[ÀÓ»óÁø·áÁöħÀÇ ÁúÆò°¡]

[ÀÓ»óÁø·áÁöħÀÇ ÁúÆò°¡ µµ±¸]

1. AGREE-II

2. IOM instrument - Provisional instrument for assessing clinical practice guidelines

3. MERGE instrument - Method for evaluating research and guideline evidence

4. Cluzeau instrument - Cluzeau's appraisal instrument for clinical guidelines

5. Shneyfelt instrument - Chaneyfelt's methodologic appraisal instrument


@ K-AGREE II µ¥ÀÌŸ ÀÔ·Â form - ÀÌ ÆÄÀÏÀ» Ãâ·ÂÇؼ­ Æò°¡Çϸé ÆíÇÏ´Ù.

[1. AGREE µµ±¸ °³¹ßÀÇ Ãʱ⠿ª»ç]

AGREE (Appraisal of Guidelines Research and Evaluation) µµ±¸´Â ±¹Á¦ÀûÀ¸·Î °¡Àå ³Î¸® È°¿ëµÇ°í ÀÖ´Â ÀÓ»óÁø·áÁöħ Æò°¡µµ±¸À̸鼭 µ¿½Ã¿¡ »õ·Î¿î ÀÓ»óÁø·áÁöħÀ» °³¹ßÇÏ´Â ±æÀâÀÌ·Î ¾²ÀÌ°í ÀÖ´Ù.

6°³ ¿µ¿ª, 23°³ Ç׸ñÀ¸·Î ±¸¼ºµÈ ÃÖÃÊÀÇ AGREE´Â AGREE CollaborationÀ̶ó´Â ´Üü°¡ EUÀÇ ¿¬±¸ºñ Áö¿ø(EU BIOMED2 Programme, BMH4-98-3669)À» ¹Þ¾Æ 2001³â 9¿ù óÀ½ °³¹ßÇÏ¿´À¸¸ç ±×¿¡ ´ëÇÑ ³í¹®Àº Qual Saf Health Care. 2003 Feb;12(1):18-23¿¡ ¹ßÇ¥µÇ¾ú´Ù. 2004³â AGREE CollaborationÀÇ È°µ¿ÀÌ Á¾·áµÇ¸é¼­ AGREE Research Trust (ART)¶ó´Â µ¶¸³ÀûÀÎ ´Üü°¡ ¸¸µé¾îÁ³´Ù. ÇöÀç AGREE°ü·Ã ¸ðµç ÀúÀÛ±ÇÀº ART°¡ °¡Áö°í ÀÖ´Ù. AGREE µµ±¸´Â www.agreetrust.org¿¡¼­ ³»·Á¹ÞÀ» ¼ö ÀÖ´Ù.


ART ȨÆäÀÌÁö (accessed: 2010-11-14)


[2. AGREE II]

AGREE µµ±¸¸¦ ´õ¿í ¹ßÀü½ÃÅ°±â À§ÇÏ¿© AGREE Next Steps ConsortiumÀÌ °á¼ºµÇ¾ú´Ù. ij³ª´ÙÀÇ ¿¬±¸ºñ Áö¿ø(Canadian Institutes of Health Research, FRN77822)À» ¹Þ¾Æ ¿À·£ ÀÛ¾÷³¡¿¡ 2009³â 3¿ù AGREE II°¡ °³¹ßµÇ¾ú°í ±×¿¡ ´ëÇÑ ³í¹®Àº Can Med Assoc J¿¡ part 1: performance, usefulness and areas for improvement°ú part 2: assessment of validity of items and tools to support·Î ³ª´©¾î ¹ßÇ¥µÇ¾ú´Ù.

AGREE II´Â ±× ¸ñÀûÀ» ´ÙÀ½°ú °°ÀÌ ¹àÈ÷°í ÀÖ´Ù.
1. to assess the quality of guidelines
2. to provide a methodological strategy for the development of guidelines
3. to inform what information and how information ought to be reported in guidelines

AGREE II¸¦ ÀοëÇÏ´Â ¹æ¹ýÀº ´ÙÀ½°ú °°´Ù. "AGREE Next Steps Consortium (2009). The AGREE II Instrument [Electronic version]. Retrived , from http://www.agreetrust.ort.


