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Table 3 Quality of included guidelines on six domains using AGREE II tool

From: The quality of clinical practice guidelines for management of pediatric type 2 diabetes mellitus: a systematic review using the AGREE II instrument

Guideline characteristics AGREE II Domains
Organization Year Country Scope and Purpose Stakeholder Involvement Rigour of Development Clarity of Presentation Applicability Editorial Independence Recommended for use?
Brazilian Diabetes Society 2015/2016 Brazil 39 28 36 57 34 4 No
Diabetes Canada 2018 Canada 93 94 84 94 70 79 Yes
German Diabetes Association (Deutsche Diabetes Gesellschaft) Revised 2015 Germany 75 74 67 82 39 92 Yes, with modifications
Hellenic Diabetes Association 2013 Greece 54 28 21 49 24 13 No
Associazione Medici Diabetologi/ Societa Italiana di Diabetologia 2014 Italy 57 54 28 49 29 33 No
Japan Diabetes Society 2013 Japan 58 31 50 56 10 48 No
Latvijas Diabēta Asociācija/Latvijas Endokrinologu Asociācija 2007 Latvia 44 17 2 47 22 0 No
Diabetas Gaires 2014 Lithuania 33 8 2 75 24 0 No
Malaysia Ministry of Health 2015 Malaysia 81 53 45 76 43 75 Yes, with modifications
Netherlands Diabetes Federation 2015 Netherlands 58 51 28 51 17 54 No
Diabetologia Kliniczna 2015 Poland 68 53 18 64 43 6 No
Scottish Intercollegiate Guidelines Network Updated 2013 Scotland 99 99 96 79 81 65 Yes
Singapore Ministry of Health 2014 Singapore 78 58 30 75 36 6 Yes, with modifications
Endodiab 2016 Slovenia 51 49 41 68 47 19 No
Society for Endocrinology, Metabolism and Diabetes of South Africa 2017 South Africa 60 56 44 74 45 44 Yes, with modifications
Diabetes Association of Thailand 2014 Thailand 50 44 16 51 23 0 No
National Institute for Health and Care Excellence Updated 2016 United Kingdom 92 74 81 90 68 79 Yes
American Diabetes Association 2016 United States 82 94 86 96 96 88 Yes
American Academy of Pediatrics 2013 United States 99 85 90 100 86 69 Yes
International Society for Pediatric and Adolescent Diabetes 2014 International 89 75 59 97 94 73 Yes
International Diabetes Federation/ International Society for Pediatric and Adolescent Diabetes 2011 International 88 89 67 100 89 79 Yes
Mean (SD) 69 (20.22) 58 (26.41) 46 (29.73) 72 (18.97) 48 (27.69) 44 (33.83)  
  1. AGREE II scoring system: For each domain, scores are rated out on a 7-point scale (1 = strongly disagree, 7 = strongly agree) by individual appraisers. Individual appraiser scores are summed for an overall domain score, which is then scaled to a percentage of the maximum possible score for the domain, with higher scores indicating higher quality. The six domain scores are independent and are not aggregated into a single quality score