Poppwich et al. evaluated the differences in 10 published clinical guidelines for breast reconstruction using the Appraisal of Guidelines for Research & Evaluation (AGREE) instrument. A tool is designed to assess the quality of guidelines, aiming to assure that the potential biases of guideline development have been addressed adequately and that the recommendations are feasible for clinical practice. The authors concluded that the most comprehensive guidelines were published by Cancer Care Ontario (CCO); the American Society of Plastic Surgeons (ASPS); and the Association of Breast Surgery/British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS). These guidelines were found to provide consistent recommendations on who should receive breast reconstruction education, who is a candidate for breast reconstruction, and the appropriate extent of mastectomy and timing of reconstruction.
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