Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

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Published online 2020 Oct 8. doi: 10.1089/acm.2020.0181

Copyright/LicenseRequest permission to reuse: Copyright © Cheryl Hawk et al. 2020; Published by Mary Ann Liebert, Inc.
This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Table 1.

AGREE Global Rating Scale

Each item is rated on a 1–7 scale from lowest (1) to highest (7) quality; maximum score = 49. Quality assessed as follows:

• Divide total score by 7 for average score.

• High quality: average 6–7; acceptable quality: average 4–5; unacceptable quality: <4

Process of development

1. Rate the overall quality of the guideline development methods.

• Were the appropriate stakeholders involved in the development of the guideline?

• Was the evidentiary base developed systematically?

• Were recommendations consistent with the literature

Presentation style

2. Rate the overall quality of the guideline presentation.

• Was the guideline well organized?

• Were the recommendations easy to find?

Completeness of reporting

3. Rate the completeness of reporting.

• Was the guideline development process transparent and reproducible?

• How complete was the information to inform decision-making?

Clinical validity

4. Rate the overall quality of the guideline recommendations.

• Are the recommendations clinically sound?

• Are the recommendations appropriate for the intended patients?

Overall assessment

5. Rate the overall quality of this guideline.

6. I would recommend this guideline for use in practice.

7. I would make use of a guideline of this quality in my professional decisions.