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Table 3 Summary of the average of domain scores of MSK-US guidelines according to AGREE II

From: A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative

Guideline Title Domain 1 Domain 2 Domain 3 Domain 4 Domain 5 Domain 6 Total score mean (SD) Overall quality
Musculoskeletal ultrasound: technical guidelines [11] 73.6%* (acceptable) 62.5%* (acceptable) 9.9% (very low) 83.3% * (good) 30.2% (very low) 25.0% (very low) 47.4% (29.7%) Average
Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology [1] 87.5% * (good) 58.3% (low) 74.5% * (acceptable) 87.5% * (good) 31.3% (very low) 58.3% (low) 66.2% (21.5%) Average
Guidelines for musculoskeletal ultrasound in rheumatology [14] 38.9% (very low) 41.7% (very low) 14.6% * (very low) 61.1% * (acceptable) 51.0% (low) 8.3% (very low) 35.9% (20.6%) Low
AIUM Practice Parameter for the Performance of a MSK US Examination [12] 76.4% * (acceptable) 63.9% * (acceptable) 30.2% (very low) 70.8%* (acceptable) 55.2% (low) 14.6% (very low) 51.9% (24.4%) Average
ACR–AIUM–SPR-SRU Practice Parameter for the Performance of the Musculoskeletal Ultrasound Examination [13] 79.2% * (acceptable) 61.1% * (acceptable) 34.4% (very low) 66.7% * (acceptable) 63.5% * (acceptable) 25.0% (very low) 55.0% (20.8%) Average
Total domain score; mean (SD) 71.1% (18.7%) (acceptable) 57.5% (9.1%) (low) 32.7% (25.5%) (very low) 73.9% (11.2%) (acceptable) 46.3% (14.9%) (low) 26.3% (19.3%) (very low)   
  1. Domain 1 = scope and purpose; domain 2 = stakeholder involvement; domain 3 = rigor of development; domain 4 = clarity of presentation; domain 5 = applicability; domain 6 = editorial independence. Domain scores ≥80% = good; 60–79% = acceptable; 40–59% = low; <40% = very low. * = total score of domain >60%. High quality was defined when 5 or more domains scored >60%, average quality when 3 or 4 domains scored >60%, low quality when ≤2 domains scored >60%. AIUM = American Institute of Ultrasound in Medicine; ACR = American College of Radiology; SPR = Society for Pediatric Radiology; SSR = Society of Skeletal Radiology; SD = standard deviation