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Feasibility of national living guideline methods: The Australian Stroke Guidelines
Maintaining clinical guideline currency has been one challenge to traditional guideline development. This paper describes the methods used to maintain a large national guideline for stroke management. The Australian Stroke Clinical Guidelines are developed to meet Australian National Health and Medi...
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| Published in: | Journal of clinical epidemiology 2022-02, Vol.142, p.184-193 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c396t-6b0baf38c44cc9a0fe2862aa4972cd78be021782ae8f4d0fe1e61692724312303 |
| container_end_page | 193 |
| container_issue | |
| container_start_page | 184 |
| container_title | Journal of clinical epidemiology |
| container_volume | 142 |
| creator | Hill, Kelvin English, Coralie Campbell, Bruce C.V. McDonald, Steve Pattuwage, Loyal Bates, Peta Lassig, Chris Turner, Tari |
| description | Maintaining clinical guideline currency has been one challenge to traditional guideline development. This paper describes the methods used to maintain a large national guideline for stroke management.
The Australian Stroke Clinical Guidelines are developed to meet Australian National Health and Medical Research Council (NHMRC) standards. Monthly surveillance is conducted for new systematic reviews and randomised controlled studies. Included studies undergo data extraction followed by preparation of updated evidence-to-decision frameworks which are used to inform updates, or development of new recommendations. Small writing groups made up of clinical experts and those with lived experience review and agree on changes, which are finally reviewed by a multidisciplinary Guidelines Steering Group. Draft changes are developed and published using the online MAGICapp platform, with dissemination and promotion via traditional methods as well as social media.
Each month approximately 350 abstracts are considered, covering 96 clinical topics and taking on average 16 h to review. There have been four major guideline updates covering 34 new and updated recommendations.
It is feasible to use ‘living’ methods to maintain the Australian Clinical Guidelines for Stroke Management. Further work is now needed to understand the impact of living guidelines. |
| doi_str_mv | 10.1016/j.jclinepi.2021.11.020 |
| format | article |
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The Australian Stroke Clinical Guidelines are developed to meet Australian National Health and Medical Research Council (NHMRC) standards. Monthly surveillance is conducted for new systematic reviews and randomised controlled studies. Included studies undergo data extraction followed by preparation of updated evidence-to-decision frameworks which are used to inform updates, or development of new recommendations. Small writing groups made up of clinical experts and those with lived experience review and agree on changes, which are finally reviewed by a multidisciplinary Guidelines Steering Group. Draft changes are developed and published using the online MAGICapp platform, with dissemination and promotion via traditional methods as well as social media.
Each month approximately 350 abstracts are considered, covering 96 clinical topics and taking on average 16 h to review. There have been four major guideline updates covering 34 new and updated recommendations.
It is feasible to use ‘living’ methods to maintain the Australian Clinical Guidelines for Stroke Management. Further work is now needed to understand the impact of living guidelines.</description><identifier>ISSN: 0895-4356</identifier><identifier>EISSN: 1878-5921</identifier><identifier>DOI: 10.1016/j.jclinepi.2021.11.020</identifier><identifier>PMID: 34785347</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Australia ; Bias ; Clinical outcomes ; Consumers ; Decision making ; Epidemiology ; Feasibility ; Feasibility Studies ; Guidelines ; Health surveillance ; Humans ; Literature reviews ; Living evidence ; Medical research ; Methods ; Rehabilitation ; Research Design ; Stroke ; Stroke - therapy ; Working groups</subject><ispartof>Journal of clinical epidemiology, 2022-02, Vol.142, p.184-193</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><rights>2021. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-6b0baf38c44cc9a0fe2862aa4972cd78be021782ae8f4d0fe1e61692724312303</citedby><cites>FETCH-LOGICAL-c396t-6b0baf38c44cc9a0fe2862aa4972cd78be021782ae8f4d0fe1e61692724312303</cites><orcidid>0000-0003-3204-1918 ; 0000-0003-2832-5205 ; 0000-0002-2322-8599 ; 0000-0003-3632-9433</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34785347$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hill, Kelvin</creatorcontrib><creatorcontrib>English, Coralie</creatorcontrib><creatorcontrib>Campbell, Bruce C.V.</creatorcontrib><creatorcontrib>McDonald, Steve</creatorcontrib><creatorcontrib>Pattuwage, Loyal</creatorcontrib><creatorcontrib>Bates, Peta</creatorcontrib><creatorcontrib>Lassig, Chris</creatorcontrib><creatorcontrib>Turner, Tari</creatorcontrib><creatorcontrib>Living Stroke Guidelines Executive Group and Content Development Group</creatorcontrib><title>Feasibility of national living guideline methods: The Australian Stroke Guidelines</title><title>Journal of clinical epidemiology</title><addtitle>J Clin Epidemiol</addtitle><description>Maintaining clinical guideline currency has been one challenge to traditional guideline development. This paper describes the methods used to maintain a large national guideline for stroke management.
