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Table 2 Suitability and currency assessments of IWGDF guideline to adopt or adapt; using a customised NHMRC table of factors*

From: Guidelines development protocol and findings: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease

Item No.

Item question

Assessor 1

Assessor 2

Assessor 3

Assessor 4

Total score

Total score %

Suitability category^

Relevance

 1

Is the clinical or public health context similar to Australia?

6

5

5

7

23

82%

High

 2

Are the population, intended users and settings comparable?

6

6

7

7

26

93%

High

 3

Are the recommended interventions available in Australia?

6

6

7

6

25

89%

High

 4

Are the guideline questions relevant in the new (Australian) context?

6

7

7

7

27

96%

High

 5

Do the values and preferences considered in the guideline reflect the new (Australian) context?

6

6

7

7

26

93%

High

 6

Are relevant outcomes used?

6

7

7

7

27

96%

High

 

Domain Score (sum of 6 items)

36

37

40

41

154

92%

High

Currency

 7

When was the evidence review conducted (i.e. final literature search date)?

July 2018

Oct 2018

July 2018

July 2018

< 3 years

Moderate

Moderate (Currency)#

 8

Is the evidence contained out of date?

6

7

6

6

27

96%

High

 9

Are new studies’ findings conducted since the review likely to change the evidence?

6

7

6

6

27

96%

High

 10

Has new evidence superseded the information contained in the recommendations?

6

7

6

6

27

96%

High

 11

Does new evidence contradict the recommendations?

6

7

6

6

27

96%

High

 

Domain Score (sum of 4 applicable items)

24

28

24

24

108

96%

High

Trustworthiness

 12

Is there a detailed description of the development process?

7

7

7

7

28

100%

High

 13

Were conflicts of interest declared and managed?

6

7

7

6

26

93%

High

 14

Was a grading system used for the recommendations?

6

7

7

7

27

96%

High

 15

Are the evidence tables clearly laid out and accurate?

6

7

7

6

26

93%

High

 16

Was the evidence review systematic and well-documented?

7

7

7

7

28

100%

High

 

Domain Score (sum of 5 items)

32

35

35

33

135

96%

High

Access to evidence

 17

Are the tables detailing the source evidence (e.g. GRADE Evidence to Decision tables) available?

6

7

7

7

27

96%

High

 18

Can permission be sought to use these tables?

6

7

7

7

27

96%

High

 

Domain Score (sum of 2 items)

12

14

14

14

54

96%

High

Implementability

 19

Is information provided in the guideline to assist implementation?

4

6

3

5

18

64%

Moderate

 20

Are steps taken to improve the guideline’s implementability?

4

6

2

5

17

61%

Moderate

 

Domain Score (sum of 2 items)

8

12

5

10

35

63%

Moderate

Acceptability

 21

Are the recommendations acceptable?

6

7

7

7

27

96%

High

 22

Do the recommendations relate to current practice?

6

6

7

7

26

93%

High

 

Domain Score (sum of 2 items)

12

13

14

14

53

95%

High

 

Total Guideline Score (sum of all 21 applicable items)

124

139

132

136

531

90%

High

 

Total Guideline Score %

84%

95%

90%

93%

   
 

Total Guideline Suitability Category

High

High

High

High

   
  1. *Each item is scored using a 7-point Likert-scale: 1 = lowest possible score, 7 = highest possible score
  2. ^Suitability category definitions: High > 70%, Moderate 50–69%, and Low suitability < 50% for total score %
  3. #Currency category definitions: High < 1 year, Moderate 1–3 years, and Low currency > 3 years since systematic review search date