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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorSalas Gama, Karla
dc.contributor.authorOnakpoya, Igho
dc.contributor.authorCoronado Daza, Jorge Antonio
dc.contributor.authorPerera, Rafael
dc.contributor.authorHeneghan, Carl J.
dc.date.accessioned2022-09-09T13:27:28Z
dc.date.available2022-09-09T13:27:28Z
dc.date.issued2022-06-13
dc.identifier.citationSalas-Gama K, Onakpoya IJ, Coronado Daza J, Perera R, Heneghan CJ. Recommendations of high-quality clinical practice guidelines related to the process of starting dialysis: A systematic review. PLoS One. 2022 Jun 13;17(6):e0266202.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11351/8124
dc.descriptionTreatment guidelines; Chronic kidney disease; Database searching
dc.description.abstractBackground The optimal time for initiation of dialysis and which modality to choose as the starting therapy is currently unclear. This systematic review aimed to assess the recommendations across high-quality clinical practice guidelines (CPGs) related to the start of dialysis. Methods We systematically searched MEDLINE, EMBASE, Web of Science, LILACS, and databases of organisations that develop CPGs between September 2008 to August 2021 for CPGs that addressed recommendations on the timing of initiation of dialysis, selection of dialysis modality, and interventions to support the decision-making process to select a dialysis modality. We used the Appraisal of Guidelines for Research and Evaluation instrument to assess the methodological quality of the CPGs and included only high-quality CPGs. This study is registered in PROSPERO, number CRD42018110325. Results We included 12 high-quality CPGs. Six CPGs addressed recommendations related to the timing of initiating dialysis, and all agreed on starting dialysis in the presence of symptoms or signs. Six CPGs addressed recommendations related to the selection of modality but varied greatly in their content. Nine CPGs addressed recommendations related to interventions to support the decision-making process. Eight CPGs agreed on recommended educational programs that include information about dialysis options. One CPG considered using patient decision aids a strong recommendation. Limitations We could have missed potentially relevant guidelines since we limited our search to CPGs published from 2008, and we set up a cut-off point of 60% in domains of the rigour of development and editorial independence. Conclusion High-quality CPGs related to the process of starting dialysis were consistent in initiating dialysis in the presence of symptoms or signs and offering patients education at the point of decision-making. There was variability in how CPGs addressed the issue of dialysis modality selection. CPGs should improve strategies on putting recommendations into practice and the quality of evidence to aid decision-making for patients. Registration The protocol of this systematic review has been registered in the international prospective register of systematic reviews (PROSPERO) under the registration number: CRD CRD42018110325. https://clinicaltrials.gov/ct2/show/CRD42018110325.
dc.language.isoeng
dc.publisherPublic Library of Science
dc.relation.ispartofseriesPLoS One;17(6)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectHemodiàlisi
dc.subjectBases de dades - Cerca
dc.subjectMedicina clínica - Presa de decisions
dc.subject.meshRenal Dialysis
dc.subject.meshDatabases, Factual
dc.subject.meshPractice Guidelines as Topic
dc.titleRecommendations of high-quality clinical practice guidelines related to the process of starting dialysis: A systematic review
dc.typeinfo:eu-repo/semantics/article
dc.subject.decsdiálisis renal
dc.subject.decsbases de datos factuales
dc.subject.decsguías de práctica clínica como asunto
dc.relation.publishversionhttps://doi.org/10.1371/journal.pone.0266202
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Salas-Gama K] Direcció de Qualitat, Processos i Innovació, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Serveis Sanitaris, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Onakpoya IJ, Perera R, Heneghan CJ] Centre for Evidence-Based Medicine, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom. [Coronado Daza J] Medicine Department, Universidad de Cartagena, Cartagena, Bolívar, Colombia
dc.identifier.pmid35696388
dc.identifier.wos000843619700052
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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