Pediatric Gastroenterology, Hepatology & Nutrition

  • 제25권2호
  • /
  • Pages.109-120
  • /
  • 2022
  • /
  • 2234-8646(pISSN)
  • /
  • 2234-8840(eISSN)
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)
권호 표지
DOI QR코드

DOI QR Code

Clinical Practice Guidelines on Pediatric Gastroesophageal Reflux Disease: A Systematic Quality Appraisal of International Guidelines

  • Harris, Jacob (Department of Otorhinolaryngology, University of Pennsylvania) ;
  • Chorath, Kevin (Department of Otorhinolaryngology, University of Pennsylvania) ;
  • Balar, Eesha (Department of Otorhinolaryngology, University of Pennsylvania) ;
  • Xu, Katherine (Department of Otorhinolaryngology, University of Pennsylvania) ;
  • Naik, Anusha (Department of Otorhinolaryngology, University of Pennsylvania) ;
  • Moreira, Alvaro (Department of Pediatrics, University of Texas Health-San Antonio) ;
  • Rajasekaran, Karthik (Department of Otorhinolaryngology, University of Pennsylvania)
  • 투고 : 2021.07.03
  • 심사 : 2022.02.06
  • 발행 : 2022.03.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: While regurgitation is a common and often benign phenomenon in infants and younger children, it can also be a presenting symptom of gastroesophageal reflux disease (GERD). If untreated, GERD can lead to dangerous or lifelong complications. Clinical practice guidelines (CPGs) have been published to inform clinical diagnosis and management of pediatric GERD, but to date there has been no comprehensive review of guideline quality or methodological rigor. Methods: A systematic literature search was performed, and a total of eight CPGs pertaining to pediatric GERD were identified. These CPGs were evaluated using the Appraisal of Guidelines for Research and Evaluation instrument. Results: Three CPGs were found to be "high" quality, with 5 of 6 domains scoring >60%, one "average" quality, with 4 of 6 domains meeting that threshold, and the remaining four "low" quality. Conclusion: Areas of strength among the CPGs included "Scope and Purpose" and "Clarity and Presentation," as they tended to be well-written and easily understood. Areas in need of improvement were "Stakeholder Involvement," "Rigor of Development," and "Applicability," suggesting these CPGs may not be appropriate for all patients or providers. This analysis found that while strong CPGs pertaining to the diagnosis and treatment of pediatric GERD exist, many published guidelines lack methodological rigor and broad applicability.

키워드

과제정보

AM reports a grant from the Parker B. Francis Foundation and a research grant from 2R25-HL126140, outside the submitted work. All other authors declare no competing interests.

