- •AGREE tools support the development, reporting, and appraisal of guidance.
- •AGREE II tool targets the entire practice guideline process.
- •AGREE-REX tool targets recommendations.
- •AGREE-HS tool targets health system guidance documents.
- •To apply the tools, consider type or part of the guideline, goals, and resources.
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- Development and application of a generic methodology to assess the quality of clinical guidelines.Int J Qual Health Care. 1999; 11: 21-28
- The AGREE Collaboration Writing Group: development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project.Qual Saf Health Care. 2003; 12: 18-23
- The AGREE Enterprise: a decade of advancing clinical practice guidelines.Implement Sci. 2014; 9: 103
- AGREE II: advancing guideline development, reporting and evaluation in health care.CMAJ. 2010; 182: E839-E842
- Development of the AGREE II, part 1: performance, usefulness and areas for improvement.CMAJ. 2010; 182: 1045-1052
- Development of the AGREE II, part 2: assessment of validity of items and tools to support application.CMAJ. 2010; 182: E472-E478
- The Global Rating Scale complements the AGREE II in advancing the quality of practice guidelines.J Clin Epidemiol. 2012; 65: 526-534
- Validity and usability testing of a health systems guidance appraisal tool, the AGREE-HS.Health Res Policy Syst. 2018; 16: 51
- The AGREE Reporting Checklist: a tool to improve reporting of clinical practice guidelines.BMJ. 2016; 352: i1152
- A randomized trial to evaluate e-learning interventions designed to improve learner's performance, satisfaction, and self-efficacy with the AGREE II.Implement Sci. 2010; 5: 29
- Reporting items for updated clinical guidelines: checklist for the reporting of updated guidelines (CheckUp).PLoS Med. 2017; 14: e1002207
- Development and Validation of a Tool to Assess the Quality of Clinical Practice Guideline Recommendations.JAMA Network Open. 2020; 3 (e205535–e205535.)https://doi.org/10.1001/jamanetworkopen.2020.5535
- When is good, good enough? Methodological pragmatism for sustainable guideline development.Implement Sci. 2015; 10: 28
- Health measurement scales: a practical guide to their development and use.Oxford University Press, New York, NY2015
- Rigorous development does not ensure that guidelines are acceptable to a panel of knowledgeable providers.J Gen Intern Med. 2008; 23: 37-44
- Systematic review of current guideline appraisals performed with the appraisal of guidelines for research & evaluation II instrument—a third of AGREE II users apply a cut-off for guideline quality.J Clin Epidemiol. 2018; 95: 120-127
Financial support: Development of the AGREE tools described in this manuscript was supported by grants from the Canadian Institutes of Health Research (CIHR). The funding organization had no involvement in the development of the AGREE tools or the writing of this manuscript. M.E.K. is supported by a Canada Research Chair.
Disclosures: The authors report no financial relationships with any organizations that might have an interest in the submitted work and no other relationships or activities that could appear to have influenced the submitted work.
Linked Information: More information about the AGREE Portfolio of tools can be found on the AGREE Enterprise website at www.agreetrust.org.