[3. AGREE IIÀÇ ¹èÁ¡ ôµµ]

ÃÖ¼Ò 2¸í ÀÌ»óÀÇ Æò°¡ÀÚ°¡ Âü¿©ÇÏ¿© °¢ Ç׸ñÀ» 7Á¡ ôµµ·Î Æò°¡ÇÑ´Ù.

1) 1Á¡ (ÀüÇô µ¿ÀǾÈÇÔ, strongly disagree): Ç׸ñº°·Î AGREE II Æò°¡ µµ±¸¿Í °ü·ÃµÈ Á¤º¸°¡ ÀüÇô ¾ø°Å³ª ¶Ç´Â ±× °³³äÀÌ ¸Å¿ì ºÎÁ·ÇÏ°Ô º¸°íµÇ°í ÀÖ´Â °æ¿ì¿¡´Â 1Á¡ÀÌ ÁÖ¾îÁö°Ô µÈ´Ù.

2) 2Á¡ºÎÅÍ 6Á¡: AGREE II µµ±¸ Ç׸ñº°·Î Á¦½ÃµÈ ¸ðµç ±âÁØÀ̳ª °í·Á»çÇ×µéÀ» ÃæÁ·ÇÏÁö ¸øÇÏ´Â °æ¿ì¿¡ 2Á¡ºÎÅÍ 6Á¡ »çÀÌÀÇ Á¡¼ö¸¦ ºÎ¿©ÇÒ ¼ö ÀÖ´Ù. Áø·áÁöħ ³»¿ëÀÇ Áú°ú ¿Ï¼ºµµ¿¡ µû¶ó¼­ Á¡¼ö¸¦ ¸Å±â°Ô µÈ´Ù. Æò°¡ ±âÁØ¿¡ ´õ ºÎÇյǴ Áø·áÁöħÀϼö·Ï ±×¸®°í Á¦½ÃÇÏ°í ÀÖ´Â °í·Á»çÇ×µéÀ» ÃæÁ·ÇÏ´Â °æ¿ì Àϼö·Ï ³ôÀº Á¡¼ö¸¦ ºÎ¿©ÇÑ´Ù. °¢ Ç׸ñº° ¡®Æò°¡ ¹æ¹ý¡¯ ¼³¸í¼­¿¡´Â Ç׸ñº° Æò°¡ ±âÁØ°ú Ưº°È÷ °í·ÁÇؾßÇÏ´Â »çÇ×µéÀÌ ÀÚ¼¼È÷ Á¦½ÃµÇ¾î ÀÖ´Ù.

3) 7Á¡ (¸Å¿ì µ¿ÀÇÇÔ, strongly agree): º¸°í¼­ÀÇ ÁúÀÌ ¸Å¿ì ¿ì¼öÇϸ鼭, »ç¿ëÀÚ ¸Å´º¾ó¿¡ ¸í¹éÇÏ°Ô Á¦½ÃµÇ¾î ÀÖ´Â ¸ðµç ±âÁØ°ú °í·Á»çÇ×µéÀ» ÃæÁ·ÇÏ´Â °æ¿ì¿¡´Â 7Á¡ÀÌ ÁÖ¾îÁö°Ô µÈ´Ù.