참고문헌

  1. Vakil N. Disease definition, clinical manifestations, epidemiology and natural history of GERD. Best Pract Res Clin Gastroenterol 2010;24:759-64. https://doi.org/10.1016/j.bpg.2010.09.009
  2. Fuchs KH, Babic B, Breithaupt W, Dallemagne B, Fingerhut A, Furnee E, et al. EAES recommendations for the management of gastroesophageal reflux disease. Surg Endosc 2014;28:1753-73. https://doi.org/10.1007/s00464-014-3431-z
  3. Baird DC, Harker DJ, Karmes AS. Diagnosis and treatment of gastroesophageal reflux in infants and children. Am Fam Physician 2015;92:705-14.
  4. Barron JJ, Tan H, Spalding J, Bakst AW, Singer J. Proton pump inhibitor utilization patterns in infants. J Pediatr Gastroenterol Nutr 2007;45:421-7. https://doi.org/10.1097/MPG.0b013e31812e0149
  5. Scherer LD, Zikmund-Fisher BJ, Fagerlin A, Tarini BA. Influence of "GERD" label on parents' decision to medicate infants. Pediatrics 2013;131:839-45. https://doi.org/10.1542/peds.2012-3070
  6. Michail S. Gastroesophageal reflux. Pediatr Rev 2007;28:101-10. https://doi.org/10.1542/pir.28-3-101
  7. Lightdale JR, Gremse DA. Gastroesophageal reflux: management guidance for the pediatrician. Pediatrics 2013;131:e1684-95. https://doi.org/10.1542/peds.2013-0421
  8. Leung AK, Hon KL. Gastroesophageal reflux in children: an updated review. Drugs Context 2019;8:212591.
  9. Rybak A, Pesce M, Thapar N, Borrelli O. Gastro-esophageal reflux in children. Int J Mol Sci 2017;18:1671. https://doi.org/10.3390/ijms18081671
  10. Singendonk M, Goudswaard E, Langendam M, van Wijk M, van Etten-Jamaludin F, Benninga M, et al. Prevalence of gastroesophageal reflux disease symptoms in infants and children: a systematic review. J Pediatr Gastroenterol Nutr 2019;68:811-7. https://doi.org/10.1097/mpg.0000000000002280
  11. Farahmand F, Sabbaghian M, Ghodousi S, Seddighoraee N, Abbasi M. Gastroesophageal reflux disease and tooth erosion: a cross-sectional observational study. Gut Liver 2013;7:278-81. https://doi.org/10.5009/gnl.2013.7.3.278
  12. Gremse DA. GERD in the pediatric patient: management considerations. MedGenMed 2004;6:13.
  13. Friedman C, Sarantos G, Katz S, Geisler S. Understanding gastroesophageal reflux disease in children. JAAPA 2021;34:12-8.
  14. Bingham SM, Muniyappa P. Pediatric gastroesophageal reflux disease in primary care: evaluation and care update. Curr Probl Pediatr Adolesc Health Care 2020;50:100784. https://doi.org/10.1016/j.cppeds.2020.100784
  15. Murad MH. Clinical practice guidelines: a primer on development and dissemination. Mayo Clin Proc 2017;92:423-33. https://doi.org/10.1016/j.mayocp.2017.01.001
  16. Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al.; AGREE Next Steps Consortium. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ 2010;182:E839-42. https://doi.org/10.1503/cmaj.090449
  17. Vlayen J, Aertgeerts B, Hannes K, Sermeus W, Ramaekers D. A systematic review of appraisal tools for clinical practice guidelines: multiple similarities and one common deficit. Int J Qual Health Care 2005;17:235-42. https://doi.org/10.1093/intqhc/mzi027
  18. Luu NN, Chorath KT, May BR, Bhuiyan N, Moreira AG, Rajasekaran K. Clinical practice guidelines in idiopathic facial paralysis: systematic review using the appraisal of guidelines for research and evaluation (AGREE II) instrument. J Neurol 2021;268:1847-56. https://doi.org/10.1007/s00415-020-10345-0
  19. Chorath K, Garza L, Tarriela A, Luu N, Rajasekaran K, Moreira A. Clinical practice guidelines on newborn hearing screening: a systematic quality appraisal using the AGREE II instrument. Int J Pediatr Otorhinolaryngol 2021;141:110504. https://doi.org/10.1016/j.ijporl.2020.110504
  20. International Pediatric Endosurgery Group (IPEG). IPEG guidelines for the surgical treatment of pediatric gastroesophageal reflux disease (GERD). J Laparoendosc Adv Surg Tech A 2009;19 Suppl 1:x-xiii. https://doi.org/10.1089/lap.2009.9982.supp
  21. Papachrisanthou MM, Davis RL. Clinical practice guidelines for the management of gastroesophageal reflux and gastroesophageal reflux disease: 1 year to 18 years of age. J Pediatr Health Care 2016;30:289-94. https://doi.org/10.1016/j.pedhc.2015.08.004
