AUTHOR=Qin Zi-Han , Yang Xin , Zheng Ya-Qi , An Li-Ya , Yang Ting , Du Yu-Lu , Wang Xiao , Zhao Shu-Han , Li Hao-Han , Sun Cheng-Kai , Sun Da-Li , Lin Yue-Ying TITLE=Quality evaluation of metabolic and bariatric surgical guidelines JOURNAL=Frontiers in Endocrinology VOLUME=Volume 14 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2023.1118564 DOI=10.3389/fendo.2023.1118564 ISSN=1664-2392 ABSTRACT=Objective: To evaluate the quality of surgical guidelines on bariatric/metabolic surgery. Methods: Four independent reviewers used the AGREE II tool to assess the methodological quality of the included guidelines and conducted a comparative analysis of the main recommendations for surgical methods of these guidelines. Results: Nine surgical guidelines were included in this study. Five articles with AGREE II scores over 60% are worthy of clinical recommendation. The field of rigor of development was relatively low, with an average score of 50.82%. Among 15 key recommendations and the corresponding best evidence in the guidelines, only 4 key recommendations were grade A recommendations. Conclusions: The quality of metabolic and bariatric guidelines is uneven, and there is much room for improvement.