Comparison of Content and Quality of Caribbean, International, and High-Income Country-Specific Clinical Guidelines for Managing Type 2 Diabetes Mellitus.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Diabetes Mellitus, Type 2*/therapy; Benchmarking ; Caribbean Region ; Humans ; New Zealand

Purpose: Type 2 diabetes mellitus (T2DM) is poorly managed in the Caribbean region; therefore, conducting an assessment on the content and quality of clinical guidelines could assist guideline developers in detecting and addressing information gaps. Hence, this study aimed to benchmark and compare the clinical guidelines for T2DM management from the Caribbean to guidelines developed internationally and by high-income countries.
Methods: Seven T2DM management clinical guidelines were a priori selected from international and high-income country-specific clinical guidelines and then compared to the country-specific T2DM management clinical guidelines of the Caribbean region. Two reviewers independently assessed content (using a previously piloted data extraction form) and quality using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool.
Results: The Caribbean clinical guideline was found to contain similar levels of T2DM management topics when compared to international and high-income country-specific clinical guidelines; however, one country-specific clinical guideline from New Zealand was found to have substantially lower levels of content. The clinical guideline from the Caribbean was found to be of low quality and could not be used in practice; however, only three comparator clinical guidelines were found to be of high quality and could be recommended for use in clinical practice. A further three comparator clinical guidelines could be used in practice with minor modifications.
Conclusion: Although the T2DM management clinical guidelines from the Caribbean region contained high levels of content with regards to relevant topics, it was of insufficient quality to be used in clinical practice. Therefore, an alternative high-quality clinical guideline, as identified within this study, should be adopted and used within the Caribbean region to manage T2DM until a high-quality region-specific clinical guideline can be developed.

Rev Panam Salud Publica. 2017 Jun 19;41:e90. (PMID: 31384248)
Evid Based Nurs. 2005 Jul;8(3):68-72. (PMID: 16021701)
Ophthalmology. 2003 May;110(5):941-7. (PMID: 12750094)
Diabetes Res Clin Pract. 2017 Oct;132:169-170. (PMID: 28962686)
ESMO Open. 2018 Jul 25;3(5):e000385. (PMID: 30094071)
Lancet. 2011 Jul 9;378(9786):182-97. (PMID: 21705062)
EPMA J. 2018 May 22;9(2):125-131. (PMID: 29896313)
JRSM Open. 2017 Jan 01;8(2):2054270416682673. (PMID: 28203385)
EPMA J. 2019 Aug 06;10(3):227-237. (PMID: 31462940)
Qual Saf Health Care. 2003 Feb;12(1):18-23. (PMID: 12571340)
West Indian Med J. 2010 Jun;59(3):259-64. (PMID: 21291103)
Int J Technol Assess Health Care. 2003 Winter;19(1):148-57. (PMID: 12701947)
JAMA. 1995 Aug 16;274(7):570-4. (PMID: 7629987)
BMJ. 1999 Feb 20;318(7182):527-30. (PMID: 10024268)
Clin Diabetes. 2020 Jan;38(1):10-38. (PMID: 31975748)
F1000Res. 2017 Oct 31;6:. (PMID: 29152218)
Int J Endocrinol. 2015;2015:519032. (PMID: 26000014)
Otolaryngol Head Neck Surg. 2009 Jun;140(6 Suppl 1):S1-43. (PMID: 19464525)
BMC Med Educ. 2015 Apr 24;15:82. (PMID: 25903280)
PLoS One. 2013;8(4):e58625. (PMID: 23577058)
EPMA J. 2017 Mar 3;8(1):23-33. (PMID: 28620441)
Int J Epidemiol. 1995;24 Suppl 1:S53-9. (PMID: 7558552)
Syst Rev. 2018 Nov 15;7(1):193. (PMID: 30442196)

Keywords: Caribbean; clinical guidelines; high-income countries; improved outcomes; international; management; type 2 diabetes mellitus

Date Created: 20211224 Date Completed: 20211231 Latest Revision: 20240404

20240404

PMC8702176

10.3390/ijerph182412868

34948479