title: Current clinical practice guidelines in atrial fibrillation: a review.
abstract: The aim of this study is the methodological evaluation of Clinical Practice Guidelines (CPG) in atrial fibrillation. This is the second in a series of articles of review, analysis, assessment in methodology and content of clinical practice guidelines in Cardiology. Among all clinical practice guidelines, we selected the American, Canadian and NICE (National Institute for Health and Care Excellence) guidelines. We used the AGREE (Appraisal of Guidelines for Research and Evaluation) II instrument for the assessment. In general, the guidelines obtained the lowest score in the applicability domain (mean 36.1%); while the highest score was for clarity of presentation (mean 93.5%). The lowest percentage was found in the editorial independence domain (Canadian guideline) and the highest of all scores in the applicability domain (NICE guideline). Regarding global quality, the NICE guideline obtained the AGREE II instrument best scores, followed by the American guideline, both recommended for use without modifications.
authors.affiliation: Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú; Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú; G.A.C. N° 116, Centro Médico 32° Brigada de Infantería, Ejército del Perú, Trujillo, Perú; Guidelines International Network, Escocia. Address: Scientia Clinical and Epidemiological Research Institute, Manzana G, Lote 22, Urbanización Vista Hermosa, Trujillo, La Libertad, Perú. Email: jgalvezo@scientiaceri.com.
authors.forename: José Kelvin
authors.initials: JK
authors.lastname: Galvez-Olortegui
authors.affiliation: Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú; Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú
authors.forename: Mayita Lizbeth
authors.initials: ML
authors.lastname: Álvarez-Vargas
authors.affiliation: Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú; Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú; Instituto Regional de Oftalmología, La Libertad, Trujillo, Perú
authors.forename: Tomas Vladimir
authors.initials: TV
authors.lastname: Galvez-Olortegui
authors.affiliation: Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú; Instituto Nacional del Corazón, Lima, Perú
authors.forename: Armando
authors.initials: A
authors.lastname: Godoy-Palomino
authors.affiliation: Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú; Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú; Servicio de Medicina Interna, Hospital I "Florencia de Mora", Trujillo, Perú
authors.forename: Luis
authors.initials: L
authors.lastname: Camacho-Saavedra
mesh_terms: D001281:Atrial Fibrillation / Q000175:diagnosis / Q000628:therapy*; D002170:Canada; D006801:Humans; D017410:Practice Guidelines as Topic; D006113:United Kingdom; D014481:United States
keywords: anticoagulants; arrhythmias; atrial fibrillation; cardiac; clinical practice guidelines