Of the 16 guidelines, 11 (69%) were appraised as
they were written in English, the common language for both
assessors. The domain scores for each guideline are shown in
Table 2. The average scores (and range) for the domains
were: scope and purpose 75% (25–100%); stakeholder
involvement 63% (14–97%); rigour of development 67%
(20–96%); clarity of presentation 81% (64–94%); applicability
46% (10–90%) and editorial independence 67%
(0–100%). Seven (64%) guidelines were independently
assessed as ‘recommended’ for use,18,19,26–30 their quality
scores ranged between 5 and 7, representing good to high
quality guidelines. The other four (36%) guidelines were
‘recommended for use after modification’, they were given
quality scores of 3 and 4