Table 4.
Domain | Item | Appropriate,* mean (SD) | Easy to apply,† mean (SD) | Facilitates successful discrimination,‡ mean (SD) |
---|---|---|---|---|
Scope and purpose | 1. The overall objective(s) of the guideline is (are) specifically described | 5.87 (1.53) | 5.70 (1.34) | 5.63 (1.45) |
2. The clinical question(s) covered by the guideline is (are) specifically described | 5.90 (1.42) | 5.50 (1.46) | 5.60 (1.38) | |
3. The patients to whom the guideline is meant to apply are specifically described | 6.07 (1.41) | 5.80 (1.45) | 5.87 (1.50) | |
Stakeholder involvement | 4. The guideline development group includes individuals from all the relevant professional groups | 6.27 (1.23) | 6.20 (1.27) | 5.97 (1.38) |
5. The patients’ views and preferences have been sought | 6.23 (1.25) | 5.87 (1.36) | 6.03 (1.27) | |
6. The target users of the guideline are clearly defined | 6.20 (1.22) | 5.87 (1.28) | 5.83 (1.42) | |
7. The guideline has been piloted among end users | 6.03 (1.56) | 5.80 (1.49) | 5.67 (1.69) | |
Rigour of development | 8. Systematic methods were used to search for evidence | 6.40 (1.22) | 6.07 (1.31) | 6.27 (1.26) |
9. The criteria for selecting the evidence are clearly described | 6.37 (1.22) | 6.03 (1.27) | 6.13 (1.20) | |
10. The methods for formulating the recommendations are clearly described | 5.70 (1.45) | 5.50 (1.46) | 5.67 (1.35) | |
11. The health benefits, side effects and risks have been considered in formulating the recommendations | 6.03 (1.30) | 5.70 (1.42) | 6.03 (1.25) | |
12. There is an explicit link between the recommendations and the supporting evidence | 5.63 (1.65) | 5.33 (1.69) | 5.67(1.63) | |
13. The guideline has been externally reviewed by experts prior to its publication | 6.20 (1.42) | 5.93 (1.44) | 6.17(1.23) | |
14. A procedure for updating the guideline is provided | 6.33 (1.18) | 5.93 (1.44) | 6.10 (1.30) | |
Clarity of presentation | 15. The recommendations are specific and unambiguous | 6.10 (1.24) | 5.60 (1.40) | 5.97 (1.27) |
16. The different options for management of the condition are clearly presented | 5.59 (1.72)§ | 5.46 (1.57)§ | 5.61 (1.69)§ | |
17. Key recommendations are easily identifiable | 6.13 (1.38) | 6.03 (1.27) | 5.77 (1.43) | |
18. The guideline is supported with tools for application | 5.80 (1.63) | 5.77 (1.52) | 5.21 (1.72)§ | |
Applicability | 19. The potential organizational barriers in applying the recommendations have been discussed | 5.87 (1.33) | 5.40 (1.54) | 5.50 (1.41) |
20. The potential cost implications of applying the recommendations have been considered | 5.60 (1.52) | 5.70 (1.37) | 5.60 (1.45) | |
21. The guideline presents key review criteria for monitoring and/or audit purposes | 5.43 (1.74) | 5.37 (1.54) | 5.33 (1.69) | |
Editorial independence | 22. The guideline is editorially independent from the funding body | 6.13 (1.57) | 6.33 (0.84) | 6.20 (1.21) |
23. Conflicts of interest of guideline development members have been recorded | 6.43 (1.22) | 6.00 (1.39) | 6.20 (1.21) |
The instructions for how to rate this item are appropriate.
The instructions for how to rate this item are easy to apply.
The instructions for how to rate this item will facilitate successful discrimination between good and poor reporting in guidelines.
The following observations are missing: Item 16: appropriate (3 observations), easy to apply (2 observations), successful discrimination (2 observations). Item 18: successful discrimination (1 observation).