@1, 3, 5, 7Á¡À» anchor point·Î ÇÏ¿© ±¸Ã¼ÀûÀÎ Á¡¼ö¹èÁ¡±âÁØÀ» ÀÛ¼ºÇÏ°í ÀÖ´Ù. Æò°¡ÀÚ´Â ±¸Ã¼ÀûÀÎ ¹èÁ¡±âÁØ¿¡ µû¶ó 1,3,5,7Á¡À» ¼±Á¤ÇÑ ÈÄ +1Á¡ ȤÀº -1Á¡ Á¤µµÀÇ º¯È­¸¦ ÁÙ ¼ö ÀÖ´Ù. Áï, ±âÁØ¿¡ µû¶ó 5Á¡ Á¤µµ·Î Æò°¡µÈ »óȲ¿¡¼­ ³»¿ëÀÌ ÁÁÀ¸¸é 6Á¡, ³»¿ëÀÌ ³ª»Ú¸é 4Á¡À» ÁÙ ¼ö ÀÖ´Ù´Â ÀǹÌÀÌ´Ù. ¿¹¸¦ µé¾î "1¹ø Áø·áÁöħÀÇ Àü¹ÝÀûÀÎ ¸ñÀûÀÌ ±¸Ã¼ÀûÀ¸·Î ¼­¼úµÇ¾î ÀÖ´Ù"¿¡¼­ 7Á¡À» ÁÖ´Â ±âÁØÀº "Áø·áÁöħÀÇ ¸ñÀû¿¡ µé¾î°¡¾ß ÇÒ ¸ðµç ¿ä¼Òµé(´ë»ó, º¸°Ç»óÀÇ ¸ñÀû, ¿¹»óµÇ´Â ÆíÀÍ ¶Ç´Â °á°ú)ÀÌ ¼­¼úµÈ °æ¿ì"ÀÌ´Ù.

@ º¸´Ù ÀÚ¼¼ÇÑ AGREE II »ç¿ë¹æ¹ýÀº ¿©±â¸¦ Âü°íÇϱ⠹ٶõ´Ù. Áø·áÁöħÀÇ ÁúÀ» Æò°¡ÇÏ´Â Á¡¼ö´Â AGREE II µµ±¸ÀÇ 6°³ ¿µ¿ªº°·Î »êÃâµÈ´Ù. À̵é 6°³ ¿µ¿ªº° Á¡¼ö´Â ¼­·Î µ¶¸³ÀûÀÌ¸ç ´ÜÀÏ Áú ÁöÇ¥ Á¡¼ö·Î ÅëÇÕÇؼ­´Â ¾È µÈ´Ù.

@ Àû¿ëÇϱ⠾î·Á¿î Æò°¡Ç׸ñ¿¡ ´ëÇÏ¿©: °æ¿ì¿¡ µû¶ó¼­ ¾î¶² AGREE II Æò°¡ Ç׸ñµéÀº, °ËÅä Áß¿¡ Àִ ƯÁ¤ ºÐ¾ßÀÇ Áø·áÁöħ¿¡ Àû¿ëÀÌ ¾È µÇ´Â Ç׸ñÀÏ ¼öµµ ÀÖ´Ù. ¿¹¸¦ µé¾î, Áø·áÁöħÀÌ Á¼Àº ¹üÀ§¸¦ ´Ù·ç°í ÀÖ´Â °æ¿ì¿¡, ÀÓ»ó »óȲÀÇ °ü¸®¸¦ À§ÇÑ ´ë¾È ¶Ç´Â ¼±Åà »çÇ×ÀÇ Àüü ¹üÀ§°¡ Á¦°øµÇ¾î ÀÖÁö ¾ÊÀ» ¼öµµ ÀÖ´Ù (Ç׸ñ 16 ÂüÁ¶). AGREE II ¹èÁ¡ ôµµ´Â ¡®ÇØ´ç»çÇ× ¾øÀ½ ¶Ç´Â Àû¿ë ºÒ°¡¡¯¿¡ ´ëÇÑ ÆÇÁ¤ Ç¥½ÄÀ» Æ÷ÇÔÇÏ°í ÀÖÁö ¾Ê´Ù. ÀÌ·¯ÇÑ »óȲÀ» ó¸®Çϱâ À§Çؼ­ Æò°¡ÀÚ´Â ÇØ´ç Ç׸ñÀ» °Ç³Ê¶Ù°Å³ª, 1Á¡À» ºÎ¿©ÇÏ°í (Á¤º¸ ¾øÀ½) 1Á¡À» ºÎ¿©Çѵ¥ ´ëÇÑ »óȲÀ» Á¦½ÃÇÏ´Â µîÀÇ ¿©·¯ °¡Áö Àü·«À» »ç¿ëÇÒ ¼ö ÀÖ´Ù. ¼±ÅÃµÈ Àü·«¿¡ »ó°ü¾øÀÌ »çÀü¿¡ ÀÇ»ç°áÁ¤ÀÌ ÀÌ·ç¾îÁ®¾ß ÇÏ°í, ºÐ¸íÇÑ ¹æ¹ýÀ¸·Î ¼­¼úµÇ¾î¾ß¸¸ ÇÑ´Ù. ¸¸ÀÏ ÇØ´ç Ç׸ñ¿¡ ´ëÇÑ Æò°¡¸¦ °Ç³Ê ¶Ú °æ¿ì¿¡´Â ÇØ´ç ¿µ¿ªÀÇ Á¡¼ö¸¦ »êÃâÇÒ ¶§ ÀûÀýÇÑ º¸Á¤ÀÌ ÀÌ·ç¾îÁ®¾ß ÇÑ´Ù. ¿øÄ¢ÀûÀ¸·Î, Æò°¡ °úÁ¤¿¡¼­ ÀϺΠÇ׸ñµéÀ» Á¦¿ÜÇÏ´Â °ÍÀ» ±ÇÀåÇÏÁö´Â ¾Ê°í ÀÖ´Ù.

