An evaluation of the quality, suitability and impact on equity of clinical practice guidelines relevant to preterm birth for use in Aotearoa New Zealand

Table 2 Quality of guidelines by district health board use

	Guidelines available but not in use by DHBs N = 84	Guidelines in current use by DHBs N = 151	P value
AGREE II domains	Median scaled domain score^a
Domain 1: Scope and purpose	83.3	70.8	< 0.001
Domain 2: Stakeholder involvement	62.7	37.0	< 0.001
Domain 3: Rigour of development	47.5	18.8	< 0.001
Domain 4: Clarity of presentation	84.0	70.4	< 0.001
Domain 5: Applicability	42.7	29.2	< 0.001
Domain 6: Editorial independence	54.2	4.2	< 0.001
Overall Assessment	62.5	44.4	< 0.001
Criteria for high quality	Number of guidelines meeting criteria for high quality N (%)
Median scaled domain 3 score > 60%	30 (35.7%)	7 (4.6%)	< 0.001
Median scaled overall score > 60%	48 (57.1%)	19 (12.6%)	< 0.001
> 50% of appraisers recommended for clinical use	34 (40.5%)	8 (5.3%)	< 0.001
> 50% appraisers recommended for clinical use or use with modifications ^b	37 (44.0%)	87 (57.6%)	0.036

DHB: District Health Board
^aScaled score calculated as: (obtained score - minimum possible score)/(maximum possible score – minimum possible score)
^bExcludes guidelines already included in the group > 50% of appraisers recommended yes for clinical use

ISSN: 1471-2393