Quality of Australian clinical guidelines and relevance to the care of older people with multiple morbid conditions

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dc.contributor.authorVitry, A.
dc.contributor.authorZhang, Y.
dc.date.issued2008
dc.description.abstractObjective: To assess the quality of Australian clinical guidelines for chronic diseases and their relevance to older people with multiple comorbid conditions. Design: Selection and assessment of national clinical guidelines for chronic conditions listed as National Health Priority Areas: cardiovascular health, diabetes mellitus, mental health, asthma, arthritis and musculoskeletal conditions, and cancer. Main outcome measures: Standardised mean scores obtained with the Appraisal of Guidelines Research and Evaluation (AGREE) instrument (criteria grouped into six domains: scope and purpose; stakeholder involvement; rigour of development; clarity and presentation; applicability; and editorial independence). Relevance of guidelines for older people with multiple comorbid conditions. Results: 17 guidelines were included in the study. Guidelines approved by the National Health and Medical Research Council (NHMRC) scored significantly better than those not approved by the NHMRC in all domains except for editorial independence and clarity and presentation. The mean quality of guidelines not approved by the NHMRC was below 50% in all domains except clarity and presentation. Half of the guidelines addressed treatment for older patients or for patients with one comorbid condition, but only one addressed treatment for older patients with multiple comorbid conditions. Conclusions: Professional societies and charities should be encouraged and supported to develop clinical guidelines in compliance with NHMRC requirements. Future guidelines should place more emphasis on the management of older people with multiple comorbid conditions.
dc.description.statementofresponsibilityAgnes I Vitry and Ying Zhang
dc.identifier.citationMedical Journal of Australia, 2008; 189(7):360-365
dc.identifier.doi10.5694/j.1326-5377.2008.tb02079.x
dc.identifier.issn0025-729X
dc.identifier.issn1326-5377
dc.identifier.orcidZhang, Y. [0000-0001-6214-2440]
dc.identifier.urihttp://hdl.handle.net/2440/48150
dc.language.isoen
dc.publisherAustralasian Med Publ Co Ltd
dc.rightsCopyright 2008 Australasian Medical Publishing Company
dc.source.urihttp://www.mja.com.au/public/issues/189_07_061008/vit11469_fm.html
dc.subjectHumans
dc.subjectNeoplasms
dc.subjectMusculoskeletal Diseases
dc.subjectArthritis
dc.subjectAsthma
dc.subjectCardiovascular Diseases
dc.subjectDiabetes Mellitus
dc.subjectChronic Disease
dc.subjectMental Disorders
dc.subjectComorbidity
dc.subjectQuality of Life
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectHealth Services Research
dc.subjectQuality of Health Care
dc.subjectAustralia
dc.subjectPractice Guidelines as Topic
dc.titleQuality of Australian clinical guidelines and relevance to the care of older people with multiple morbid conditions
dc.typeJournal article
pubs.publication-statusPublished

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