¸î ¸íÀÌ Æò°¡ÇÒ °ÍÀΰ¡? "4¸íÀÌ µ¶¸³ÀûÀ¸·Î Æò°¡ÇÏ¿© outlier 1¸í Á¦¿ÜÇÑ ÈÄ 3¸íÀÌ 3Á¡ ÀÌ»ó Â÷ÀÌ°¡ ³ª¸é ÇùÀÇÇÏ¿© °áÁ¤ÇÏ´Â °ÍÀÌ ÁÁ´Ù."


[4. Çѱ¹Çü ÀÓ»óÁø·áÁöħ Æò°¡µµ±¸ K-AGREE II]

´ëÇÑÀÇÇÐȸ ÀÓ»óÁø·áÁöħ Àü¹®À§¿øȸ´Â 2010³â 11¿ù AGREE II ÇѱÛÆÇÀ» ¹ßÇ¥ÇÏ¿´´Ù (link2). ÀÌ¿¡ ´ëÇÑ »ó¼¼ÇÑ ÀÚ·á´Â ÀÓ»óÁø·áÁöħ Á¤º¸Áö¿ø¼¾ÅÍ È¨ÆäÀÌÁö¿¡¼­ AGREE II¿¡ ´ëÇÑ Àü¹ÝÀûÀÎ ¼Ò°³, AGREE II »ç¿ë ¹æ¹ý 1, AGREE II »ç¿ë¹æ¹ý 2 ºÎºÐÀ» Âü°íÇϱ⠹ٶõ´Ù.


ÀÓ»óÁø·áÁöħ Á¤º¸Áö¿ø¼¾ÅÍ È¨ÆäÀÌÁö (accessed: 2010-11-14)


[5. K-AGREE IIÀÇ 6 ¿µ¿ª ¹× Àü¹ÝÀûÀÎ Æò°¡ Ç׸ñ]

@ »ç¿ë¹æ¹ýÀº ¿©±â¸¦ Âü°íÇϱ⠹ٶõ´Ù. Áø·áÁöħÀÇ ÁúÀ» Æò°¡ÇÏ´Â Á¡¼ö´Â AGREE II µµ±¸ÀÇ 6°³ ¿µ¿ªº°·Î »êÃâµÈ´Ù. À̵é 6°³ ¿µ¿ªº° Á¡¼ö´Â ¼­·Î µ¶¸³ÀûÀÌ¸ç ´ÜÀÏ Áú ÁöÇ¥ Á¡¼ö·Î ÅëÇÕÇؼ­´Â ¾È µÈ´Ù.

¿µ¿ªº° Á¡¼ö¸¦ ÅëÇÕÇÏÁö´Â ¾ÊÁö¸¸ "°³¹ßÀÇ ¾ö°Ý¼º" ºÎºÐÀÌ °¡Àå Áß¿äÇÑ °ÍÀ¸·Î °£ÁֵȴÙ."

