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Clinical Practice Guidelines (CPGs) for stroke rehabilitation from Low- and Middle-Income Countries (LMICs): Protocol for systematic review

Author

Listed:
  • Aditi Hombali
  • Amreen Mahmood
  • Dorcas B C Gandhi
  • Sureshkumar Kamalakannan
  • Nistara S Chawla
  • Jennifer D’souza
  • Gerard Urimubenshi
  • Ivy A Sebastian
  • John M Solomon
  • on behalf of the Global Consortium of Stroke Rehabilitation (GCSR)

Abstract

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.

Suggested Citation

  • Aditi Hombali & Amreen Mahmood & Dorcas B C Gandhi & Sureshkumar Kamalakannan & Nistara S Chawla & Jennifer D’souza & Gerard Urimubenshi & Ivy A Sebastian & John M Solomon & on behalf of the Global Co, 2023. "Clinical Practice Guidelines (CPGs) for stroke rehabilitation from Low- and Middle-Income Countries (LMICs): Protocol for systematic review," PLOS ONE, Public Library of Science, vol. 18(11), pages 1-9, November.
    • Handle: RePEc:plo:pone00:0293733
    DOI: 10.1371/journal.pone.0293733
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    References listed on IDEAS

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    1. Brusamento, Serena & Legido-Quigley, Helena & Panteli, Dimitra & Turk, Eva & Knai, Cecile & Saliba, Vanessa & Car, Josip & McKee, Martin & Busse, Reinhard, 2012. "Assessing the effectiveness of strategies to implement clinical guidelines for the management of chronic diseases at primary care level in EU Member States: A systematic review," Health Policy, Elsevier, vol. 107(2), pages 168-183.
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