Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review

Abstract Introduction Over the last few decades, India has witnessed an increase in the number of people with type 2 diabetes mellitus (T2DM). Consequently, several clinical practice guidelines (CPGs) have been developed to assist western and traditional Indian medicine practitioners in managing thi...

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Main Authors: Oluwasegun P. Olujide, Mariama E. Olujide, Jo Leonardi‐Bee, Kaushik Chattopadhyay
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Endocrinology, Diabetes & Metabolism
Subjects:
Online Access:https://doi.org/10.1002/edm2.405
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author Oluwasegun P. Olujide
Mariama E. Olujide
Jo Leonardi‐Bee
Kaushik Chattopadhyay
author_facet Oluwasegun P. Olujide
Mariama E. Olujide
Jo Leonardi‐Bee
Kaushik Chattopadhyay
author_sort Oluwasegun P. Olujide
collection DOAJ
description Abstract Introduction Over the last few decades, India has witnessed an increase in the number of people with type 2 diabetes mellitus (T2DM). Consequently, several clinical practice guidelines (CPGs) have been developed to assist western and traditional Indian medicine practitioners in managing this disease. This systematic review aimed to evaluate and synthesize the content and quality of these CPGs. Methods Several databases and sources were searched from inception to May 2022, to identify CPGs for managing adults with T2DM in India. The screening of titles and abstracts and full texts, data extraction and quality assessment were conducted by two independent reviewers. Any disagreements were resolved through discussion or by involving a third reviewer. A data extraction tool from a previous study was adapted to extract the content of the included CPGs, and the Appraisal of Guidelines for Research and Evaluation II tool was used to assess the quality of the included CPGs. A narrative synthesis was conducted. Results Of 3350 records identified, 11 were retrieved for full‐text screening and five CPGs were included in this systematic review—three focused on traditional Indian medicine (Ayurveda) and two focused on western medicine. These two western medicine CPGs contained comprehensive recommendations for managing T2DM but only one of these, the Research Society for the Study of Diabetes in India/Endocrine Society of India (RSSDI/ESI) CPG, was of high quality. Conclusions Only one CPG can be recommended for managing T2DM by western medicine practitioners in India. Future CPGs, especially for traditional Indian medicine practitioners, should be developed and updated using the standard CPG manuals and quality appraisal tools. Registration PROSPERO (CRD42021279499).
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spelling doaj.art-2aa68fdbd72b451ab40668ef70c74b362023-03-10T14:33:25ZengWileyEndocrinology, Diabetes & Metabolism2398-92382023-03-0162n/an/a10.1002/edm2.405Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic reviewOluwasegun P. Olujide0Mariama E. Olujide1Jo Leonardi‐Bee2Kaushik Chattopadhyay3Lifespan and Population Health Academic Unit, School of Medicine University of Nottingham Nottingham UKWaziri Shehu Gidado General Hospital Kano NigeriaLifespan and Population Health Academic Unit, School of Medicine University of Nottingham Nottingham UKLifespan and Population Health Academic Unit, School of Medicine University of Nottingham Nottingham UKAbstract Introduction Over the last few decades, India has witnessed an increase in the number of people with type 2 diabetes mellitus (T2DM). Consequently, several clinical practice guidelines (CPGs) have been developed to assist western and traditional Indian medicine practitioners in managing this disease. This systematic review aimed to evaluate and synthesize the content and quality of these CPGs. Methods Several databases and sources were searched from inception to May 2022, to identify CPGs for managing adults with T2DM in India. The screening of titles and abstracts and full texts, data extraction and quality assessment were conducted by two independent reviewers. Any disagreements were resolved through discussion or by involving a third reviewer. A data extraction tool from a previous study was adapted to extract the content of the included CPGs, and the Appraisal of Guidelines for Research and Evaluation II tool was used to assess the quality of the included CPGs. A narrative synthesis was conducted. Results Of 3350 records identified, 11 were retrieved for full‐text screening and five CPGs were included in this systematic review—three focused on traditional Indian medicine (Ayurveda) and two focused on western medicine. These two western medicine CPGs contained comprehensive recommendations for managing T2DM but only one of these, the Research Society for the Study of Diabetes in India/Endocrine Society of India (RSSDI/ESI) CPG, was of high quality. Conclusions Only one CPG can be recommended for managing T2DM by western medicine practitioners in India. Future CPGs, especially for traditional Indian medicine practitioners, should be developed and updated using the standard CPG manuals and quality appraisal tools. Registration PROSPERO (CRD42021279499).https://doi.org/10.1002/edm2.405clinical practice guidelineIndiasystematic reviewtype 2 diabetes mellitus
spellingShingle Oluwasegun P. Olujide
Mariama E. Olujide
Jo Leonardi‐Bee
Kaushik Chattopadhyay
Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review
Endocrinology, Diabetes & Metabolism
clinical practice guideline
India
systematic review
type 2 diabetes mellitus
title Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review
title_full Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review
title_fullStr Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review
title_full_unstemmed Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review
title_short Content and quality of clinical practice guidelines for the management of type 2 diabetes in India: A systematic review
title_sort content and quality of clinical practice guidelines for the management of type 2 diabetes in india a systematic review
topic clinical practice guideline
India
systematic review
type 2 diabetes mellitus
url https://doi.org/10.1002/edm2.405
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