{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:52:24Z","timestamp":1791471144323,"version":"4.3.4"},"reference-count":73,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["UR6MC50347"],"award-info":[{"award-number":["UR6MC50347"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical and Public Health Guidelines"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Individuals with sickle cell disease or trait (SCD\/T) face significant reproductive health risks, highlighting the need to assess the best available evidence on their reproductive health needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the quality of SCD\/T clinical practice guidelines and evaluate the key characteristics and quality of their reproductive health recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This systematic review followed the JBI methodology for Umbrella Reviews. Eligible CPGs required RHRs for individuals with SCD\/T. Databases included PubMed, CINAHL, PsycINFO, Cochrane, Embase, Web of Science, Google Scholar, and registries, for CPGs in March 2025 without language restriction. Screening followed a three\u2010step process with two independent reviewers. Risk of bias was assessed using AGREE\u2010II and AGREE\u2010Rex. Data was extracted independently by two reviewers using a tool developed by the researchers. Conflicts between independent reviewers were resolved through discussion. Findings were synthesized using descriptive analyses, frequency tables, and narrative summaries. One deviation from the protocol is documented in the final review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen CPGs published between 2020 and 2025 were included, most of which were national\u2010level and peer\u2010reviewed. AGREE II scores ranged from 48% to 97%, with Applicability scoring lowest and six CPGs recommended for use without modification. Across the guidelines, 198 reproductive health recommendations were identified. Most recommendations focused on antenatal, intrapartum, and postnatal care (64.7%) and management\u2010related care stages (62.1%). Safe abortion care appeared in only one guideline. Although nine CPGs used GRADE, many did not clearly report recommendation strength or evidence certainty. AGREE\u2010REX identified seven CPGs as suitable for use without modification, with Values and Preferences scoring lowest. Inter\u2010rater reliability was high for both tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings highlight the need for more comprehensive, evidence\u2010based, and patient\u2010centered guidelines and recommendations to support high\u2010quality reproductive healthcare for individuals with SCD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Umbrella Review Registration Number<\/jats:title>\n                    <jats:p>The protocol was registered in PROSPERO, CRD42025648554.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gin2.70091","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:08:10Z","timestamp":1790082490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Reproductive Health Recommendations in CPGs for Sickle Cell Disease: An Umbrella Review"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3722-8634","authenticated-orcid":false,"given":"Lisa R.","family":"Roberts","sequence":"first","affiliation":[{"name":"Loma Linda University School of Nursing Loma Linda California USA"},{"name":"JBI Center for Evidence Synthesis Loma Linda University Health Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Julmisse","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Nursing Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1734-9586","authenticated-orcid":false,"given":"Safiye","family":"Sahin","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Nursing Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1694-3797","authenticated-orcid":false,"given":"Jan M.","family":"Nick","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Nursing Loma Linda California USA"},{"name":"JBI Center for Evidence Synthesis Loma Linda University Health Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3037-6191","authenticated-orcid":false,"given":"Shanalee","family":"Tamares","sequence":"additional","affiliation":[{"name":"JBI Center for Evidence Synthesis Loma Linda University Health Loma Linda California USA"},{"name":"Loma Linda University Libraries Loma Linda California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_16_2_1","unstructured":"Centers for Disease Control and Prevention. 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