Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Quality of Palliative Care Guidelines in Patients With Heart Failure: A Systematic Review of Quality Appraisal Using Agree Ii Instrument Publisher



Bagheri I1 ; Yousefi H2 ; Bahrami M2 ; Shafie D3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Adult Health Nursing, College of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Cardiology, Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Indian Journal of Palliative Care Published:2022


Abstract

Objectives: While the principles for developing clinical practice guidelines (CPGs) are well established, the quality of published guidelines is very diverse. The present study was conducted to evaluate the quality of existing CPGs in palliative care for heart failure patients. Material and Methods: The study was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-analyses. A systematic search was conducted in the Excerpta Medica Database, MEDLINE/PubMed, CINAHL databases and Guideline internet sites: National Institute for Clinical Excellence, National Guideline Clearinghouse, Scottish Intercollegiate Guidelines Network, Guidelines International Network and National Health and Medical Research Council for CPGs published through April 2021. Criteria for including CPGs were: Containing palliative measures for patients with heart failure over 18 years old and preferably interprofessional guidelines that focus on only one dimension of palliative care or focus on diagnosis, definition and treatment were excluded from the study. After initial screening, five appraisers rated the quality of the final selection of CPGs using the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II). Results: From 1501 records, seven guidelines were selected for analysis. The ‘scope and purpose’ and ‘clarity of presentation’ domains obtained the highest mean and ‘rigor of development’ and ‘applicability’ domains obtained the lowest mean scores. Three categories of recommendations were: (1) Strongly recommended (guidelines 1, 3, 6 and 7); (2) recommended with modifications (guideline 2) and (3) not recommended (guidelines 4 and 5). Conclusion: Clinical guidelines for palliative care in patients with heart failure were of moderate-to-high quality, with the main deficiencies occurring in the rigor of development and applicability domains. The results inform clinicians and guideline developers of the strengths and weaknesses of each CPG. To improve the quality of palliative care CPGs in the future, it is recommended that developers pay detailed attention to all domains of the AGREE II criteria. Funding agent: Isfahan University of Medical Sciences. ©2023 Published by Scientific Scholar on behalf of Indian Journal of Palliative Care.
Related Docs
View other Related Docs
1. Adaptation of Interdisciplinary Clinical Practice Guidelines to Palliative Care for Patients With Heart Failure in Iran: Application of Adapte Method, Iranian Journal of Nursing and Midwifery Research (2023)
2. The Quality of Guidelines on the End-Of-Life Care: A Systematic Quality Appraisal Using Agree Ii Instrument, Supportive Care in Cancer (2020)
3. Development of a Heart Failure Palliative Care Educational Program for Nurses: A Multi-Method Approach, Iranian Journal of Nursing and Midwifery Research (2024)
4. Effects of Spiritual Care Program on Quality of Life in Patients With Heart Failure, Evidence Based Care Journal (2021)
5. Clinical Practice Guideline for End-Of-Life Care in Patients With Cancer: A Modified Adapte Process, Supportive Care in Cancer (2022)
6. The Effect of Continuous Care Model Implementation on the Quality of Life of Patients With Heart Failure: A Randomized Controlled Trial, Korean Journal of Family Medicine (2021)
7. Translation, Cultural Adaptation, Validation and Reliability of Persian Version of Edmonton Frailty Score Questionnaire Among Iranian Heart Failure Individuals, Caspian Journal of Internal Medicine (2023)
8. Persian Registry of Cardiovascular Disease (Prove): Design and Methodology, ARYA Atherosclerosis (2017)
Experts (# of related papers)
View all Related Experts
Davood Shafie (12)
Nizal Sarrafzadegan (9)
Other Related Docs
9. Psychometric Evaluation of the Caring Ability of the Family Caregivers of the Patients in Need of Palliative Care Scale (Cafcpnpcs): A Methodological Study, Nursing Practice Today (2024)
10. Self-Efficacy Strategies to Improve Exercise in Patients With Heart Failure: A Systematic Review, ARYA Atherosclerosis (2014)
11. What Must Iran Do for Palliative Care? a Systematized Review, Journal of Education and Health Promotion (2020)
12. Quality Appraisal of Clinical Guidelines for Preventing of Falls in Hospitalized Elderly Using Agree; [نسخه پذیرفتهشده پیش از انتشار], Iranian Journal of Ageing (2023)
13. The Impact of Home Care on Individuals With Chronic Heart Failure: A Comprehensive Review, ARYA Atherosclerosis (2024)
14. Evaluation of the Effect of Adherence to Treatment Regimen Program on Quality of Life in Atrial Fibrillation Patients Hospitalized in Shahid Chamran Hospital in Isfahan in 2017, Revista Latinoamericana de Hipertension (2019)
15. Diagnostic Value of Internal Jugular Vein Collapsibility Index in Acute Decompensated Heart Failure Through Comparison With Findings of Echocardiography and P-Bnp Level in Patient With Dyspnea, International Journal of Pharmaceutical Research (2018)
