TABLE 1.
Characteristics of the included guidelines.
| Characteristic | Number of articles | Percentage (%) | |
|---|---|---|---|
| First author’s country | United States | 19 | 28.8 |
| United Kingdom | 8 | 12.1 | |
| Australia | 5 | 7.6 | |
| Canada | 5 | 7.6 | |
| France | 5 | 7.6 | |
| Italy | 5 | 7.6 | |
| Other a | 19 | 28.7 | |
| Publication year | 2018 | 29 | 43.9 |
| 2019 | 19 | 28.8 | |
| 2020 | 18 | 27.3 | |
| Disease system | Endocrine, nutritional or metabolic diseases | 7 | 10.6 |
| Immune system diseases | 7 | 10.6 | |
| Respiratory diseases | 6 | 9.1 | |
| Digestive system diseases | 6 | 9.1 | |
| Diseases of the blood or blood-forming organs | 5 | 7.6 | |
| Other b | 35 | 53.0 | |
| Evidence grading system | Reported | 42 | 65.2 |
| Not reported | 24 | 36.4 | |
| Conflicts of interest | Yes | 19 | 28.8 |
| No | 29 | 43.9 | |
| Without reported | 18 | 27.3 | |
| Developer | Professional associations and organizations | 56 | 84.8 |
| Group of individuals | 4 | 6.1 | |
| Not reported | 6 | 9.1 | |
| Clarity of recommendations c | Clear | 47 | 71.2 |
| Unclear | 19 | 28.8 | |
| Proportion of recommendations on drug use d | 0%~49.9% | 28 | 60.9 |
| 50.0%~99.9% | 15 | 32.6 | |
| 100% | 3 | 6.5 | |
| Proportion of drug use recommendations on off-label use e | 0%~49.9% | 14 | 30.4 |
| 50.0%~99.9% | 20 | 43.5 | |
| 100% | 12 | 26.1 | |
India, Germany, Israel, South Africa, Saudi Arabia, Austria, Japan, China, Turkey, Brazil, Poland, and South Korea.
Musculoskeletal or connective tissue diseases; signs, symptoms, or clinical findings; ear or mastoid disease; skin diseases; visual system disorders; certain infectious or parasitic diseases; circulatory system diseases; genitourinary diseases; injury, poisoning, or some other external cause; neurological diseases; tumors, and others that could not be classified.
The recommendations were clear if they were explicitly highlighted (e.g., in bold face) or stated individually, and unclear if they were narrative and embedded in paragraphs throughout the guidelines.
The number of drug-use recommendations divided by the total number of recommendations.
The number of off-label drug recommendations divided by the number of recommendations on drug use.