Table 1.
Recommendations Extraction (NICE guideline as an example)
Basic information | ||
Title of guideline | Diabetes in pregnancy: Management of diabetes and its complications from preconception to the postnatal period | |
Development institute | NICE | |
Publication year | Published 2008, updated 2015 | |
Guideline type | Evidence-based guideline | |
Guideline methodology | Developed in accordance with the NICE guideline development process | |
Quality assessment of evidence and grading of strength of recommendations | GRADE system | |
Guideline Currency | Literature search date | 2014.6 |
Search strategy | A comprehensive literature search was performed | |
Methodological quality of guideline | ||
AGREE II scores | Domain 1. Scope and Purpose | 100% |
Domain 2. Stakeholder Involvement | 100% | |
Domain 3. Rigor of Development | 100% | |
Domain 4. Clarity of Presentation | 100% | |
Domain 5. Applicability | 100% | |
Domain 6. Editorial Independence | 100% | |
Overall assessment | ☑Recommend ☐Recommend with modifications ☐Would not recommend | |
Recommendation extraction and assessment | ||
Health questions | What are the target ranges for blood glucose in women with gestational diabetes during pregnancy? | |
Specific recommendation | Advice pregnant women with any form of diabetes to maintain their capillary plasma glucose below the following target levels, if these are achievable without causing problematic hypoglycaemia: 1) fasting: 5.3 mmol/L(#1) and 2) 1 h after meals: 7.8 mmol/L(#2) or 3) 2 h after meals: 6.4 mmol/L.(#3) | |
Strength of recommendation | ☑Strong ☐Week | |
Supporting evidence |
(#1) 1 secondary analysis of RCT data, 1 RCT, very low (#2) 1 retrospective cohort study, very low (#3) 1 secondary analysis of RCT data, very low |
|
Consistency appraisal | Search strategy and selection of evidence ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☑7 | |
Evidence and interpretation ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☑7 | ||
Interpretation and recommendation ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☑7 |