Skip to main content

Table 3 Characteristics of included references: Methodological approaches to topic/guideline selection and extraction of recommendations

From: Methods for the guideline-based development of quality indicators--a systematic review

 

Topic/guideline selection

Extraction of recommendations

Reference

Criteria for selection of topic

Development of QI from...

Criteria for selection of participants

Criteria for selection of guidelines

Participants listed a

Critical appraisal

Guidelines listed a

Extraction of all/a selection of recommendations

Criteria for recommendation selection b

Potential indicators listed a

Method papers

          

ÄZQ (2009)

No

One guideline

No

No

-

No

-

Unclear

-

-

AHCPR (1995)

No

One guideline

Yes

Profession involved in the selected healthcare process, methodological competence

Yes

Methodological quality

-

Yes

Not detailed

-

Selection

Yes

Impact on patient outcome

-

AHRQ (1995)

Yes

Regulatory requirements, quality gap, guideline adherence unknown

More than one guideline

No

Yes

Methodological quality

-

Yes

Not detailed

-

Selection

Yes

Impact on patient outcome and relevance to obtaining value for money

-

AQUA (2010)

Yes

Public health relevance, sound evidence base, feasibility

Guidelines and other sources

No

Yes

Methodological quality

-

Yes

AGREE Instrument

-

All

-

-

Baker and Fraser (1995)

No

Not specified (method paper)

No

No

-

Yes

Not detailed

-

Unclear

-

-

Bergman (1999)

Yes

Sound evidence base

Not specified (method paper)

No

No

-

Yes

Not detailed

-

Unclear

.

-

Califf et al. (2002)

No

One guideline

No

No

-

Yes

Not detailed

-

Selection

Yes

Level of evidence

-

Campbell et al. (2002)

No

Not specified (method paper)

No

No

-

No

-

Unclear

-

-

Graham et al. (2009)

Yes

Quality gap

Guidelines and other sources

No

No

-

No

-

Unclear

-

-

Spertus et al. (2005)

No

Not specified (method paper)

No

Yes

Strength of evidence, clinical relevance, magnitude of relationship between performance and outcome

-

Yes

Not detailed

-

Selection

Yes

Level of evidence, impact on patient outcome

-

Topic papers

          

Bonow et al. (2005)

Yes

Public health relevance, quality gap, costs

More than one guideline

No

No

Yes

Yes

Not detailed

Yes

Selection

Yes

Grade of recommendation, relevance for the topic

No

Burge et al. (2007)

Yes

Public health relevance, quality gap

Unclear

No

No

Yes

No

No

Selection

Yes

Potential for improvement, meaningful, valid, reliable, adjustable, feasible

No

Campbell et al. (1999)

Yes

Public health relevance, substantial amount of workload in general practice

Guidelines and other sources

No

No

No

No

Yes

Unclear

-

No

Desch et al. (2008)

No

Guidelines and other sources

Yes

Profession involved in the selected healthcare process

No

Unclear

No

Yes

Selection

Yes

Impact on patient outcome, potential for improvement, feasibility of data collection

No

Draskovic et al. (2008)

Yes

Variance in quality of care between providers

One guideline

No

No

No

No

Yes

Unclear

-

No

Estes et al. (2008)

Yes

Public health relevance and costs

Guidelines and other sources

No

No

Yes

Yes

Not detailed

Yes

Selection

Yes

Grade of recommendation, relevance for the topic

No

Forbes et al. (1997)

Yes

Public health relevance, individual impact on quality of life

One guideline

No

No

No

No

Yes

All

-

No

Giesen et al. (2007)

Yes

Quality of care unknown

Guidelines and other sources

No

Yes

Applicability to the setting, clinical relevance

Yes

Yes

AGREE instrument

Yes

Selection

Yes

Relevance for the selected topic

No

Hadorn et al. (1996)

Yes

Public health relevance, individual quality-of-life impact, costs

One guideline

No

No

Yes

No

Yes

All

-

Yes

Hardy and Hadley (1995)

No

One guideline

No

Unclear

No

No

Yes

Unclear

-

No

Hermanides et al. (2008)

Yes

Public health relevance, quality gap

One guideline

No

No

No

No

Yes

Selection

No

Yes

Hermens et al. (2006)

Yes

Quality of care unknown, guideline adherence unclear

One guideline

No

No

No

No

Yes

All

-

No

James et al. (1997)

Yes

Public health relevance, costs, quality gap

One guideline

No

No

No

Yes

Not detailed

Yes

All

-

No

Kongnyuy and van den Broek (2008)

No

Guidelines and other sources

No

No

No

No

Yes

Unclear

-

No

Krumholz et al. (2006)

Yes

Public health relevance, quality gap

More than one guideline

No

No

Yes

Yes

Not detailed

Yes

Selection

Yes

Grade of recommendation

No

Lee et al. (2003)

