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The quality of clinical practice guidelines for management of pediatric type 2 diabetes mellitus: a systematic review using the AGREE II instrument.

Syst Rev · 2018 · PMC6238336 · PMID 30442196

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an increasing trendno p-value reported
However, despite the lack of statistical significance, there was an increasing trend in mean scores, such that the more recently published versions of guidelines had higher scores for each domain in comparison to the earlier versions.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.