Table 3.
AGREE II domain‐standardized scores
| Guideline | Scope and purpose | Stakeholder involvement | Rigor of development | Clarity of presentation | Applicability | Editorial independence | Overall recommendation |
|---|---|---|---|---|---|---|---|
| Blood transfusion and the anesthetists. Red cell transfusion22 | 35.2 | 24.1 | 9 | 53.7 | 8.3 | 0 | Not recommended |
| Clinical practice guideline: red blood cell transfusion in adult trauma and critical care23 | 83.3 | 33.3 | 54.2 | 92.6 | 11.1 | 55.6 | Recommended with modifications |
| Guidelines for red blood cell and plasma transfusion for adults and children. updated24 | 22.2 | 13 | 9 | 51.9 | 1.4 | 5.6 | Not recommended |
| Clinical blood transfusion25 | 55.6 | 42.6 | 36.8 | 87 | 22.2 | 0 | Not recommended |
| Blood transfusion guideline26 | 64.8 | 77.8 | 79.2 | 75.9 | 52.8 | 36.1 | Recommended with modifications |
| Blood transfusion: indications, administration and adverse reactions27 | 35.2 | 14.8 | 16 | 68.5 | 0 | 8.3 | Not recommended |
| 2011 update to The Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists Blood Conservation Clinical Practice guidelines28 | 27.8 | 50 | 45.1 | 64.8 | 9.7 | 33.3 | Recommended with modifications |
| KDIGO Clinical Practice Guideline for anemia in chronic kidney disease29 | 66.7 | 74.1 | 80.6 | 87 | 34.7 | 72.2 | Recommended |
| The “Seville” document on consensus on the alternatives to allogenic blood transfusion30 | 72.2 | 37 | 37.5 | 75.9 | 13.9 | 41.7 | Recommended with modifications |
| Guidelines on the management of anemia and red cell transfusion in adult critically ill patients31 | 61.1 | 24.1 | 36.8 | 74.1 | 18.1 | 8.3 | Not recommended |
| Treatment of anemia in patients with heart disease: a clinical practice guideline from the American College of Physicians32 | 77.8 | 35.2 | 61.8 | 92.6 | 0 | 75 | Recommended with modifications |
| Practice guidelines for perioperative blood management—an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Management33 | 63 | 48.1 | 52.1 | 68.5 | 1.4 | 55.6 | Not recommended |
| The National Blood Authority's patient blood management guideline34 – 37 | 79.6 | 31.1 | 81.9 | 81.5 | 54.2 | 86.1 | Recommended |
| Blood transfusion NICE guideline38 | 87 | 74.1 | 86.8 | 85.2 | 51.4 | 83.3 | Recommended |
| Blood transfusion in obstetrics39 | 59.3 | 13 | 54.2 | 63 | 18.1 | 38.9 | Not recommended |
| Clinical practice guidelines from the AABB: red blood cell transfusion thresholds and storage40 | 31.1 | 68.5 | 59 | 68.5 | 13.9 | 55.6 | Recommended with modifications |
| Mean score (SD) | 59.5 (±19.9) | 43.1 (±22) | 50 (±25.1) | 74.4 (±12.7) | 19.4 (±18.8) | 41(±30) | |
| Median (range) | 62 (22.2–87) | 39.8 (13–77.8) | 53 (9–86.8) | 75 (52–92.6) | 13.8 (0–54.2) | 40.2 (0–86.1) |