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Clinical Practice Guidelines:
AGREE Rating
Clinical practice guidelines, when tied directly to a systematic review of scientific evidence, can be an invaluable tool in helping clinicians to make the best decisions with and for their clients. Unfortunately, many guidelines are developed with questionable methodological rigor, and/or reflect the bias(es) of the authors.
In order to address these shortcomings the European Union in the 1990s sponsored the development of what came to be known as the Appraisal of Guidelines for Research and Evaluation II, or AGREE II, Framework. This Framework, which has been adopted in most European and North American countries, consists of 23 criteria across six domains, such as rigor of development, stakeholder involvement, etc. The criteria are then scored, giving a total for the guideline. Depending upon the total score, guidelines are categorized as Highly Recommended, Recommended with Provisos or Not Recommended.
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AGREE Rating
