Further, it has been recognised the necessity of examining the quality and reporting as different issues but related (Yao et al., 2020). However, necessity of studying the quality and reporting has been spotlighted to identify a worthy guideline (Booth, 2016). We did not find previous reviews of the quality and reporting in BC screening guidelines. CPGs and CSs should be well informed, implementing factual advances to evidence analysis to build advice (Grimshaw & Russell, 1993 Grol, 2001). Doctors often do not take into account wishes and the psychological harm of women in screening (Sicsic et al., 2018).Ĭlinical practice guidelines (CPGs) and consensus statements (CS) are being promoted to provide guidance for high-quality effective healthcare (Browman et al., 2003 Field & Lohr, 1990 Grimshaw & Russell, 1993 Woolf et al., 1999). These false-positive outcomes have generated a debate about the efficacy of BC screening and overtreatment (Loberg et al., 2015 Welch & Black, 2010). Nonetheless, BC screening can be irksome and expensive (Loberg et al., 2015) false negatives could delay BC diagnosis, and false positives may conduct unnecessary procedures (Morris et al., 2015 Welch & Black, 2010).
Morbidity and survival have decreased in the last years due to the early detection with more effective and efficient treatments (Loberg et al., 2015 NHS, 2018).
Guidances reporting a tool referral scored better (AGREE II: 72.8% vs. The guidances that deployed systematic reviews had better quality (74.2% vs. Twenty-two (55%) and 20 (50%) did not reach the minimum standards (scores <50%). Resultsįorty guidances with median overall quality and reporting 51% (interquartile range 39–63) and 48% (IQR 35–65), respectively. AGREE II (% of maximum score) and RIGHT (% of total 35 items) appraised quality and reporting individually, extracting data in duplicate reviewer agreement was 98% and 93%, respectively.
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MethodsĪ search of bibliographic databases (MEDLINE, Embase, Web of Science, Scopus and CDSR), 12 guideline databases and 51 professional society websites was performed without language restrictions from January 2017 to June 2020, following prospective registration (Prospero no.: CRD42020203807).
This systematic review has assessed the breast cancer (BC) screening CPGs and CSs quality and reporting. Clinical practice guidelines (CPGs) and consensus statements (CSs) are being promoted to provide high-quality healthcare guidance.
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