AGREE II Instrument

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AGREE-S : Reporting Checklist


The AGREE-S  Reporting  Checklist  was  developed by  an international  consortium, including guideline methodologists, surgeons with experience in guideline development, surgeons with experience as panel members in surgical guidelines, biostatisticians, representatives from the fields of General Surgery, Thoracic Surgery, Vascular Surgery,  Pediatric  Surgery, Head & Neck Surgery, and Urology; representatives  from America, Asia, and low/middle  income  countries; representatives from the GRADE Working Group,  the EQUATOR  Network and  GIN; a  surgical journal  editor, a  guideline  implementer, a national  authority  representative,  and  a  patient representative.  The project  was  developed under the supervision and in collaboration with a lead member of the AGREE Collaboration.

It was developed to assist guideline developers on surgical interventions in composing the guideline report and supporting tools through complete and transparent reporting. The objective is to enhance the use of guidelines on surgical interventions by stakeholders through assessment of its scope, methods, applicability and barriers. It may also be used by journal editors and peer reviewers to assess the completeness of reporting of the guideline publication.

The checklist structure is based upon the AGREE II instrument. It is comprised by 23 items, including 20 original or modified AGREE II items, and 3 new items unique to AGREE-S.

The AGREE-S Reporting Checklist has been registered in the EQUATOR Reporting Guideline Database Library. It will be available on the EQUATOR website following journal publication.

Three formats of the checklist are available:

  1. PDF
  2. Microsoft Word
  3. Fillable and downloadable online format

More detailed information can be found on the AGREE-S website.

Related publications:

Antoniou GA, Mavridis D, Tsokani S, et al. Protocol of an interdisciplinary consensus project aiming to develop an AGREE II extension for guidelines in surgery. BMJ Open. 2020;10(8):e037107. Published 2020 Aug 11. doi:10.1136/bmjopen-2020-037107

Antoniou SA, Tsokani S, Mavridis D, López-Cano M, Antoniou GA, Stefanidis D, Francis NK, Smart N, Muysoms FE, Morales-Conde S, Bonjer HJ, Brouwers MC. Guideline Assessment Project: Filling the GAP in Surgical Guidelines: Quality Improvement Initiative by an International Working Group. Ann Surg. 2019 Apr;269(4):642-651. doi: 10.1097/SLA.0000000000003036. PMID: 30188402.

Tsokani S, Antoniou SA, Moustaki I, López-Cano M, Antoniou GA, Flórez ID, Silecchia G, Markar S, Stefanidis D, Zanninotto G, Francis NK, Hanna GH, Morales-Conde S, Bonjer HJ, Brouwers MC, Mavridis D. Guideline Assessment Project II: statistical calibration informed the development of an AGREE II extension for surgical guidelines. Surg Endosc. 2021 Aug;35(8):4061-4068. doi: 10.1007/s00464-021-08604-w. Epub 2021 Jun 22. PMID: 34159464.