@ ¹æ¹ý 1 (¾à°£ globalÇÏ°Ô Æò°¡ÇÏ´Â ¹æ¹ý): K-AGREE II µ¥ÀÌŸ ÀÔ·Â form - ÀÌ ÆÄÀÏÀ» Ãâ·ÂÇؼ­ Æò°¡Çϸé ÆíÇÏ´Ù.

@ ¹æ¹ý 2 (¹®Ç×ÀÇ how to rate ºÎºÐÀÇ criteria¸¦ Çϳª¾¿ Yes, No·Î Æò°¡ÇÑ ÈÄ ¹®Ç׿¡ ´ëÇÑ Á¡¼ö¸¦ Á¤ÇÏ´Â ¹æ¹ý)

[Æò°¡ ¿µ¿ª 1. ¹üÀ§¿Í ¸ñÀû (scope and purpose)]
1. Áø·áÁöħÀÇ Àü¹ÝÀûÀÎ ¸ñÀûÀÌ ±¸Ã¼ÀûÀ¸·Î ¼­¼úµÇ¾î ÀÖ´Ù.
2. Áø·áÁöħ¿¡¼­ ´Ù·ç°íÀÚÇÏ´Â °Ç°­°ü·Ã Áú¹®µéÀÌ ±¸Ã¼ÀûÀ¸·Î ¼­¼úµÇ¾î ÀÖ´Ù
3. Áø·áÁöħÀ» Àû¿ëÇÒ Àα¸Áý´Ü (ȯÀÚ, ÀϹÝÀÎ µî)ÀÌ ±¸Ã¼ÀûÀ¸·Î ¼­¼úµÇ¾î ÀÖ´Ù.

[Æò°¡ ¿µ¿ª 2. ÀÌÇØ´ç»çÀÚÀÇ Âü¿© (stakeholder involvement)]
4. Áø·áÁöħ °³¹ß ±×·ìÀº ¸ðµç °ü·Ã Àü¹®°¡ Áý´ÜÀ» Æ÷ÇÔÇÏ°í ÀÖ´Ù.
5. Áø·áÁöħÀ» Àû¿ëÇÒ Àα¸Áý´Ü (ȯÀÚ, ÀϹÝÀÎ µî)ÀÇ °üÁ¡°ú ¼±È£µµ¸¦ °í·ÁÇß°í, ±× ³»¿ëÀ» Æ÷ÇÔÇÏ°í ÀÖ´Ù.
6. Áø·áÁöħÀ» ÁÖ·Î È°¿ëÇÒ »ç¿ëÀÚ Áý´ÜÀÌ ºÐ¸íÇÏ°Ô ±ÔÁ¤µÇ¾î ÀÖ´Ù.

[Æò°¡ ¿µ¿ª 3. °³¹ßÀÇ ¾ö°Ý¼º (regour of development)]
7. ±Ù°ÅÀÇ °Ë»ö¿¡ ü°èÀûÀÎ ¹æ¹ýÀÌ »ç¿ëµÇ¾ú´Ù.
8. ±Ù°Å ¼±ÅÃÀÇ ±âÁØÀÌ ºÐ¸íÇÏ°Ô ¼­¼úµÇ¾î ÀÖ´Ù.
9. ±Ù°Å ÀÚ·áÀÇ °­µµ¿Í ÇÑ°è°¡ ºÐ¸íÇÏ°Ô ¼­¼úµÇ¾î ÀÖ´Ù.
10. ±Ç°í¾È µµÃâ ¹æ¹ýÀÌ ºÐ¸íÇÏ°Ô ¼­¼úµÇ¾î ÀÖ´Ù.
11. °Ç°­»óÀÇ ÆíÀÍ, ºÎÀÛ¿ë, À§Çè ¿äÀÎÀÌ ±Ç°í¾È µµÃâ½Ã °í·ÁµÇ¾ú´Ù.
12. ±Ç°í¾È°ú À̸¦ µÞ¹ÞħÇÏ´Â ±Ù°Å¸¦ ¸íÈ®ÇÏ°Ô ¿¬°á ÁöÀ» ¼ö ÀÖ´Ù.
13. Áø·áÁöħÀº ÃâÆÇ Àü¿¡ ¿ÜºÎ Àü¹®°¡µé¿¡ ÀÇÇÑ °ËÅä °úÁ¤ÀÌ ÀÖ¾ú´Ù.
14. Áø·áÁöħÀÇ °»½Å ÀýÂ÷°¡ Á¦½ÃµÇ¾î ÀÖ´Ù.

