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Each panel’s sub-field guideline manuscript was developed using an introduction, methods, results, and discussion framework. If such funding does become available to develop new guidelines de novo we suggest that additional sub-fields are also considered and addressed, such as Charcot foot and inpatient DFD care. At least two panel members independently screened each recommendation (and all relevant documentation informing the recommendation) in their sub-field for acceptability and applicability in the Australian health context, using a customised ADAPTE evaluation form (Supplementary Material Fig. You can change your choices at any time by visiting Cookie preferences, as described in the Cookie notice.

Those deemed eligible were further assessed and included if scoring at least moderate quality, suitability and currency using AGREE II and NHMRC instruments. Given findings, the authors suggest using a Force Plate counting method and have compiled a list of suggestions for future implementation of the FTT. Temporal trends in initial and recurrent lower extremity amputations in people with and without diabetes in Western Australia from 2000 to 2010. Of the 100 original IWGDF recommendations, 71 were adopted, 27 adapted and two excluded for use in Australia across six guideline manuscripts.The best performing network was an ensemble of the results of the top 3 models, with a macro-average F1-score of 0. A decision to exclude was made if the ADAPTE form scored an “unsure” or “no” on any item, there were substantial disagreements between the panel’s GRADE EtD summary judgement items and that of source guideline’s, and/or the panel considered the recommendation was not acceptable or applicable to use in the Australian context.

Thus, with high quality, high suitability and moderate currency the 2019 IWGDF guidelines were determined to be a suitable international source DFD guideline to adapt to the Australian health context.In 2018 and 2019 the NDFA was commissioned to produce a collaboration focussed on improving footcare. In terms of quality, we not only used the IWGDF guidelines rated as having high overall quality in our AGREE II quality assessments [ 24], we then followed the gold standard ADAPTE framework as the methodological steps to adapt the IWGDF guidelines [ 17], and the contemporary international gold standard GRADE system for synthesising and grading both the quality of evidence and strength of each recommendation [ 18, 26, 27, 28, 29, 30, 45]. It’s best to use nail nippers rather than cutters, because they have a small cutting blade and a longer handle. Any recommendations scoring any items as “unsure” or “no” agreement in one or more items required full assessment.