Evidence map›Paper›PMID 30446970›Full record

SynthesisEndocrine2019

Critical appraisal and systematic review of guidelines for perioperative diabetes management: 2011-2017.

Xiaoyang Song, Jinjing Wang, Yuting Gao, Yang Yu, Jingyi Zhang, Qi Wang, Xiaoting Ma, Janne Estille, Xinye Jin, Yaolong Chen and 1 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Publishing clinical prActice GuidelinEs (PAGE): Recommendations from editors and reviewers.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Xiaoyang SongThe First Clinical Medical College, Lanzhou University, Donggang West Road, 730000, Lanzhou, China.
Jinjing WangFifth Medical Center of Chinese PLA General Hospital, East Avenue, 100000, Beijing, China.
Yuting GaoThe First Clinical Medical College, Lanzhou University, Donggang West Road, 730000, Lanzhou, China.
Yang YuThe Second Clinical Medical College, Lanzhou University, Cuiyingmen, 730000, Lanzhou, China.
Jingyi ZhangSchool of Public Health, Lanzhou University, Donggang West Road, 730000, Lanzhou, China.
Qi WangEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Donggang West Road, 730000, Lanzhou, China.
Xiaoting MaSchool of Public Health, Lanzhou University, Donggang West Road, 730000, Lanzhou, China.
Janne EstilleInstitute of Global Health, University of Geneva, Rue du Général-Dufour, 1211, Geneva, Switzerland.
Xinye JinDepartment of Endocrinology, Chinese PLA General Hospital, Fuxing Road, 100000, Beijing, China.
Yaolong ChenEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Donggang West Road, 730000, Lanzhou, China. chenyaolong21@163.com.
Yiming MuDepartment of Endocrinology, Chinese PLA General Hospital, Fuxing Road, 100000, Beijing, China. muyiming@301hospital.com.cn.

Funding

Beijing Municipal Science and Technology Commission D141107005314004
6 · The paper itself

Abstract

purposeTo systematically evaluate the quality, consistency and the evidence support of guidelines for perioperative diabetes management.

methodsWe retrieved guidelines through systematic search, critically evaluated their quality and compared the recommendations of included guidelines. Five aspects were compared: target level, management of hyper- and hypoglycaemia, frequency of monitoring, management of insulin, and management of oral anti-diabetic drugs (OADs).

resultsFourteen guidelines met our criteria, and 342 recommendations were extracted, the results of Appraisal of Guidelines for Research and Evaluation II (AGREE II) evaluation showed that none of the mean score in each domain was higher than 50%. On average, most guidelines had only one domain scored above 50%. Most recommendations (78.9%) did not specify their supporting evidence, 71 (20.8%) were formed using grading criteria, none cited systematic review or meta-analysis. Recommendations were inconsistent across different guidelines.

conclusionsThe existing guidelines about perioperative management of diabetes needs improvement in methodology, as well as the production of evidence with high quality. Evidence-based guidelines are required for the perioperative management of diabetes.

Indexed as

Practice Guidelines as TopicDiabetes ComplicationsDiabetes MellitusEvidence-Based MedicineGuideline AdherenceHumansPerioperative CareQuality Assurance, Health CareClinical practice guidelineDiabetesPerioperative managementQuality assessmentSystematic review

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.