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Authors

Background:
Guidelines in medicine are essential tools to provide quality and standardised medical care. We analysed the quality of aesthetic medicine guidelines.


Methods:
A systematic review with a prospective registration protocol (https://osf.io/8pdyv) of databases (MEDLINE, EMBASE, Web of Science, Scopus, CDSR), web pages of scientific societies and grey literature was done from inception to February 2023 and without language restrictions. Quality was evaluated using AGREE II (% of the maximum score), RIGHT (% of the total 35 items) and a shared decision making (SDM) quality assessment tool (31 items score) individually and in duplicate, respectively.


Results:
Six (86%) guidelines were classified as not recommended; one (14%) was recommended with modifications, and all were classified as poorly reported (7/7; 100%). The median overall quality was 27% (IQR: 26-43) and 26% (IQR 1536) for AGREE II and RIGHT, respectively. No document used these tools for its development. SDM appeared superfluity in almost all of the guidelines explored.


Conclusions:
Aesthetic medicine and surgical guidelines had low quality and must be improved. There is a wide range of improvement, especially in applicability, reporting of evidence, recommendations, conflict of interest, quality control and SDM. These guidelines require a rigorous methodology based on systematic reviews to ensure quality evidence-based recommendations.

Marta Maes-Carballo, Hospital Público de Verin, Department of General Surgery, Verin, Spain,

orcid_id14.png https://orcid.org/0000-0002-4852-5100

My passion for medicine and research has led me to become an expert in areas such as breast cancer, shared decision-making, medical ethics and healthcare quality. I currently work as 1) a surgeon, where I try to provide the best care to my patients; 2) a researcher, producing content each year focused on quality of care and the development of shared decision-making in medicine and surgery; 3) a professor; member of several ethics committees, both deontological and healthcare. My experience in the world of medicine and research has led me to work in various parts of the world such as Spain, the United Kingdom, Poland and Egypt.

Carlos Roberto Estrada-López , General Surgery Department. Complexo Hospitalario de Ourense

orcid_id14.png https://orcid.org/0000-0002-9609-6638

Carmen Martínez-Martínez , General Surgery Department. Complexo Hospitalario de Ourense

orcid_id14.png https://orcid.org/0009-0000-9849-5256

Claudia Alberca-Remigio, General Surgery Department. Complexo Hospitalario de Ourense

orcid_id14.png https://orcid.org/0000-0002-9518-9904

Cristina Cámara-Martínez , Urology Department. Complexo Hospitalario de Ourense

orcid_id14.png https://orcid.org/0000-0002-1423-9931

Benito Miguel Josa-Martínez , General Surgery Department. Hospital Infanta Cristina

orcid_id14.png https://orcid.org/0000-0002-8616-0501

Rubén Trigueros, 5. Department of Psychology

orcid_id14.png https://orcid.org/0000-0001-8489-5179

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Maes-Carballo, M., Estrada-López , C. R., Martínez-Martínez , C., Alberca-Remigio, C., Cámara-Martínez , C., Josa-Martínez , B. M., & Trigueros, R. (2024). Quality in aesthetic medicine and surgery. a systematic review of clinical practice guidelines: a systematic review of clinical practice guidelines. Colombia Medica, 55(2), e2016257. https://doi.org/10.25100/cm.v55i2.6257 (Original work published June 30, 2024)

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