Quality of Clinical Practice Guidelines for Glycemic Control in Type 2 Diabetes Mellitus

Holmer, Haley K; Ogden, Lauren A; Burda, Brittany U; Norris, Susan L.

doi:10.1371/journal.pone.0058625

Cited by 80 publications

(85 citation statements)

References 23 publications

(30 reference statements)

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“…This suggests that guideline developers do not pay sufficient attention to factors affecting the practical implementation of their recommendations. Similar findings have been also noted in guideline appraisals from other disease areas 19 44 45. Applicability is particularly pertinent for OA, the diagnosis and management of which may be affected by many external factors, such as the availability of specialists and specialist tests (eg, specific inhalation challenge testing), workplace organisation and medicolegal concerns.…”

Section: Discussionsupporting

confidence: 69%

Occupational Asthma guidelines: a systematic quality appraisal using the AGREE II instrument

et al. 2013

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The quality of guidelines is often modest and highly variable. We searched the Medline database for occupational asthma (OA) guidelines meeting our inclusion criteria and undertook a systematic appraisal of them. Six appraisers independently evaluated these guidelines using the AGREE II (Appraisal of Guidelines, Research and Evaluation II) instrument. Standardised scores for each domain and for overall quality were calculated, as well as intraclass correlation coefficients to assess agreement among appraisers. Seven relevant guidelines were identified. Three were based on a systematic review of the evidence. Most guidelines scored high on the domains 'Scope and purpose' and 'Clarity and presentation', but scores on the other domains were variable. The lowest scores were for 'Applicability', suggesting that guideline developers did not pay sufficient attention to practical problems affecting the implementation of their recommendations. We also observed a trend toward improved scores in guidelines published after 2000. Inter-rater agreement was good for most domains, and particularly for 'Rigour of development'. This domain was most strongly correlated with the overall assessment scores, together with 'Scope and purpose' and 'Editorial independence'. The quality of OA guidelines is variable, both within and across guidelines. There is significant room for improvement, and greater efforts to produce high-quality guidelines are warranted, in order to assist clinical decision-making.

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Section: Discussionsupporting

confidence: 69%

Occupational Asthma guidelines: a systematic quality appraisal using the AGREE II instrument

et al. 2013

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“…Esta deficiencia al elaborar las GPC se ha encontrado también en evaluaciones en otros países, donde se reportan calificaciones tan bajas como 8% en guías para la atención de hipertensión aguda, o para tratamiento del control glicémico en DMT2. 29,30 Conocimiento y apego a las GPC Algunos estudios señalan que la calidad de las GPC es, por sí misma, uno de los factores que afectan su utilización. 10 La falta de apego a las GPC se ha reportado 33 pero se señalan como factores críticos la comunicación, diseminación e implementación, incluida la investigación sobre opciones más efectivas para utilizar las recomendaciones de las GPC.…”

Section: Discussionunclassified

Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel

Poblano-Verástegui¹,

Vieyra-Romero²,

Galván-García³

et al. 2017

Salud Publica Mex

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Objetivo. Evaluar la calidad y cumplimiento de guías de práctica clínica (GPC) aplicables a las enfermedades crónicas no transmisibles (ECNT) en Centros de Salud (CS), y opinión del personal sobre las barreras, facilitadores y su utilización. Material y métodos. De 18 GPC valoradas con Appraisal of Guidelines Research and Evaluation II (AGREEII), se seleccionan tres para elaborar indicadores y evaluar cumplimiento usando Lot Quality Assurance Sampling (LQAS) estándar 75/95%, umbral 40/75%, respectivamente, α:0.05, β:0.10) en cinco CS. 70 profesionales fueron encuestados sobre conocimiento y utilización de GPC. Resultados. La calidad formal promedio de las GPC fue 57.2%; baja calificación en dominios:“Aplicabilidad” (<25%), “Participación de los implicados”(43.5%) y “Rigor en la elaboración” (55.0%). Su cumplimiento en CS oscila entre 39 y 53.4%. Los profesionales muestran conocimiento desigual de GPC; de 44 a 45% (según GPC)declaran que no se utilizan e identifican como principales barreras la ausencia de capacitación y su difícil accesibilidad y anejo. Conclusiones. La calidad e implantación de GPC evaluadas es deficiente, lo que constituye una oportunidad de mejora en los servicios de salud.

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“…[6,7] Moreover, the study by Holmer et al indicates gaps and inconsistencies in quality within and across guidelines. [8] Despite different studies on T2DM in Ethiopia; [9][10][11] a study focusing on drug therapy of T2DM is lacking.…”

Section: Introductionmentioning

confidence: 99%

Assessment of type II diabetes mellitus drug therapy in diabetes clinic of a tertiary care teaching hospital in Addis Ababa

Asfaw¹,

Mamo²,

Anshabo³

et al. 2014

Arch Pharma Pract

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Background: Prevalence of type II diabetes mellitus(T2DM) is substantially increasing in Ethiopia but there are no studies on its drug therapy. Objective: To assess drug therapy for T2DM and check association between fasting blood glucose levels with patient demographics, clinical characteristics and medications. Materials and Methods: A cross-sectional institution based study was conducted on T2DM patients over a 1 month period using patient chart review and key informant interview at the diabetes clinic of Tikur Anbessa Specialized Hospital (TASH). Results: Of 103 patients enrolled females accounted 59.2%. The mean age was 52.2 years and 96.12% of patients were from Addis Ababa. The mean fasting blood glucose (FBG) and body mass index (BMI) were 155.99 mg/dl and 26.4 kg/m 2 respectively. About 51.45% of the patients were overweight; and neutral protamine hagedorn insuline (NPH) (56.3%), metformin plus glibenclamide (19.4%) and metformin (10.7%) were the most common drug therapies. But there was no significant association of FBG levels of patients with either, gender, age, BMI or medications. Conclusions:The drug therapy at the diabetes clinic was in line with recommendations of International Diabetes Federation (IDF)despite lack of uniform guideline.

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Quality of Clinical Practice Guidelines for Glycemic Control in Type 2 Diabetes Mellitus

Cited by 80 publications

References 23 publications

Occupational Asthma guidelines: a systematic quality appraisal using the AGREE II instrument

Occupational Asthma guidelines: a systematic quality appraisal using the AGREE II instrument

Calidad y cumplimiento de guías de práctica clínica de enfermedades crónicas no transmisibles en el primer nivel

Assessment of type II diabetes mellitus drug therapy in diabetes clinic of a tertiary care teaching hospital in Addis Ababa

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