[Æò°¡ ¿µ¿ª 4. Ç¥ÇöÀÇ ¸íÈ®¼º (clarity of presentation)]
15. ±Ç°í¾ÈÀº ±¸Ã¼ÀûÀÌ¸ç ¸ðÈ£ÇÏÁö ¾Ê´Ù.
16. ÀÓ»ó »óųª °Ç°­ À̽´¸¦ °ü¸®Çϱâ À§ÇÑ ´Ù¾çÇÑ ´ë¾ÈÀÌ ºÐ¸íÇÏ°Ô Ç¥ÇöµÇ¾î ÀÖ´Ù.
17. ÁÖ¿ä ±Ç°í¾ÈÀº ½±°Ô È®ÀÎÇÒ ¼ö ÀÖ´Ù.

[Æò°¡ ¿µ¿ª 5. Àû¿ë¼º (appilicability)]
18. Áø·áÁöħÀº À̸¦ ½ÇÇàÇϴµ¥ ÀÖ¾î Àå¾Ö¿äÀΰú ÃËÁø¿äÀÎÀ» ¼­¼úÇÏ°í ÀÖ´Ù.
19. Áø·áÁöħÀº ±Ç°í¾ÈÀÌ ÀÇ·áÇöÀå¿¡¼­ ½ÇÁ¦ »ç¿ëµÉ ¼ö ÀÖµµ·Ï µµ¿ÍÁÖ´Â Á¶¾ð°ú µµ±¸¸¦ Á¦½ÃÇÏ°í ÀÖ´Ù.
20. ±Ç°í¾È Àû¿ë½Ã ÇÊ¿ä·Î ÇÒ ¼ö ÀÖ´Â ÀáÀçÀûÀÎ ÀÚ¿øÀÇ ¿µÇâ°ú Àǹ̰¡ °í·ÁµÇ¾î¾ß ÇÑ´Ù.
21. Áø·áÁöħÀº ¼öÇà Á¤µµ¿¡ ´ëÇÑ °¨µ¶ ¹× Æò°¡ ±âÁØÀ» Á¦½ÃÇÏ°í ÀÖ´Ù.

[Æò°¡ ¿µ¿ª 6. ÆíÁýÀÇ µ¶¸³¼º (editorial independence)]
22. ÀçÁ¤ÈÄ¿ø´ÜüÀÇ ÀÇ°ßÀÌ Áø·áÁöħÀÇ ³»¿ë¿¡ ¿µÇâÀ» ÁÖÁö ¾Ê¾Ò´Ù.
23. Áø·áÁöħ °³¹ß¿¡ Âü¿©ÇÑ ±¸¼º¿øµéÀÇ ÀÌÇØ°ü°è°¡ ±â·ÏµÇ¾î ÀÖ°í ±× ³»¿ëÀÌ ¾ð±ÞµÇ¾î ÀÖ´Ù.

[Àü¹ÝÀûÀÎ Æò°¡ (overall assessment)]
- Áø·áÁöħÀÇ Àü¹ÝÀûÀÎ Áú Æò°¡
- Áø·áÁöħ »ç¿ëÀÇ Ãßõ ¿©ºÎ: »ç¿ëÀ» ÃßõÇÔ. »ç¿ëÀ» ÃßõÇÔ (¼öÁ¤ÀÌ ÇÊ¿ä). »ç¿ëÀ» Ãßõ ¾ÈÇÔ

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