16. Translation, Cultural Adaptation, Validation, and Reliability of Persian-Revised Heart Failure Compliance Questionnaire, Journal of Tehran University Heart Center (2022)
17. Effectiveness of Continuous-Care Model on Self-Care in Patients With Heart Failure: Application of Line Follow-Up, Scandinavian Journal of Caring Sciences (2019)
18. Effect of a Supportive-Educational Program, Based on Cope Model, on Quality of Life and Caregiver Burden of Family Caregivers of Heart Failure Patients: A Randomized Clinical Trial Study, BMC Nursing (2024)
19. Effectiveness of a Supportive-Educational Program Based on Cope Model on Resilience Among Family Caregivers of Patients With Heart Failure: A Randomized Clinical Trial, Journal of Mazandaran University of Medical Sciences (2023)
20. Barriers and Facilitators of Palliative Care in Older Adults With Heart Failure: A Qualitative Content Analysis, Journal of Palliative Care (2024)
21. Promoting Patient Utilization of Outpatient Cardiac Rehabilitation: A Joint International Council and Canadian Association of Cardiovascular Prevention and Rehabilitation Position Statement, International Journal of Cardiology (2020)
22. Cross-Cultural Adaptation and Validation of the Persian Version of the Family Functioning, Health, and Social Support Questionnaire in a Sample of Heart Failure Patients and Their Family Members, Journal of Nursing Measurement (2023)
23. Development of the First Iranian Clinical Practice Guidelines for the Diagnosis, Treatment, and Secondary Prevention of Acute Coronary Syndrome, Journal of Research in Medical Sciences (2024)
24. Hospital-Based Palliative Care Models: Advantages and Limitations; [مدلهای مراقبت تسکینی مبتنی بر بیمارستان؛ مزایا و محدودیتها], Journal of Health Administration (2021)
25. Intensive Care After Cardiac Surgery, Indian Journal of Forensic Medicine and Toxicology (2018)
26. Comparison of De Novo Implantation Vs. Upgrade Cardiac Resynchronisation Therapy: A Multicentre Experience, Acta Cardiologica (2024)
27. Design and Methodology of Heart Failure Registry: Results of the Persian Registry of Cardiovascular Disease, ARYA Atherosclerosis (2019)
28. A Review of the Quality of Extant Clinical Practice Guidelines in Cancer Therapy-Induced Mucositis, International Journal of Cancer Management (2017)
29. The Impact of Platelet-To-Lymphocyte Ratio on Clinical Outcomes in Heart Failure: A Systematic Review and Meta-Analysis, Therapeutic Advances in Cardiovascular Disease (2024)
30. Association of Digoxin With Mortality and Rehospitalization in Heart Failure Patients Treated With Beta-Blockers: Results From the Persian Heart Failure Patient Registry, ARYA Atherosclerosis (2022)
31. The Effectiveness of Acceptance and Commitment Therapy on Quality of Life in a Patient With Myocardial Infarction: A Randomized Control Trial, Iranian Journal of Psychiatry (2020)
32. Explaining the Decline in Coronary Heart Disease Mortality Rate Using Impact Model: Estimation of the Changes in Risk Factors and Treatment Uptake in Iran Between 2007 and 2016, ARYA Atherosclerosis (2023)
33. Evaluation of the Effect of Perceived Social Support on Promoting Self-Care Behaviors of Heart Failure Patients Referred to the Cardiovascular Research Center of Isfahan, Iranian Red Crescent Medical Journal (2015)
34. Survival Rate and Predictors of Mortality in Patients Hospitalised With Heart Failure: A Cohort Study on the Data of Persian Registry of Cardiovascular Disease (Prove), Postgraduate Medical Journal (2018)
35. Impact of Shock Index (Si), Modified Si, and Age-Derivative Indices on Acute Heart Failure Prognosis; a Systematic Review and Meta-Analysis, PLoS ONE (2024)
36. The Effect of Cognitive-Behavioral Therapy on Death Anxiety and Depression in Patients With Heart Failure: A Quasi-Experimental Study, Perspectives in Psychiatric Care (2022)
37. The Quality of Guidelines in Non-Pharmacological Prevention and Management of Chemotherapy-Induced Neuropathy: A Review, Oncology Reviews (2018)
38. Promoting Patient Utilization of Outpatient Cardiac Rehabilitation: A Joint International Council and Canadian Association of Cardiovascular Prevention and Rehabilitation Position Statement, Journal of Cardiopulmonary Rehabilitation and Prevention (2020)
39. Psychometric Study of the Adolescent Empowerment Tools in Congenital Heart Disease in Iran, Journal of Isfahan Medical School (2022)
40. Background and Design of a 5-Year St Elevation Myocardial Infarction Cohort in Isfahan, Iran: Semi-Ci Study, ARYA Atherosclerosis (2022)
41. Association Between the Length of Hospital Stay and 30-Day Outcomes in Patients Admitted With Acute Decompensated Heart Failure, Emergency Medicine International (2023)
42. Assessing the Quality of Existing Clinical Practice Guidelines for Chemotherapy Drug Extravasation by Appraisal of Guidelines for Research and Evaluation Ii, Iranian Journal of Nursing and Midwifery Research (2019)
43. Evaluation of the Quality of Cancer-Related Fatigue Clinical Practice Guidelines, Evidence Based Care Journal (2018)
44. Translation, Cultural Adaptation, Validation and Reliability of Persian Left Ventricular Dysfunction–36 Questionnaire, Archives of Iranian Medicine (2023)
45. Current State of Palliative Care in Iran and Related Issues: A Narrative Review, Iranian Journal of Nursing and Midwifery Research (2021)