Discrepancies in breast cancer guideline recommendations despite similar Cochrane systematic review conclusions

© 2024 The Authors. Journal of Evidence‐Based Medicine published by Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd..

AIM: This study aims to describe the citation patterns of Cochrane systematic reviews (CSR) in guidelines for managing breast cancer.

METHODS: We searched for systematic reviews on breast cancer in The Cochrane Library from the date of inception to November 15, 2023, and identified guidelines that cited them. We described how systematic reviews were cited by the guidelines in each database and each year. Additionally, we presented the relationships between the conclusions of the systematic reviews and guideline recommendations and compared the consistency of the recommendations on the same topic across different guidelines.

RESULTS: A total of 64 systematic reviews and 228 guidelines were included in this study. The average number of the 64 systematic reviews cited by the guidelines was 5.91. We found that the guideline recommendations were irrelevant or inconsistent with the conclusions of the systematic reviews in 56 (38.36%) cited entries. We grouped recommendations on the same topic across different guidelines into one group, of which only 5 groups (15.15%) had completely consistent recommendations, and the other 28 groups (84.85%) had inconsistent recommendations.

CONCLUSION: The average number of citations for CSR on breast cancer in the guidelines was 5.91. There were also situations in which the guideline recommendations were inconsistent with the conclusions of the included systematic reviews, and recommendations on the same topic across different guidelines were inconsistent.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Journal of evidence-based medicine - 17(2024), 1 vom: 08. März, Seite 17-25

Sprache:

Englisch

Beteiligte Personen:

Zhang, Zhigang [VerfasserIn]
Cheng, Jie [VerfasserIn]
Hou, Jialu [VerfasserIn]
Niu, Mingming [VerfasserIn]
Gao, Ya [VerfasserIn]
Xu, Jianguo [VerfasserIn]
Zheng, Qingyong [VerfasserIn]
Ji, Kexin [VerfasserIn]
Zhang, Min [VerfasserIn]
Hao, Tian [VerfasserIn]
Li, Ning [VerfasserIn]
Han, Xinyi [VerfasserIn]
Ma, Xiujuan [VerfasserIn]
Kong, Jiajia [VerfasserIn]
Wang, Rui [VerfasserIn]
Zhao, Ye [VerfasserIn]
Tian, Jinhui [VerfasserIn]
Hu, Xiaofang [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
Guideline
Journal Article
Systematic reviews

Anmerkungen:

Date Completed 01.04.2024

Date Revised 01.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jebm.12581

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369495101