PMID- 34948479
OWN - NLM
STAT- MEDLINE
DCOM- 20211231
LR  - 20240404
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 24
DP  - 2021 Dec 7
TI  - Comparison of Content and Quality of Caribbean, International, and High-Income 
      Country-Specific Clinical Guidelines for Managing Type 2 Diabetes Mellitus.
LID - 10.3390/ijerph182412868 [doi]
LID - 12868
AB  - 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.
FAU - Nixon, Amy Latifah
AU  - Nixon AL
AUID- ORCID: 0000-0002-2968-1079
AD  - Division of Epidemiology and Public Health, School of Medicine, University of 
      Nottingham, Nottingham NG7 2RD, UK.
AD  - The Nottingham Centre for Evidence-Based Healthcare, A Joanna Briggs Institute 
      Centre of Excellence, University of Nottingham, Nottingham NG7 2RD, UK.
FAU - Chattopadhyay, Kaushik
AU  - Chattopadhyay K
AUID- ORCID: 0000-0002-3235-8168
AD  - Division of Epidemiology and Public Health, School of Medicine, University of 
      Nottingham, Nottingham NG7 2RD, UK.
AD  - The Nottingham Centre for Evidence-Based Healthcare, A Joanna Briggs Institute 
      Centre of Excellence, University of Nottingham, Nottingham NG7 2RD, UK.
FAU - Leonardi-Bee, Jo
AU  - Leonardi-Bee J
AD  - Division of Epidemiology and Public Health, School of Medicine, University of 
      Nottingham, Nottingham NG7 2RD, UK.
AD  - The Nottingham Centre for Evidence-Based Healthcare, A Joanna Briggs Institute 
      Centre of Excellence, University of Nottingham, Nottingham NG7 2RD, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20211207
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Benchmarking
MH  - Caribbean Region
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Humans
MH  - New Zealand
PMC - PMC8702176
OTO - NOTNLM
OT  - Caribbean
OT  - clinical guidelines
OT  - high-income countries
OT  - improved outcomes
OT  - international
OT  - management
OT  - type 2 diabetes mellitus
COIS- The authors have no conflicts of interest to declare.
EDAT- 2021/12/25 06:00
MHDA- 2022/01/01 06:00
PMCR- 2021/12/07
CRDT- 2021/12/24 01:18
PHST- 2021/10/12 00:00 [received]
PHST- 2021/11/30 00:00 [revised]
PHST- 2021/12/01 00:00 [accepted]
PHST- 2021/12/24 01:18 [entrez]
PHST- 2021/12/25 06:00 [pubmed]
PHST- 2022/01/01 06:00 [medline]
PHST- 2021/12/07 00:00 [pmc-release]
AID - ijerph182412868 [pii]
AID - ijerph-18-12868 [pii]
AID - 10.3390/ijerph182412868 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2021 Dec 7;18(24):12868. doi: 
      10.3390/ijerph182412868.