Skip to main content

Table 1 Recommendations Extraction (NICE guideline as an example)

From: Current guidelines on the management of gestational diabetes mellitus: a content analysis and appraisal

Basic information
 Title of guideline Diabetes in pregnancy: Management of diabetes and its complications from preconception to the postnatal period
 Development institute NICE
 Publication year Published 2008, updated 2015
 Guideline type Evidence-based guideline
 Guideline methodology Developed in accordance with the NICE guideline development process
 Quality assessment of evidence and grading of strength of recommendations GRADE system
 Guideline Currency Literature search date 2014.6
Search strategy A comprehensive literature search was performed
Methodological quality of guideline
 AGREE II scores Domain 1. Scope and Purpose 100%
Domain 2. Stakeholder Involvement 100%
Domain 3. Rigor of Development 100%
Domain 4. Clarity of Presentation 100%
Domain 5. Applicability 100%
Domain 6. Editorial Independence 100%
Overall assessment ☑Recommend ☐Recommend with modifications ☐Would not recommend
Recommendation extraction and assessment
 Health questions What are the target ranges for blood glucose in women with gestational diabetes during pregnancy?
 Specific recommendation Advice pregnant women with any form of diabetes to maintain their capillary plasma glucose below the following target levels, if these are achievable without causing problematic hypoglycaemia: 1) fasting: 5.3 mmol/L(#1) and 2) 1 h after meals: 7.8 mmol/L(#2) or 3) 2 h after meals: 6.4 mmol/L.(#3)
 Strength of recommendation ☑Strong ☐Week
 Supporting evidence (#1) 1 secondary analysis of RCT data, 1 RCT, very low
(#2) 1 retrospective cohort study, very low
(#3) 1 secondary analysis of RCT data, very low
 Consistency appraisal Search strategy and selection of evidence ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☑7
Evidence and interpretation ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☑7
Interpretation and recommendation ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☑7