The quality of guidelines for diabetic foot ulcers: A critical appraisal using the AGREE II instrument

Autoři: Peiying Zhang aff001;  Qian Lu aff002;  Huijuan Li aff003;  Wei Wang aff004;  Gaoqiang Li aff002;  Longmei Si aff001;  Yanming Ding aff001
Působiště autorů: Nursing Department, Peking University First Hospital, Beijing, China aff001;  School of Nursing, Peking University, Beijing, China aff002;  Department of Plastic and Burns, Peking University First Hospital, Beijing, China aff003;  Schhol of Medicine, Tongji University, Shanghai, China aff004
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: 10.1371/journal.pone.0217555


This study aims to evaluate the quality of clinical practice guidelines(CPGs) for patients with diabetic foot worldwide. A search of guidelines websites, databases and academic institutions websites was performed from January 1st, 2010, until June 30th, 2018. Four assessors independently rated the quality of each CPG using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. Twelve CPGs satisfied the inclusion criteria. The median scores for the 6 AGREE II domains (scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, and editorial independence) were 92.5%, 72.5%, 71.5%, 89%, 47%, and 77%, respectively. The overall quality of the CPGs was good since the majority of the CPGs reached an overall guideline quality between 5 and 7 points. Different CPGs had widely varying scores in the same area, ranging from 25 to 94 points.

Klíčová slova:

Database searching – Global health – Nurses – Preventive medicine – Systematic reviews – Treatment guidelines – Ulcers


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