  22. Papachrisanthou MM, Davis RL. Clinical practice guidelines for the management of gastroesophageal reflux and gastroesophageal reflux disease: birth to 1 year of age. J Pediatr Health Care 2015;29:558-64. https://doi.org/10.1016/j.pedhc.2015.07.009
  23. Chang AB, Oppenheimer JJ, Kahrilas PJ, Kantar A, Rubin BK, Weinberger M, et al. Chronic cough and gastroesophageal reflux in children: CHEST guideline and expert panel report. Chest 2019;156:131-40. https://doi.org/10.1016/j.chest.2019.03.035
  24. Dell Children's Medical Center of Central Texas. Endocrinology management and referral guidelines. Austin: Dell Children's Medical Center of Central Texas, 2016.
  25. Sherman PM, Hassall E, Fagundes-Neto U, Gold BD, Kato S, Koletzko S, et al. A global, evidencebased consensus on the definition of gastroesophageal reflux disease in the pediatric population. Am J Gastroenterol 2009;104:1278-95; quiz 1296. https://doi.org/10.1038/ajg.2009.129
  26. Davies I, Burman-Roy S, Murphy MS. Gastro-oesophageal reflux disease in children: NICE guidance. BMJ 2015;350:g7703. https://doi.org/10.1136/bmj.g7703
  27. The Royal Children's Hospital Melbourne. Gastrooesophageal reflux disease in infants. Melbourne: Royal Children's Hospital Melbourne, 2019.
  28. Rosen R, Vandenplas Y, Singendonk M, Cabana M, DiLorenzo C, Gottrand F, et al. Pediatric gastroesophageal reflux clinical practice guidelines: joint recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2018;66:516-54. https://doi.org/10.1097/MPG.0000000000001889
  29. Shiffman RN, Shekelle P, Overhage JM, Slutsky J, Grimshaw J, Deshpande AM. Standardized reporting of clinical practice guidelines: a proposal from the Conference on Guideline Standardization. Ann Intern Med 2003;139:493-8. https://doi.org/10.7326/0003-4819-139-6-200309160-00013
  30. Ahmed TF, Khandwala F, Abelson TI, Hicks DM, Richter JE, Milstein C, et al. Chronic laryngitis associated with gastroesophageal reflux: prospective assessment of differences in practice patterns between gastroenterologists and ENT physicians. Am J Gastroenterol 2006;101:470-8. https://doi.org/10.1111/j.1572-0241.2006.00502.x
  31. Legare F, Boivin A, van der Weijden T, Pakenham C, Burgers J, Legare J, et al. Patient and public involvement in clinical practice guidelines: a knowledge synthesis of existing programs. Med Decis Making 2011;31:E45-74. https://doi.org/10.1177/0272989x11424401
  32. Hoffmann-Esser W, Siering U, Neugebauer EAM, Brockhaus AC, McGauran N, Eikermann M. Guideline appraisal with AGREE II: online survey of the potential influence of AGREE II items on overall assessment of guideline quality and recommendation for use. BMC Health Serv Res 2018;18:143. https://doi.org/10.1186/s12913-018-2954-8
  33. Balshem H, Helfand M, Schunemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 2011;64:401-6. https://doi.org/10.1016/j.jclinepi.2010.07.015
  34. Eibling D, Fried M, Blitzer A, Postma G. Commentary on the role of expert opinion in developing evidence-based guidelines. Laryngoscope 2014;124:355-7. https://doi.org/10.1002/lary.24175
  35. Alonso-Coello P, Irfan A, Sola I, Gich I, Delgado-Noguera M, Rigau D, et al. The quality of clinical practice guidelines over the last two decades: a systematic review of guideline appraisal studies. Qual Saf Health Care 2010;19:e58.
  36. Cooper ID, Crum JA. New activities and changing roles of health sciences librarians: a systematic review, 1990-2012. J Med Libr Assoc 2013;101:268-77. https://doi.org/10.3163/1536-5050.101.4.008
  37. Flores G, Lee M, Bauchner H, Kastner B. Pediatricians' attitudes, beliefs, and practices regarding clinical practice guidelines: a national survey. Pediatrics 2000;105(3 Pt 1):496-501. https://doi.org/10.1542/peds.105.3.496
  38. Hendaus MA, Alhammadi AH, Razig EA, Alnaimi L. Pediatricians' perceptions of clinical practice guidelines. J Multidiscip Healthc 2014;7:349-54.
  39. Quitadamo P, Papadopoulou A, Wenzl T, Urbonas V, Kneepkens CM, Roman E, et al. European pediatricians' approach to children with GER symptoms: survey of the implementation of 2009 NASPGHAN-ESPGHAN guidelines. J Pediatr Gastroenterol Nutr 2014;58:505-9. https://doi.org/10.1097/MPG.0b013e3182a69912
  40. Isaac A, Saginur M, Hartling L, Robinson JL. Quality of reporting and evidence in American Academy of Pediatrics guidelines. Pediatrics 2013;131:732-8. https://doi.org/10.1542/peds.2012-2027