Clinical Practice Guidelines : Protocol for systematic review

Introduction Stroke rehabilitation guidelines promoteclinical decision making, enhance quality of healthcare delivery, minimize healthcare costs, and identify gaps in current knowledge to guide future research. However, there are no published reviews that have exclusively evaluated the quality of ex...

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Bibliographic Details
Published in:PloS one 2023-11, Vol.18 (11), p.e0293733
Main Authors: Hombali, Aditi, Mahmood, Amreen, Gandhi, Dorcas B. C, Kamalakannan, Sureshkumar, Chawla, Nistara S, D'souza, Jennifer, Urimubenshi, Gerard, Sebastian, Ivy A, Solomon, John M
Format: Article
Language:English
Subjects:
Care and treatment
Decision-making
Evidence-based medicine
Medical care, Cost of
Methods
Practice guidelines (Medicine)
Stroke (Disease)
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Summary:Introduction Stroke rehabilitation guidelines promoteclinical decision making, enhance quality of healthcare delivery, minimize healthcare costs, and identify gaps in current knowledge to guide future research. However, there are no published reviews that have exclusively evaluated the quality of existing Clinical Practice Guidelines (CPGs) for stroke rehabilitation from Low- and Middle-Income Countries (LMICs) or provided any insights into the cultural variation, adaptations, or gaps in implementation specific to LMICs. Objectives To identify CPGs developed by LMICs for stroke rehabilitation and evaluate their quality using AGREE-II and AGREE-REX tool. Methods The review protocol is prepared in accordance with the PRISMA-P guidelines and the review was registered in PROSPERO (CRD42022382486). The search was run in Medline, EMBASE, CINHAL, PEDro for guidelines published between 2000 till July 2022. Additionally, SUMSearch, Google, and other guideline portals and gray literature were searched. The included studies were then subjected to data extraction for the following details: Study ID, title of the CPG, country of origin, characteristics of CPG (Scope-national/regional, level of care, multidisciplinary/uni-disciplinary), and information on stroke rehabilitation relevant recommendations. The quality of the included CPGs will be subsequently evaluated using AGREE-II and AGREE-REX tool. Results & conclusion This systematic review aims to explore the gaps in existing CPGs specific to LMICs and will aid in development/adaptation/contextualization of CPGs for implementation in LMICs.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0293733