Insight into the methodology and uptake of EAES guidelines: a qualitative analysis and survey by the EAES Consensus & Guideline Subcommittee
- 2 April 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Surgical Endoscopy
- Vol. 35 (3), 1238-1246
- https://doi.org/10.1007/s00464-020-07494-8
Abstract
Background Over the past 25 years, the European Association for Endoscopic Surgery (EAES) has been issuing clinical guidance documents to aid surgical practice. We aimed to investigate the awareness and use of such documents among EAES members. Additionally, we conceptually appraised the methodology used in their development in order to propose a bundle of actions for quality improvement and increased penetration of clinical practice guidelines among EAES members. Methods We invited members of EAES to participate in a web-based survey on awareness and use of these documents. Post hoc analyses were performed to identify factors associated with poor awareness/use and the reported reasons for limited use. We further summarized and conceptually analyzed key methodological features of clinical guidance documents published by EAES. Results Three distinct consecutive phases of methodological evolvement of clinical guidance documents were evident: a “consensus phase,” a “guideline phase,” and a “transitional phase”. Out of a total of 254 surgeons who completed the survey, 72% percent were aware of EAES guidelines and 47% reported occasional use. Young age and trainee status were associated with poor awareness and use. Restriction by colleagues was the primary reason for limited use in these subgroups. Conclusions The methodology of EAES clinical guidance documents is evolving. Awareness among EAES members is fair, but use is limited. Dissemination actions should be directed to junior surgeons and trainees.Keywords
Funding Information
- European Association for Endoscopic Surgery and other Interventional Techniques
This publication has 43 references indexed in Scilit:
- EAES Consensus Development Conference on endoscopic repair of groin herniasSurgical Endoscopy, 2013
- GRADE guidelines: 7. Rating the quality of evidence—inconsistencyJournal of Clinical Epidemiology, 2011
- GRADE guidelines: 9. Rating up the quality of evidenceJournal of Clinical Epidemiology, 2011
- Laparoscopic extraperitoneal rectal cancer surgery: the clinical practice guidelines of the European Association for Endoscopic Surgery (EAES)Surgical Endoscopy, 2011
- The rate of growth in scientific publication and the decline in coverage provided by Science Citation IndexScientometrics, 2010
- Incorporating considerations of resources use into grading recommendationsBMJ, 2008
- Grading quality of evidence and strength of recommendations for diagnostic tests and strategiesBMJ, 2008
- Going from evidence to recommendationsBMJ, 2008
- GRADE: an emerging consensus on rating quality of evidence and strength of recommendationsBMJ, 2008
- Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES)Surgical Endoscopy, 2004