Table 3

Recommendations for improving adult cataract clinical practice guidelines from the Appraisal of Guidelines Research and Evaluation (AGREE II) assessment of guidelines developed by the American Academy of Ophthalmology (AAO), the Canadian Ophthalmological Society (COS) and the Royal College of Ophthalmologists (RCO)

Models in AAO, COS or RCO cataract guidelines
Primary recommendations
Stakeholder involvement—Clarify feedback gathered from patient representatives and how the information shaped recommendation formulationNone
Transparency of guideline development process—Clearly state roles of each member pertaining to guideline development and delineate methods of guideline development and reviewNone
Applicability—Include comprehensive summary documents of the key recommendations, algorithms and surgical checklistsNone
Editorial independence—Disclose methods by which competing interests were sought and how competing interests may have potentially influenced the recommendation formulation processNone
Additional recommendations
Clarify evidence search methods to include detailed search terms, dates and discussion of inclusion criteriaAAO
Improve formatting to clearly highlight recommendations throughout main text (e.g. with numbered headings)COS, RCO
Provide a summary list of major recommendations to facilitate their identificationAAO
Address facilitators and barriers to application of recommendations by detailing economic considerations of guideline implementationAAO, RCO
Ensure and disclose independence of the guideline development group from potential influences of the funding bodyAAO, COS