Guideline Rating	Acute Guideline	Preventive Guideline
Establishing transparency	Good	Good
Management of Conflict of Interest	Good	Good
Guideline group composition	Good	Good
Guideline-systematic review intersection	Fair: Many of the recommendations expanded beyond systematic review	Fair: Many of the recommendations expanded beyond systematic review
Establishing evidence foundations and rating strength for each of the guideline recommendations	Fair: Some of the recommendations reflect clinical practice, but do not have strong base of evidence in pediatrics.	Fair: Some of the recommendations reflect clinical practice, but do not have strong base of evidence in pediatrics.
Articulation of recommendations	Good	Fair: many of the recommendations are not easily evaluable
External review	Good	Good
Updating	Fair: No specific date given	Fair: No specific date given
Implementation issues	Good	Fair: Nuanced counseling, including discussion of placebo, may be difficult to implement. Some evidence-based therapies (CBT) not available in all locations.