The Australian Stroke Clinical Guidelines are developed to meet Australian National Health and Medical Research Council (NHMRC) standards. Monthly surveillance is conducted for new systematic reviews and randomised controlled studies. Included studies undergo data extraction followed by preparation of updated evidence-to-decision frameworks which are used to inform updates, or development of new recommendations. Small writing groups made up of clinical experts and those with lived experience review and agree on changes, which are finally reviewed by a multidisciplinary Guidelines Steering Group. Draft changes are developed and published using the online MAGICapp platform, with dissemination and promotion via traditional methods as well as social media.
Each month approximately 350 abstracts are considered, covering 96 clinical topics and taking on average 16 h to review. There have been four major guideline updates covering 34 new and updated recommendations.
It is feasible to use ‘living’ methods to maintain the Australian Clinical Guidelines for Stroke Management. 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Academic</collection><jtitle>Journal of clinical epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hill, Kelvin</au><au>English, Coralie</au><au>Campbell, Bruce C.V.</au><au>McDonald, Steve</au><au>Pattuwage, Loyal</au><au>Bates, Peta</au><au>Lassig, Chris</au><au>Turner, Tari</au><aucorp>Living Stroke Guidelines Executive Group and Content Development Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of national living guideline methods: The Australian Stroke Guidelines</atitle><jtitle>Journal of clinical epidemiology</jtitle><addtitle>J Clin Epidemiol</addtitle><date>2022-02</date><risdate>2022</risdate><volume>142</volume><spage>184</spage><epage>193</epage><pages>184-193</pages><issn>0895-4356</issn><eissn>1878-5921</eissn><abstract>Maintaining clinical guideline currency has been one challenge to traditional guideline development. This paper describes the methods used to maintain a large national guideline for stroke management.
The Australian Stroke Clinical Guidelines are developed to meet Australian National Health and Medical Research Council (NHMRC) standards. Monthly surveillance is conducted for new systematic reviews and randomised controlled studies. Included studies undergo data extraction followed by preparation of updated evidence-to-decision frameworks which are used to inform updates, or development of new recommendations. Small writing groups made up of clinical experts and those with lived experience review and agree on changes, which are finally reviewed by a multidisciplinary Guidelines Steering Group. Draft changes are developed and published using the online MAGICapp platform, with dissemination and promotion via traditional methods as well as social media.
Each month approximately 350 abstracts are considered, covering 96 clinical topics and taking on average 16 h to review. There have been four major guideline updates covering 34 new and updated recommendations.
It is feasible to use ‘living’ methods to maintain the Australian Clinical Guidelines for Stroke Management. Further work is now needed to understand the impact of living guidelines.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34785347</pmid><doi>10.1016/j.jclinepi.2021.11.020</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-3204-1918</orcidid><orcidid>https://orcid.org/0000-0003-2832-5205</orcidid><orcidid>https://orcid.org/0000-0002-2322-8599</orcidid><orcidid>https://orcid.org/0000-0003-3632-9433</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of clinical epidemiology, 2022-02, Vol.142, p.184-193 |
| issn | 0895-4356 1878-5921 |
| language | eng |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Australia Bias Clinical outcomes Consumers Decision making Epidemiology Feasibility Feasibility Studies Guidelines Health surveillance Humans Literature reviews Living evidence Medical research Methods Rehabilitation Research Design Stroke Stroke - therapy Working groups |
| title | Feasibility of national living guideline methods: The Australian Stroke Guidelines |
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