Updating clinical guidelines

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In total, 25 (41.7%; 25/60) of the included CGs addressed the management of a specific disease.

Other CGs address solely the treatment (25.0%; 15/60), screening (15.0%; 9/60), diagnosis (11.7%; 7/60), or prevention (6.7%; 4/60) of a healthcare problem.

We conducted an international survey to identify current practices in CPG updating and explored the need to standardize and improve the methods.

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Three reviewers (RV, IDF, LHA, or MHFP) independently evaluated each CG with Check Up, and whenever the included CGs referred to supplemental documents (e.g.

We calculated domain scores (median and range) by summing up all scores of the individual items for each domain: presentation of the updated CG (6 items), editorial independence (3 items), and the methodology of the updating process (7 items).

Additionally, we calculated the overall score (median and range) by summing up all scores of the individual items.

The Checklist for the Reporting of Updated Guidelines (Check Up) was recently developed.

However, so far, no systematic assessment of the reporting of updated clinical guidelines (CGs) exists.

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