Table 2. Quality Assessment of Guidelines for Glycemic Control in Type 2 Diabetes Mellitus.
AGREE II Domain | |||||||
Clinical Practice Guideline | Scope and purpose | Stakeholder involvement | Rigor of development | Clarity and presentation | Applicability | Editorial independence | Overall assessment |
AACE [35] | 83% | 39% | 48% | 83% | 29% | 33% | Recommend with modifications |
ACP I [22] | 94% | 44% | 79% | 67% | 33% | 67% | Recommend |
ACP II [23] | 94% | 44% | 79% | 94% | 29% | 75% | Recommend |
ADA [36] | 56% | 50% | 38% | 67% | 58% | 33% | Recommend with modifications |
AMDA [37] | 44% | 50% | 17% | 94% | 38% | 0% | Recommend with modifications |
CADTH I [12] | 78% | 78% | 58% | 94% | 42% | 33% | Recommend |
CADTH II [13] | 61% | 33% | 54% | 94% | 21% | 33% | Recommend |
CADTH III [38] | 67% | 89% | 56% | 78% | 33% | 42% | Recommend |
ESC [39] | 67% | 44% | 50% | 61% | 29% | 8% | Recommend with modifications |
ICSI [19] | 72% | 44% | 60% | 78% | 83% | 42% | Recommend |
IDC [40] | 22% | 22% | 6% | 72% | 46% | 0% | Would not recommend |
IDF [41] | 83% | 44% | 63% | 89% | 38% | 42% | Recommend |
JDC [42] | 61% | 50% | 10% | 72% | 38% | 0% | Would not recommend |
KDOQI [43] | 83% | 56% | 75% | 89% | 33% | 33% | Recommend |
NCC-ACC [14] | 83% | 72% | 81% | 78% | 63% | 8% | Recommend |
NCC-WCH [15] | 94% | 94% | 79% | 89% | 54% | 42% | Recommend |
NHCHC [21] | 44% | 44% | 4% | 72% | 33% | 8% | Would not recommend |
NICE [44] | 6% | 28% | 56% | 72% | 54% | 8% | Recommend with modifications |
NY DoH [20] | 17% | 6% | 0% | 78% | 8% | 0% | Would not recommend |
QPHC [16] | 83% | 61% | 31% | 83% | 79% | 42% | Recommend |
SIGN [17] | 94% | 94% | 81% | 83% | 83% | 25% | Recommend |
UMHS [45] | 56% | 28% | 33% | 83% | 21% | 33% | Recommend with modifications |
VA/DoD [18] | 61% | 89% | 73% | 83% | 71% | 0% | Recommend |
WDPCP [46] | 56% | 50% | 17% | 83% | 46% | 8% | Recommend with modifications |
Mean*; Range | 64%; 6%–94% | 52%; 6%–94% | 48%; 0%–81% | 81%; 61%–94% | 43%; 21%–83% | 26%; 0%–75% |
Data presented are AGREE II scores [11]. Each item was rated on a seven-point Likert scale that measured the extent to which an item was fulfilled: 1-strongly disagree to 7-strongly agree. Scores were standardized within domains by dividing the difference between the consensus score and the minimum possible score by the difference between the maximum and minimum possible scores.
(*) Domain scores were averaged across guidelines.
Guidelines: See Figure 1 for the list of abbreviations.