AUTHOR=Qin Zi-Han , Yang Xin , Zheng Ya-Qi , An Li-Ya , Yang Ting , Du Yu-Lu , Wang Xiao , Zhao Shu-Han , Li Hao-Han , Sun Cheng-Kai , Sun Da-Li , Lin Yue-Ying TITLE=Quality evaluation of metabolic and bariatric surgical guidelines JOURNAL=Frontiers in Endocrinology VOLUME=14 YEAR=2023 URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2023.1118564 DOI=10.3389/fendo.2023.1118564 ISSN=1664-2392 ABSTRACT=Objective

To evaluate the quality of surgical guidelines on bariatric/metabolic surgery.

Methods

Four independent reviewers used the AGREE II (The Appraisal of Guidelines for Research and Evaluation II) tool to assess the methodological quality of the included guidelines and conducted a comparative analysis of the main recommendations for surgical methods of these guidelines.

Results

Nine surgical guidelines were included in this study. Five articles with AGREE II scores over 60% are worthy of clinical recommendation. The field of rigor of development was relatively low, with an average score of 50.82%. Among 15 key recommendations and the corresponding best evidence in the guidelines, only 4 key recommendations were grade A recommendations.

Conclusions

The quality of metabolic and bariatric guidelines is uneven, and there is much room for improvement.