The quality of guidelines for diabetic foot ulcers: A critical appraisal using the AGREE II instrument

This study aims to evaluate the quality of clinical practice guidelines(CPGs) for patients with diabetic foot worldwide. A search of guidelines websites, databases and academic institutions websites was performed from January 1st, 2010, until June 30th, 2018. Four assessors independently rated the q...

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Bibliographic Details
Published in:PloS one 2019-09, Vol.14 (9), p.e0217555-e0217555
Main Authors: Zhang, Peiying, Lu, Qian, Li, Huijuan, Wang, Wei, Li, Gaoqiang, Si, Longmei, Ding, Yanming
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
Clinical decision making
Clinical medicine
Decision making
Diabetes
Diabetes mellitus
Diabetic foot
Diabetic Foot - diagnosis
Diabetic Foot - therapy
Domains
Feet
Foot diseases
Foot Ulcer - diagnosis
Foot Ulcer - therapy
Guidelines
Hospitals
Humans
Leg ulcers
Medical practice
Medicine and Health Sciences
Metabolism
Nurses
Nursing schools
Patients
People and Places
Practice guidelines (Medicine)
Practice Guidelines as Topic
Quality
Reproducibility of Results
Research and Analysis Methods
Risk factors
Severity of Illness Index
Systematic review
Ulcers
Websites
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Summary:This study aims to evaluate the quality of clinical practice guidelines(CPGs) for patients with diabetic foot worldwide. A search of guidelines websites, databases and academic institutions websites was performed from January 1st, 2010, until June 30th, 2018. Four assessors independently rated the quality of each CPG using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Twelve CPGs satisfied the inclusion criteria. The median scores for the 6 AGREE II domains (scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, and editorial independence) were 92.5%, 72.5%, 71.5%, 89%, 47%, and 77%, respectively. The overall quality of the CPGs was good since the majority of the CPGs reached an overall guideline quality between 5 and 7 points. Different CPGs had widely varying scores in the same area, ranging from 25 to 94 points.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0217555