Table 1 Eligibility Criteria Pertaining to the Population and Clinical Areas, Interventions, Comparators, Attributes of Clinical Practice Guidelines and Recommendation Characteristics (Picar) Statement
PICAR Framework | Eligibility Criteria |
|---|---|
Population, clinical indication(s), and condition(s). | Study population • Guidelines focused on the management of multiple pregnancies, in high income countries, containing recommendations applicable to the antenatal management of DCDA twin pregnancies • Humans only Clinical Investigation • Antenatal management of DCDA twin pregnancies Clinical condition • DCDA twin pregnancy is defined as each fetus having their own separate inner membrane (amnion) and outer membrane (chorion). For the purpose of this review, there is a specific focus on antenatal management of DCDA twin pregnancies. • The antenatal period extends from the start of pregnancy to the onset of labour |
Interventions | • Any intervention focusing on the antenatal management of DCDA twin pregnancies |
Comparator(s), Comparisons, and (key) Content | • Any comparator or comparison • Key clinical practice guideline (CPG) content of interest is DCDA twin pregnancy antenatal management (including general twin pregnancy recommendations) |
Attributes of eligible CPGs | Scope • Cover any aspect of antenatal care for DCDA twin pregnancies. • Clinical practice guidelines only • Must be published Language • Full text CPGs in any language Year of publication • 2000 onwards Developing/ publishing organisation • Only CPGs issued or endorsed by national or international scientific societies, professional colleges, charitable organisations, and government organisations will be included. Country of publication • High income countries (83 countries), as defined by the world bank. This is due to the large discrepancies in care systems and management of care between high, low, and middle-income countries (25). Version • Current version only Development process • Evidence and/or consensus-based Quality of evidence • No maximum quality score based on the AGREE II and AGREE-REX instruments are required for eligibility. ALL relevant CPGs will be included in the review. • The quality score will be used to interpret the review findings and will be addressed in the discussion. |
Recommendations characteristics and ‘other’ considerations | • Guidelines must have a twin pregnancy or multiple pregnancy focus. • Eligible recommendations should be applicable to antenatal care of DCDA twin pregnancies. These include general recommendations for the management of a twin pregnancy and DCDA specific recommendations. Recommendations specific to monochorionic twin pregnancies, triplets or higher order multiples are not eligible for inclusion. • Recommendations will be considered if they are located anywhere within the guideline document (e.g. main text, algorithms, or tables). • Guidelines addressing any aspect of antenatal management of DCDA twin pregnancies without recommendations are eligible for inclusion. |