Airway management

Difficult airway management: An analysis of systematic review evidence underpinning clinical practice guidelines

Anaesth Crit Care Pain MedPublished Meta-research study

Authors' conclusion

SRs cited in DAM CPGs demonstrate inconsistent quality, reflecting a need for stricter adherence to reporting and methodological standards.

Study context

Population
Systematic reviews (SRs) cited in difficult airway management clinical practice guidelines (CPGs) published 2015–2021SRs from 14 CPGs
Participants
63 participants
Comparison
Cochrane vs non-Cochrane SRs
  • Cochranen = 3
Outcome
Reporting clarity (PRISMA) and methodological rigor (AMSTAR-2) of SRs
Methodological detailsmethodological quality assessment of systematic reviews cited in clinical practice guidelines, PRISMA and AMSTAR-2 assessment, PubMed search, CPGs 2015–2021
  • Methodological quality assessment of systematic reviews cited in clinical practice guidelines
  • PRISMA and AMSTAR-2 assessment
  • PubMed search, CPGs 2015–2021

Main finding

As reported in the abstract

PRISMA and AMSTAR-2 completion scores of the 20 SRs directly informing recommendations

Mean PRISMA completion score

73.4%

Mean AMSTAR-2 completion score

49.3%

Further findings

AMSTAR-2 score, Cochrane vs non-Cochrane SRs

Cochrane SRs scored higher on AMSTAR-2 than non-Cochrane SRs
  • Only three Cochrane SRs included

Original publication

Difficult airway management: An analysis of systematic review evidence underpinning clinical practice guidelines. Anaesth Crit Care Pain Med. Published 1 May 2025. doi:10.1016/j.accpm.2025.101534

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