Muddathir Hamad Naif Abdulmajeed Abdullah Al Salloum Jameela A. Kari Muneera AlJelaify Rolan K. Bassrawi Turki Al Hussain Adi Alherbish Abdulhadi Al Talhi Mohamad-Hani Temsah Sidharth Kumar Sethi Rupesh Raina Reny Joseph Yasser Sami Amer on behalf of the Saudi Society of Nephrology and Transplantation AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children Systematic Reviews Nephrotic syndrome Pediatrics Clinical practice guidelines Systematic review AGREE II Instrument Quality assessment |
author_facet |
Khalid Abdulaziz Alhasan Reem Al Khalifah Majed Aloufi Weiam Almaiman Muddathir Hamad Naif Abdulmajeed Abdullah Al Salloum Jameela A. Kari Muneera AlJelaify Rolan K. Bassrawi Turki Al Hussain Adi Alherbish Abdulhadi Al Talhi Mohamad-Hani Temsah Sidharth Kumar Sethi Rupesh Raina Reny Joseph Yasser Sami Amer on behalf of the Saudi Society of Nephrology and Transplantation |
author_sort |
Khalid Abdulaziz Alhasan |
title |
AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children |
title_short |
AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children |
title_full |
AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children |
title_fullStr |
AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children |
title_full_unstemmed |
AGREEing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children |
title_sort |
agreeing on clinical practice guidelines for idiopathic steroid-sensitive nephrotic syndrome in children |
publisher |
BMC |
series |
Systematic Reviews |
issn |
2046-4053 |
publishDate |
2021-05-01 |
description |
Abstract Background Nephrotic syndrome is the most common kidney disease in children worldwide. Our aim was to critically appraise the quality of recent Clinical Practice Guidelines (CPGs) for idiopathic steroid-sensitive nephrotic syndrome (SSNS) in children in addition to summarize and compare their recommendations. Methods Systematic review of CPGs. We identified clinical questions and eligibility criteria and searched and screened for CPGs using bibliographic and CPG databases. Each included CPG was assessed by four independent appraisers using the Appraisal of Guidelines for REsearch & Evaluation II (AGREE-II) instrument. We summarized the recommendations in a comparison practical table. Results Our search retrieved 282 citations, of which three CPGs were eligible and appraised: Kidney Disease: Improving Global Outcomes (KDIGO) 2012, Japan Society for Pediatric Nephrology (JSPN) 2014, and American Academy of Pediatrics (AAP) 2009. Among these, the overall assessment of two evidence-based CPGs scored > 70% (KDIGO and JSPN), which was consistent with their higher scores in the six domains of the AGREE II Instrument. In domain 3 (rigor of development), KDIGO, JSPN, and AAP scored 84%, 74%, and 41%, respectively. In domain 5 (applicability), they scored 22%, 16%, and 19%, respectively, and in domain 6 (editorial independence), they scored 94%, 65%, and 88%, respectively. Conclusions The methodological quality of the KDIGO CPG was superior, followed by JSPN and AAP CPGs with the relevant recommendations for use in practice. Systematic review registration The protocol was registered in the Center for Open Science (OSF) DOI: 10.17605/OSF.IO/6QTMD and in the International prospective register of systematic reviews PROSPERO 2020 CRD42020197511 . |
topic |
Nephrotic syndrome Pediatrics Clinical practice guidelines Systematic review AGREE II Instrument Quality assessment |
url |
https://doi.org/10.1186/s13643-021-01666-w |
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