TY - JOUR
T1 - Compliance of health professionals with the recommendations of the ESPEN Clinical Practice Guidelines
T2 - Results of ad hoc questionnaire
AU - Bozzetti, Federico
AU - Mariani, Luigi
AU - Laviano, Alessandro
PY - 2014/2
Y1 - 2014/2
N2 - Background & aims: There is little information regarding the compliance of the ESPEN guidelines by health professionals. This survey aims to assess the compliance to these guidelines by the ESPEN members. Methods: Structured questionnaires were emailed to ESPEN members to collect information on: a) characteristics of the responders (demographic items, affiliations, practical/scientific involvement in clinical nutrition); b) satisfaction and compliance with grade A recommendations of 10 pathologic areas reported in the ESPEN guidelines; c) missing/poorly-represented issues; d) suggestions to improve the quality of future guidelines. Results: There were 131 responders (81% from Europe). Compliance in distinct pathologic areas was 77% on average and ranged from 66% (intensive care) to 85% (renal diseases). Surgery, intensive care and liver diseases had the higher number of disregarded recommendations and experts/specialists were somewhat more likely to disagree with them. Missing/underrepresented issues were more frequent in intensive care area followed by geriatrics. Half of responders would appreciate a second option, should the grade A recommendation be impossible to follow. Conclusion: ESPEN guidelines were generally well acknowledged by the users despite disagreement and dissatisfaction with a few of them. This survey provides the cue to complete/improve future guidelines and to address the research to more crucial issues.
AB - Background & aims: There is little information regarding the compliance of the ESPEN guidelines by health professionals. This survey aims to assess the compliance to these guidelines by the ESPEN members. Methods: Structured questionnaires were emailed to ESPEN members to collect information on: a) characteristics of the responders (demographic items, affiliations, practical/scientific involvement in clinical nutrition); b) satisfaction and compliance with grade A recommendations of 10 pathologic areas reported in the ESPEN guidelines; c) missing/poorly-represented issues; d) suggestions to improve the quality of future guidelines. Results: There were 131 responders (81% from Europe). Compliance in distinct pathologic areas was 77% on average and ranged from 66% (intensive care) to 85% (renal diseases). Surgery, intensive care and liver diseases had the higher number of disregarded recommendations and experts/specialists were somewhat more likely to disagree with them. Missing/underrepresented issues were more frequent in intensive care area followed by geriatrics. Half of responders would appreciate a second option, should the grade A recommendation be impossible to follow. Conclusion: ESPEN guidelines were generally well acknowledged by the users despite disagreement and dissatisfaction with a few of them. This survey provides the cue to complete/improve future guidelines and to address the research to more crucial issues.
KW - Adherence to guidelines
KW - Compliance with guidelines
KW - ESPEN Clinical Practice Guidelines
KW - Quality of the guidelines
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U2 - 10.1016/j.clnme.2013.11.001
DO - 10.1016/j.clnme.2013.11.001
M3 - Article
AN - SCOPUS:84892962428
VL - 9
JO - e-SPEN
JF - e-SPEN
SN - 2212-8263
IS - 1
ER -