No Uniformity in the References of Clinical Practice Guidelines for Bariatric Surgery: a Review of 3 Similar Guidelines Published in 2020. (original) (raw)

Abstract

In 2020, updated versions of the clinical practice guidelines of the European Association for Endoscopic Surgery, the Canadian Adult Obesity Clinical Practice Guidelines and the Dutch Federation for Medical Specialist clinical practice guidelines on bariatric surgery were published. We systematically reviewed and compared them on recommendations and references. Although the authors would have had access to the same literature, only 5 out of 655 unique references were used by all 3 guidelines and just 49 references by any combination of 2 guidelines. These findings attest to the subjectivity involved in clinical practice guidelines development and could be the cause for the observed differences in recommendations. International cooperation in guideline development might be a conceivable solution.

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Authors and Affiliations

  1. Department of Surgery, Groene Hart Hospital, Postbus 1098, 2800 BB, Gouda, Netherlands
    Mark J. R. Smeets & Ronald S. L. Liem
  2. Dutch Obesity Clinic, Bordewijklaan 3, 2591 XR, The Hague, Netherlands
    Ronald S. L. Liem

Authors

  1. Mark J. R. Smeets
  2. Ronald S. L. Liem

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Correspondence toMark J. R. Smeets.

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Both Mark J.R. Smeets and Ronald S.L. Liem declare that they have no conflict of interest.

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Key points

• The uniformity between references of clinical practice guidelines, published in the same year, is negligible.

• For certain topics, the guidelines provide differing recommendations.

• Universal guidelines might enhance uniformity in clinical practice and quality of comparative studies.

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Smeets, M.J.R., Liem, R.S.L. No Uniformity in the References of Clinical Practice Guidelines for Bariatric Surgery: a Review of 3 Similar Guidelines Published in 2020..OBES SURG 31, 5427–5440 (2021). https://doi.org/10.1007/s11695-021-05746-7

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