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Screening and diagnosis of gestational diabetes. Evaluation of the methodological quality of the guidelines of the Haute autorité de santé, of the American diabetes association, and of the World health organisation


Annales de Biologie Clinique. Volume 68, Number 1, 113-9, janvier-février 2010, qualité-accréditation

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Author(s) : C Augereau, J-P Couaillac, D De Mouy, J-F Dézier, M Fonfrède, J-P Lepargneur, A Szymanowicz, J Watine

Summary : We critically appraised the methodological quality of the clinical practice guideline (CPG) published by the Haute autorité de santé (HAS) about screening and diagnosis of gestational diabetes, and we compared its quality with that of two other CPGs, i.e. that of the American diabetes association (ADA) and that of the World health organisation (WHO). According to the AGREE criteria, HAS and ADA have produced CPGs that have approximately got the same levels of quality. Both these CPGs obtain AGREE scores that are better than those of WHO. Although the CPG of the HAS suffers from a few methodological drawbacks, regarding more particularly stakeholder involvement (AGREE domain n° 2), applicability (AGREE domain n° 5) and editorial independence (AGREE domain n° 6), this CPG summarises, and allows to compare most, if not all, other CPGs available with each other, with their possible benefits or harms, which may be useful for professionals involved in the care of the patient.

Keywords : American diabetes association, gestational diabetes mellitus, Haute autorité de santé, World health organisation, AGREE quality, recommendations, clinical practice guidelines

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