No

Guidelines and other sources

No

No

No

No

Yes

Unclear

-

No

Maclean et al. (2004)

Yes

Public health relevance

Guidelines and other sources

No

No

No

Unclear

Yes

Selection

Yes

Impact on patient outcome, grade of recommendation

No

Martirosyan et al. (2008)

Yes

Public health relevance, quality of care unknown

More than one guideline

No

No

No

No

Yes

Selection

Yes

Measurability

Yes

Mourad et al. (2007)

Yes

Public health relevance, quality gap

More than one guideline

No

Yes

Methodological quality

No

No

Yes

All

-

No

Nijkrake et al. (2009)

Yes

Public health relevance and complexity of the topic

One guideline

No

No

No

No

Yes

Selection

Yes

Acceptability, measurability

No

Ouwens et al. (2007)

Yes

Complexity of the process of care

Guidelines and other sources

No

No

No

No

Yes

Selection

Yes

Impact on patient outcome

No

Ouwens et al. (2010)

Yes

Individual impact on quality of life, quality gap

Guidelines and other sources

No

Yes

Applicability to the setting

No

No

Yes

All

-

No

Radtke et al. (2009)

No

Guidelines and other sources

No

No

No

Yes

Not detailed

Yes

Unclear

-

No

Redberg et al. (2009)

Yes

Public health relevance, costs, quality gap

One guideline

No

No

No

No

Yes

Selection

Unclear

No

Schouten et al. (2005)

Yes

Quality gap

Guidelines and other sources

No

No

No

No

Yes

Selection

No

Yes

Sugarman et al. (2003)

Yes

Quality of care unknown, regulatory requirements

One guideline

No

No

No

No

Yes

Unclear

-

No

Thomas et al. (2007)

Yes

Underutilization, quality of care unknown

Guidelines and other sources

No

No

Yes

Yes

Not detailed

Yes

Selection

Yes

Grade of recommendation, level of evidence

No

Tu et al. (2008)

Yes

Quality gap

Guidelines and other sources

No

No

Yes

No

Yes

Selection

Yes

Meaningful, valid and reliable, feasible, accountable for patient variability, potential for improvement,

No

van den Boogaard et al. (2010)

Yes

Quality gap

One guideline

No

Yes

Most recently revised guideline available

No

No

Yes

All

-

No

van Hulst et al. (2009)

No

Guidelines and other sources

No

No

No

No

Yes

Selection

Yes

Grade of recommendations

No

Wang et al. (2006)

Yes

Public health relevance, complex process of care, quality gap

Guidelines and other sources

No

No

Yes

No

No

Selection

Yes

Impact on patient outcome, level of evidence, potential for improvement, feasibility of data collection

No

Yazdany et al. (2009)

Yes

Quality of care unknown

Guidelines and other sources

No

Yes

Methodological quality

Yes

Unclear

No

Selection

Yes

Eligible population, process of care performed by healthcare providers, impact on patient outcome

No

Method + topic papers

          

Advani et al. (2003)

No

One guideline

No

No

No

No

Yes

Unclear

-

No

Duffy et al. (2005)

Yes

Individual impact on quality of life, quality gap

More than one guideline

No

No

No

No

Yes

Selection

Yes

Level of evidence, impact on patient outcome, breadth of available treatment recommendations, clinical utility and appropriateness, proportion of patients for whom the recommendation is likely to be relevant

No

Golden et al. (2008)

Yes

Public health relevance, costs, quality gap

Guidelines and other sources

Yes

Profession involved in the selected health care process

No

No

No

No

Selection

Yes

Level of evidence

No

Hutchinson et al. (2003)

No

More than one guideline

No

Yes

Evidence based

No

Yes

Suitable for primary care, agency responsible for development clearly identifiable, objectives clearly defined, independent review prior to publication, information regarding evidence adequate and explicit, link between major recommendations and underlying evidence

Yes

Selection

Unclear

No

Laclair et al. (2001)

No

One guideline

No

No

Yes

No

Yes

All

-

No

Wollersheim et al. (2007)

Yes

Quality gap, public health relevance, sound evidence base

Guidelines and other sources

Yes

Membership in a guideline-development committee, methodological competence, profession involved in the selected healthcare process

No

No

No

Yes

Unclear

-

No

  1. QI = quality indicator; ÄZQ = Ärztliches Zentrum für Qualität in der Medizin (Agency for Quality in Medicine); AHCPR = Agency for Healthcare Policy and Research; AHRQ = Agency for Healthcare Research and Quality; AQUA-Institute = Institute for Applied Improvement and Research in Health Care; AGREE = Appraisal of Guidelines for Research and Evaluation in Europe.
  2. aDoes not apply to method papers; bdoes apply if not all recommendations are extracted.